Supporting Older Americans Act of 2020

Bill: 116-hr-4334
Sponsor: full_name: Rep. Bonamici, Suzanne [D-OR-1]
Introduced: 2019-09-16
Policy area: Social Welfare
Subjects: Adult education and literacy

Aging

Alaska Natives and Hawaiians

Cardiovascular and respiratory health

Child care and development

Community life and organization

Congressional oversight

Crime prevention

Crime victims

Criminal procedure and sentencing

Department of Homeland Security

Disability and paralysis

Emergency planning and evacuation

Employment and training programs

Executive agency funding and structure

Family relationships

Family services

Financial literacy

Food assistance and relief

Fraud offenses and financial crimes

Government information and archives

Government studies and investigations

Health care quality

Health information and medical records

Health personnel

Health programs administration and funding

Health promotion and preventive care

Home and outpatient care

Immunology and vaccination

Indian social and development programs

Infectious and parasitic diseases

Lawyers and legal services

Long-term, rehabilitative, and terminal care

Medicaid

Medical research

Medical tests and diagnostic methods

Medicare

Mental health

Minority health

Neurological disorders

Nutrition and diet

Performance measurement

Research administration and funding

Rural conditions and development

Sexually transmitted diseases

Social security and elderly assistance

Social work, volunteer service, charitable organizations

State and local government operations

Urban and suburban affairs and development
Latest action: action_date: 2020-03-25
text: Became Public Law No: 116-131.

Summaries:
action_date: 2019-09-16
action_desc: Introduced in House
text: <p><b>Dignity in Aging Act of 2019</b></p> <p>This bill establishes, reauthorizes, and revises several programs administered by the Department of Health and Human Services and the Department of Labor relating to care for the elderly.</p> <p>Among other things, the bill reauthorizes through FY2024 and revises programs that support</p> <ul> <li>caregivers of the elderly;</li> <li>informational services, such as pension counseling;</li> <li>nutritional services, such as meal delivery;</li> <li>disease prevention and health promotion services;</li> <li>community and workforce training regarding elder care; and</li> <li>abuse and neglect prevention services.</li> </ul> <p>The bill also establishes several entities and programs to further support elder care, including initiatives that aim to promote independent living and reduce social isolation for the elderly.</p>

action_date: 2019-10-28
action_desc: Passed House
text: <p><b>Dignity in Aging Act of 2019</b></p> <p>This bill establishes, reauthorizes, and revises several programs administered by the Department of Health and Human Services and the Department of Labor relating to care for the elderly.</p> <p>Among other things, the bill reauthorizes through FY2024 and revises programs that support</p> <ul> <li>caregivers of the elderly;</li> <li>informational services, such as pension counseling;</li> <li>nutritional services, such as meal delivery;</li> <li>disease prevention and health promotion services;</li> <li>community and workforce training regarding elder care; and</li> <li>abuse and neglect prevention services.</li> </ul> <p>The bill also establishes several entities and programs to further support elder care, including initiatives that aim to promote independent living and reduce social isolation for the elderly.</p>

action_date: 2020-03-25
action_desc: Public Law
text: <div> <b><br /></b></div> <div><b>Supporting Older Americans Act of 2020</b></div> <div><br /></div> <div> This bill reauthorizes through FY2024, modifies, and establishes programs under the Older Americans Act, which supports social services and activities for individuals aged 60 years or older. It also requires various reports and evaluations, including on social isolation.</div> <div><br /></div> <div>TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION ON AGING</div> <div><br /></div> <div>This title reauthorizes and revises various activities, and modifies the duties and functions, of the Administration on Aging. It also (1) provides statutory authority for the National Resource Center for Women and Retirement; (2) authorizes a demonstration project for recruiting and retaining direct care workers; and (3) includes immunizations, malnutrition screenings, and certain other activities within the scope of health promotion and disease prevention activities supported by the administration.</div> <div><br /></div> <div>TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING</div> <div><br /></div> <div>This title reauthorizes grants for supportive services, nutrition services, disease prevention and health promotion activities, and caregiver supports. It also modifies grant funding formulas, eligibility criteria, and other related requirements.</div> <div><br /></div> <div>TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY</div> <div><br /></div> <div>This title reauthorizes and revises activities that support health, independence, and longevity for older adults, including by allowing certain grants to support fall prevention and chronic disease self-management programs.</div> <div><br /></div> <div>TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM</div> <div><br /></div> <div>This title reauthorizes employment and volunteer programs for older adults and designates older adults who have been recently incarcerated as a priority population for some of these programs.</div> <div><br /></div> <div>TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS</div> <div><br /></div> <div>This title reauthorizes programs for older adults in tribal populations and establishes a competitive grant program for support services to help maintain the health and independence for members of this population.</div> <div><br /></div> <div>TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES AND OTHER PROGRAMS</div> <div><br /></div> <div>This title reauthorizes and revises elder justice programs and the long-term care ombudsman program.</div> <div><br /></div> <div>TITLE VII--MISCELLANEOUS</div> <div><br /></div> <div>This title makes technical corrections, such as by replacing outdated statutory references.</div>

tv_txt: I 116th CONGRESS 1st Session H. R. 4334 IN THE HOUSE OF REPRESENTATIVES September 16, 2019 Ms. Bonamici (for herself, Ms. Stefanik , Mrs. Lee of Nevada , Mr. Comer , Ms. Wild , and Mr. Johnson of South Dakota ) 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 authorize appropriations for fiscal years 2020 through 2024, and for other purposes.

1. Short title; table of contents (a) Short title This Act may be cited as the Dignity in Aging Act of 2019 . (b) Table of contents The table of contents of this Act is the following: Sec. 1. Short title; table of contents. Title I—Ensuring collaboration and promoting independence for older individuals Sec. 101. Person-centered, trauma-informed care. Sec. 102. Vaccination. Sec. 103. Functions of Assistant Secretary. Sec. 104.  Professional standards for nutrition official under the Assistant Secretary. Sec. 105. Interagency Coordinating Committee on Age-Friendly Communities. Sec. 106. Technical assistance on age-friendly communities. Sec. 107. Malnutrition. Sec. 108. Coordination with resource centers. Sec. 109. Arts education. Sec. 110. Social determinants of health. Sec. 111. Federal coordination of supports and services for living independently and safely at home. Sec. 112. Falls prevention and chronic disease self-management education. Sec. 113. Extension of RAISE Family Caregivers Act. Sec. 114. Support for socially isolated older Americans. Sec. 115. Increased focus of Assistant Secretary on social isolation. Sec. 116. Advisory council on social isolation. Sec. 117. Supportive services and senior centers. Sec. 118. Demonstration projects. Sec. 119. Younger onset Alzheimer’s Disease. Sec. 120. Priority for the senior community service employment program. Sec. 121. Direct care workforce. Title II—Empowering the Aging Network to meet the needs of older individuals Sec. 201. National Family Caregiver Support Program cap. Sec. 202. Minimum funding level for State administrative expenses. Sec. 203. Culturally appropriate, medically tailored meals. Sec. 204. Business acumen provisions and clarification regarding outside funding for area agencies on aging. Sec. 205. Other practices. Sec. 206. Caregiver assessments. Sec. 207. Research and evaluation. Sec. 208. Grant program for multigenerational collaboration. Title III—Strengthening protections for older individuals Sec. 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort. Sec. 302. State long-term care volunteer ombudsman representatives. Sec. 303. Clarification regarding board and care facilities. Title IV—Meeting the needs of older Native Americans Sec. 401. Expanding supportive services for Native American aging programs. Sec. 402. Enhancing capacity to support Native American aging programs. Title V—Miscellaneous Sec. 501. Assistive technology. Sec. 502. Technical corrections. Sec. 503. Authorization of appropriations; uses of funds. Sec. 504. Effective date. I Ensuring collaboration and promoting independence for older individuals 101. Person-centered, trauma-informed care Section 101(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3001(2) ) is amended by inserting (including access to person-centered, trauma-informed care) after health . 102. Vaccination Section 102(14) of the Older Americans Act of 1965 ( 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, after disease), . 103. Functions of Assistant Secretary Section 202 of the Older Americans Act of 1965 ( 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 a program for which such applicant previously received a grant unless the Assistant Secretary determines— (A) the program for which such application was submitted is operating effectively to achieve its stated purpose, and (B) such applicant— (i) complied with the assurances provided to the Assistant Secretary with the application for such previous grant; and (ii) will comply with the assurances provided with the current submitted application. , 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 the Act. The Assistant Secretary shall ensure that this information is also directly provided to States and area agencies on aging. . 104. Professional standards for nutrition official under the Assistant Secretary Section 205(a)(2)(C)(ii) of the Older Americans Act of 1965 ( 42 U.S.C. 3016(a)(2)(C)(ii) is amended to read as follows: (ii) be a registered dietitian or registered dietician nutritionist. . 105. Interagency Coordinating Committee on Age-Friendly Communities Section 203 of the Older Americans Act of 1965 ( 42 U.S.C. 3013 ) is amended— (1) in subsection (b)— (A) in paragraph (18) by striking and at the end, (B) in subparagraph (19) by striking the period at the end, and inserting ; and , and (C) 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. , and (2) in subsection (c)— (A) in paragraph (1)— (i) by striking Aging and inserting Age-Friendly Communities , and (ii) by inserting to support the ability of older individuals to age in place and access 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 services before the period at the end, (B) in paragraph (4) by inserting , except that the 1st term of a member appointed to the Interagency Coordinating Committee on Age-Friendly Communities shall begin not later than 1 year after the date of the enactment of the Dignity in Aging Act of 2019 before the period at the end, (C) in paragraph (5) by striking once each year and inserting semiannually , (D) in paragraph (6)— (i) in subparagraph (A)— (I) in clause (iii) by striking and at the end, (II) in clause (iv) by adding and at the end, and (III) by adding at the end the following: (v) identifying best practices for connecting older individuals to services for which they may be eligible; , and (ii) by amending subparagraph (B)(ii) to read as follows: (ii) innovations in technology applications (including assistance technology devices and assistance technology services) that— (I) promote safe and accessible independent living environments; and (II) give older individuals access to information on available services or help in providing services to older individuals; , (E) in subparagraph (E) by striking nongovernmental experts and organizations, including public health interest and research groups and foundations and inserting nongovernmental organizations, academic or research institutions, community-based organizations, and philanthropic organizations , (F) by redesignating subparagraphs (E), (F), and (F) as subparagraphs (F), (G), and (H), respectively, (G) by inserting after subparagraph (D) the following: (E) work with the Centers for Disease Control, the National Institute on Aging, and the Housing and Urban Development Office of Lead Hazard Control and Healthy Homes, and other Federal agencies as appropriate, to develop recommendations, in accordance with paragraph (1), to reduce falls among older individuals that incorporate evidence-based falls prevention programs and home modifications to reduce and prevent falls; , and (H) by adding at the end the following: (9) In this subsection, the term age-friendly community means a community that— (A) is taking steps— (i) to include accessible housing, accessible spaces and buildings, safe and secure paths, variable route transportation services, and programs and services designed to maintain health and well-being; (ii) to respect and include older individuals in social opportunities, civic participation, volunteerism, and employment; and (iii) to facilitate access to supportive services for older individuals; and (B) has a plan in place to meet local needs for housing, transportation, civic participation, social connectedness, and accessible spaces. . 106. Technical assistance on age-friendly communities Section 205(a)(2) of the Older Americans Act of 1965 ( 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 State agencies, area agencies on aging, local government agencies, or leaders in age-friendly communities (as defined 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 Age-Friendly Communities established under section 203(c); and (ii) methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities. . 107. Malnutrition The Older Americans Act of 1965 ( 42 U.S.C. 2011 et seq.) is amended— (1) in section 102(14)(B) by inserting (including screening for malnutrition) before the semicolon at the end, and (2) in section 330(1) by striking and food insecurity and inserting , food insecurity, and malnutrition . 108. Coordination with resource centers (a) Area plans Section 306(a) of the Older Americans Act of 1965 ( 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 (3) by adding at the end the following: (18) provide assurances that the area agency on aging will collect data to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of such activities in assisting these individuals. Each agency plan shall 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 are the focus of all centers funded under title IV. . (b) State plans Section 307(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3027 ) by adding at the end the following: (31) The plan shall provide assurances that the State will collect data to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of such activities in assisting these individuals. Each State plan shall provide assurances that the State unit on aging will use outreach efforts that will identify individuals eligible for assistance under this Act, with special emphasis on those individuals whose needs are the focus of all centers funded under title IV . 109. Arts education (a) Program design Section 202(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a)(5) ) is amended by inserting cultural experiences, activities and services, including the arts, after education), . (b) Supportive services Section 321(a)(7) of the Older Americans Act of 1965 ( 42 U.S.C. 3030d(a)(7) ) is amended by inserting cultural experiences (including the arts), after art therapy, . 110. Social determinants of health Section 301(a)(1) of the Older Americans Act of 1965 ( 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) address the social determinants of health of older individuals. . 111. Federal coordination of supports and services for living independently and safely at home Title II of the Older Americans Act of 1965 ( 42 U.S.C. 3011–3020 ) is amended by inserting after section 203A the following: 203B. Federal coordination of supports and services for living independently and safely at home (a) Initiative The Assistant Secretary shall carry out an initiative under this section to identify and disseminate information about Federal resources to promote falls prevention, home assessments, and home modifications, which may include in-home assistive technology, to enable older individuals to live independently and safely in a home environment. (b) Coordination of Federal efforts In carrying out the initiative under this section, the Assistant Secretary shall coordinate, through memoranda of understanding, agreements, or other appropriate means of coordination, with all Federal efforts and Federal programs in effect on the effective date of this section that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals, including older individuals with disabilities. (c) Reports Not later than 1 year after effective date of this section, and triennially thereafter as needed, the Assistant Secretary shall publish a report that includes— (1) an inventory of the then current Federal programs that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals; (2) for the fiscal year of the report, statistical data on the number of older individuals served by each Federal program described in paragraph (1), including a demographic analysis and the approximate amount of Federal funding invested in each such program; and (3) an evaluation of the impact of Federal programs that support falls prevention and home modifications, which may include in-home assistive technology, on health status and health outcomes in populations supported by such efforts and programs. . 112. Falls prevention and chronic disease self-management education Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ) is amended— (1) by redesignating paragraphs (13) and (14) as paragraphs (15) and (16), respectively, and (2) by inserting after paragraph (12) the following: (13) 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 and individuals with disabilities; (14) bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals and older individuals with disabilities to better manage their chronic conditions; . 113. Extension of RAISE Family Caregivers Act Section 6 of the RAISE Family Caregivers Act ( Public Law 115–119 ; 132 Stat. 27) is amended by striking 3 and inserting 4 . 114. Support for socially isolated older Americans Section 102(14) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ) is amended— (1) in subparagraph (K) by striking ; and , (2) by redesignating subparagraph (L) as subparagraph (M), and (3) by inserting after subparagraph (K) the following: (L) screening for the prevention of social isolation and coordination of supportive services and health care to address social isolation and loneliness; and . 115. Increased focus of Assistant Secretary on social isolation Section 202(a) of the Older Americans Act of 1965 ( 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 and inserting ; and , and (3) by adding at the end the following: (32) develop objectives, priorities, and a long-term plan for supporting State and local efforts involving education about, prevention of, detection of, and response to social isolation among older individuals. . 116. Advisory council on social isolation Section 202 of the Older Americans Act of 1965 ( 42 U.S.C. 3012 ) is amended by adding at the end the following: (h) (1) The Assistant Secretary shall convene an advisory council on social isolation with aging network stakeholders and select members in a manner that ensures geographic diversity of the members— (A) to review and evaluate efforts to address social isolation and loneliness among older individuals; and (B) to identify challenges, solutions, and best practices related to such efforts. (2) The advisory council convened under paragraph (1) shall— (A) ensure consideration of consumer-directed care models; and (B) submit a report to Congress on its findings. (3) The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply with respect to the advisory council convened under paragraph (1). . 117. Supportive services and senior centers Section 321(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3030d(a) ) is amended— (1) in paragraph (8) by striking behavioral health screening and inserting behavioral health screening, screening for social isolation and loneliness, , (2) in paragraph (24) by striking and at the end, (3) by redesignating paragraph (25) as paragraph (26), and (4) by inserting after paragraph (24) the following: (25) services that promote or support social connectiveness and reduce social isolation; and . 118. Demonstration projects (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by section 112, is amended— (1) in paragraph (15) by striking and at the end, (2) by redesignating paragraph (16) as paragraph (17), and (3) by inserting after paragraph (15) the following: (16) projects that address social isolation and loneliness among older adults; and . (b) Repeal Section 416 of the Older Americans Act of 1965 ( 42 U.S.C. 3032e ) is repealed. 119. Younger onset Alzheimer’s Disease (a) Definition of family caregiver Section 302(3) of the Older Americans Act of 1965 ( 42 U.S.C. 3022(3) ) is amended by inserting of any age after an individual the 2d place it appears. (b) Definition of resident Section 711(6) of the Older Americans Act of 1965 ( 42 U.S.C. 3058(6) ) is amended by inserting of any age after individual . 120. Priority for the senior community service employment program The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 503(a)(4)(C)— (A) in clause (iii) by striking and at the end, (B) in clause (iv) by adding and at the end, and (C) by adding at the end the following: (v) eligible individuals who have been incarcerated or are under supervision following the release from prison or jail within the last 5 years. , (2) in 514(e)(1) by inserting older individuals who have been incarcerated or are under supervision following the release from prison or jail after need, , and (3) in section 518— (A) in subsection (a)(3)(B)(ii)— (i) in clause (IV) by striking or at the end, (ii) in clause (V) by striking the period at the end and inserting ; or , and (iii) by adding at the end the following: (VI) have been incarcerated or are under supervision following the release from prison or jail within the last 5 years. , and (B) in subsection (b)(2)— (i) in subparagraph (F) by striking or at the end, (ii) in subparagraph (G) by striking the period at the end and inserting ; or , and (iii) by adding at the end the following: (H) has been incarcerated or is under supervision following the release from prison or jail within the last 5 years. . 121. Direct care workforce (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by sections 112 and 118, is amended— (1) by redesignating paragraph (16) and (17) as paragraphs (17) and (18), respectively, and (2) by inserting after paragraph (15) the following: (16) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and to solicit, develop and implement 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 and retain direct care workers; (B) to provide supportive services and career planning for direct care workers; and (C) to support the advancement of direct care workers through education and workforce development programs that include necessary credential or licensing preparation, paid on-the-job training or work-based learning, and appropriate safety training. . (b) Older American community service employment program Section 502(e)(2)(B) of the Older Americans Act of 1965 ( 42 U.S.C. 3056(e)(2)(B) ) is amended— (1) in clause (iii) by striking and at the end, (2) in clause (iv) by adding and at the end, and (3) by adding at the end the following: (v) attract, retain, and advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers for entry for a diverse and high-quality direct care workforce, supportive services and career planning, and paid on-the-job training or work-based learning, with appropriate safety training; . II Empowering the Aging Network to meet the needs of older individuals 201. National Family Caregiver Support Program cap (a) Federal share Section 373(g)(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(g)(2) ) 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 the enactment of this Act, and annually thereafter, the Assistant Secretary shall submit to the Committee on Education and Labor of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate 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–3030s–2). Each such report shall also be made available to the public. (2) Contents For purposes of reports required by paragraph (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 share allotment used by the State to provide support services for caregiver support for older relative caregivers and family caregivers. 202. Minimum funding level for State administrative expenses Section 308(b)(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 30299(b)(2)(B) ) is amended by striking $500,000 and inserting $750,000 . 203. Culturally appropriate, medically tailored meals Section 339(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3939h(2)(A) ) is amended by inserting , including cultural considerations and preferences and medically tailored meals before the comma at the end. 204. 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) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(b)(9) ) is amended— (1) in subparagraph (A) by striking and after the semicolon at the end, (2) in subparagraph (B) by inserting and after the semicolon at the end, and (3) by adding at the end the following: (C) 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 of the Older Americans Act of 1965 ( 42 U.S.C. 3026 ) is amended by adding at the end the following: (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 in the planning and service area supported by the area agency on aging. . 205. Other practices Section 315 of the Older Americans Act of 1965 ( 42 U.S.C. 3030c–2 ) is amended by adding at the end the following: (e) Response to area agencies on aging Upon request from an area agency on aging, the state shall make available any policies or guidance pertaining to policies under this section. . 206. Caregiver assessments (a) Definition of caregiver assessment Section 372(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s(a) ) is amended by adding at the end the following: (4) Caregiver assessment The term caregiver assessment means a systematic process of gathering information about the situation of a caregiver who voluntarily participates in such process to identify the caregiver’s specific needs, barriers, and existing supports as identified by the caregiver that— (A) provides the opportunity for the recognized caregiver to participate in such process; (B) requires direct contact with the caregiver and is used to appropriately target and tailor support services to the caregiver’s unique needs; and (C) includes reassessment of such specific needs, barriers, and existing supports, including to accommodate a significant change in the caregiving situation, which shall occur on a voluntary basis with the consent of the caregiver. . (b) Use of caregiver assessments Section 373(b) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(b) ) is amended by inserting may be informed through the use of caregiver assessments and after with, . (c) Technical assistance for caregiver assessments Section 373 of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1 ) is amended by adding at the end the following: (h) Technical assistance for caregiver assessments Not later than 1 year after the effective date of this subsection, the Assistant Secretary, in consultation with caregivers, older individuals, individuals with a disability who receive care from an older relative caregiver, the aging network, and other experts and stakeholders, shall provide technical assistance to promote and implement the use of caregiver assessments. Such technical assistance shall include sharing available tools and templates, comprehensive assessment protocols, and best practices concerning— (1) conducting caregiver assessments and reassessments; (2) implementing such assessments that are consistent across a planning and service area; and (3) implementing caregiver support service plans, including referrals to and coordination of activities with relevant State and local services. . (d) Reporting on caregiver assessment Section 373(e) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(e) ) is amended— (1) in paragraph (3) by inserting , including caregiver assessments used in the State, after mechanisms , and (2) by adding at the end the following: (4) Report on caregiver assessments (A) In general Not later than 3 years after the effective date of this paragraph, 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— (i) an analysis of the current use of caregiver assessments, including a repository of caregiver assessment tools or templates and comprehensive assessment protocols; (ii) using objective data, an analysis of the impact of caregiver assessments on— (I) family caregivers and older relative caregivers; and (II) the individuals to whom the caregivers described in subclause (I) provide care; (iii) an analysis of the impact of using caregiver assessments on the aging network; (iv) an analysis of how caregiver assessments are being used to identify the specific needs, barriers, and existing supports of family caregivers and older relative caregivers; (v) recommendations for using caregiver assessments, including in rural or underserved areas; and (vi) feedback from State agencies and area agencies on aging, particularly in rural or underserved areas, on the implementation of caregiver assessments. (B) Submission Not later than 6 months after the issuance of the report under paragraph (1), the Assistant Secretary shall submit the report to the Committee on Education and Labor of the House of Representatives, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Special Committee on Aging of the Senate. . 207. Research and evaluation Section 201 of the Older Americans Act of 1965 ( 42 U.S.C. 3011 ) is amended by adding at the end the following: (g) (1) The Assistant Secretary shall coordinate the research and evaluation functions of this Act under a National 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 research, research dissemination, evaluation, demonstration projects, and related activities carried out under this Act; (B) to provide assessment of the programs authorized under this Act; and (C) to increase the repository of information on evidence-based programs and interventions available to the aging network. Such information shall be applicable to existing programs and help in the development of new evidence-based programs and interventions. (3) Activities of the Center shall include— (A) conducting, promoting, coordinating, and providing support for— (i) research and evaluation activities that support the objectives of this Act, including— (I) evaluation of new and existing programs and interventions authorized by this Act; and (II) research on and assessment of the impacts that programs and interventions under this Act have on the health outcomes, social determinants of health, quality of life, and independence of individuals served under this Act; (ii) demonstration projects that support the objectives of the Act and activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations; (iii) outreach and dissemination of research findings; and (iv) technical assistance related to the activities described in this subparagraph. (4) The director shall be an individual with substantial knowledge 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, and related activities; (B) explains the basis for such priorities; and (C) describes how the plan will meet the needs of underserved populations. (6) The director shall, as appropriate, coordinate 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 Committee 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 all research and evaluation authorities under this Act. . 208. Grant program for multigenerational collaboration Section 417 of the Older Americans Act of 1965 ( 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— (1) to provide opportunities for older individuals to participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals and individuals in younger generations by developing— (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 individuals; (E) increased lifelong learning; or (F) support for family caregivers by— (i) providing support for older relative caregivers (as defined in section 372) raising children (such as 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) to coordinate multigenerational activities and civic engagement activities, including multigenerational nutrition and meal service programs; (3) to promote volunteerism, including becoming a mentor to young people; and (4) to facilitate development of and participation in multigenerational activities and civic engagement activities. , (2) by amending subsection (b) to read as follows: (b) Use of funds (1) In general An eligible organization shall use funds made available under a grant awarded, or a contract entered into, under this section to carry out a project described in subsection (a). (2) Provision of projects through grantees In making grants under this section, the Assistant Secretary shall ensure that awards are made for the activities and projects described in each of paragraphs (1) and (2) of subsection (a). ; (3) in subsection (c)— (A) in the matter preceding paragraph (1), by inserting that serves individuals in younger generations and older individuals after to carry out a project ; (B) in paragraph (1) by inserting , intent to carry out, or intent to partner with local organizations or multiservice organizations to carry out, after record of carrying out , (C) in paragraph (3) by striking ; and and inserting a semicolon, (D) in paragraph (4) by striking the period at the end and inserting ; and , and (E) by adding at the end the following: (5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities. , (4) by amending subsection (e) to read as follows: (e) Eligible organizations Organizations eligible to receive a grant or enter into a contract under subsection (a) shall— (1) be a State, an area agency on aging, or an organization that provides opportunities for older individuals to participate in activities described in such subsection; and (2) have the capacity to conduct the coordination, promotion, and facilitation described in such subsection through the use of multigenerational coordinators. , (5) by striking subsection (g), (6) in subsection (h)(2)(B)(i) by striking individuals from the generations with older individuals and inserting older individuals , (7) by redesignating subsections (b) through (f) as subsections (c) through (g), respectively, and (8) by inserting after subsection (a) the following: (b) Grant period Each grant awarded or contract made under subsection (a) shall be to carry out projects for a period of not less than 36 months. ; III Strengthening protections for older individuals 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 306(a)(9)— (A) by inserting together with any other funds after Act , and (B) by striking 2000 and inserting 2019 , and (2) in section 307(a)(9)— (A) by striking an amount and inserting the total amount , (B) by striking 2000 and inserting 2019 each place it appears, and (C) by inserting from all sources including after received each place it appears. 302. State long-term care volunteer ombudsman representatives Section 712(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3058g(a)(5) ) is amended— (1) by redesignating subparagraph (D) as subparagraph (E), and (2) by inserting after subparagraph (C) the following: (D) Volunteer ombudsman representatives An individual designated as a volunteer ombudsman representative may receive financial support and recognition from the Office of the State Long-Term Care Ombudsman Program for expenses incurred during service. . 303. Clarification regarding board and care facilities Section 102(35)(C) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(35)(C) ) is amended by striking for purposes of sections 307(a)(12) and 712, . IV Meeting the needs of older Native Americans 401. 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) in part D— (A) by amending section 643 to read as follows: 643. Authorization of appropriations There are authorized to be appropriated to carry out this title— (1) for parts A and B, $36,689,832 for fiscal year 2020, $38,891,222 for fiscal year 2021, $41,224,695 for fiscal year 2022, $43,698,177 for fiscal year 2023, and $46,320,067 for fiscal year 2024; and (2) for part C subject to section 644, $11,324,854 for fiscal year 2020, $12,004,345 for fiscal year 2021, $12,724,606 for fiscal year 2022, $13,488,082 for fiscal year 2023, and $14,297,367 for fiscal year 2024. , and (B) by adding at the end the following: 644. Funding set aside Of the funds appropriated under section 643(2) for a fiscal year, 5 percent shall be made available to carry out part D for such fiscal year. , (2) by redesignating part D as part E, and (3) by inserting after part C the following: D Supportive services for healthy aging and independence 636. Program (a) In general The Assistant Secretary shall carry out a demonstration program for making grants to tribal organizations or Native Hawaiians with applications approved under parts A and B, to pay for the Federal share of carrying out tribal programs, to enable the tribal organizations 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 described in section 321(a). (2) Priority The Assistant Secretary, in making 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. . 402. Enhancing 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 inserting to ensure adequate capacity to deliver the services under such title, which technical assistance programs may include program management, data development and use, basic business skills, grant development, program and service innovations, and staff professional development and certification; before the semicolon at the end, and (2) section 216 is amended to read as follows: 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 $44,041,171 for fiscal year 2020, $46,684,701 for fiscal year 2021, $49,485,783 for fiscal year 2022, $52,454,930 for fiscal year 2023, and $55,602,226 for fiscal year 2024. (b) Authorization of appropriations for programs There are authorized to be appropriated— (1) to carry out section 201(g), $20,000,000 for each of the fiscal years 2020 through 2024; (2) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,186,227 for fiscal year 2020, $2,317,401 for fiscal year 2021, $2,456,445 for fiscal year 2022, $2,603,832 for fiscal year 2023, and $2,760,062 for fiscal year 2024; (3) to carry out section 215, $1,992,460 for fiscal year 2020, $2,112,008 for fiscal year 2021, $2,238,728 for fiscal year 2022, $2,373,052 for fiscal year 2023, and $2,515,435 for fiscal year 2024; (4) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,375,011 for fiscal year 2020, $1,457,511 for fiscal year 2021, $1,544,962 for fiscal year 2022, $1,637,660 for fiscal year 2023, and $1,735,919 for fiscal year 2024; (5) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,708,043 for fiscal year 2020, $9,230,526 for fiscal year 2021, $9,784,357 for fiscal year 2022, $10,371,419 for fiscal year 2023, and $10,993,704 for fiscal year 2024; and (6) to carry out section 201(c)(3)(H) (relating to professional development and technical assistance for programs under title VI), $500,000 for fiscal year 2020. . V Miscellaneous 501. Assistive technology Section 102(8)(B) of the Older Americans Act of 1965 ( 42 U.S.C. 2011 et seq.) is amended by striking 1998 and inserting 2004 . 502. Technical corrections The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 101(37)(A) by striking paragraph (5) and inserting paragraph (26) , (2) in section 202(a)(23) by striking sections 307(a)(18) and 731(b)(2) and inserting sections 307(a)(13) and 731 , (3) in section 202(e)(1)(A) by moving the left margin of clause (i) 2 ems to the left, (4) in sections 203(c)(7), 207(b)(2)(B), and 215(i) by striking Committee on Education and the Workforce and inserting Committee on Education and Labor , (5) in section 207(b)(3)(A) by striking Administrator of the Health Care Finance Administration and inserting Administrator of the Centers for Medicare and Medicaid Services , (6) in section 304(a)(3)(C) by striking term and all that follows through does , and inserting term State does , (7) in section 306(a)— (A) by inserting the number of older individuals at risk for institutional placement residing in such area, after areas) residing in such area, the last place it appears, and (B) in paragraph (2) by striking who are victims of and inserting with , (8) in section 339 by striking Institute of Medicine of the National Academy of Sciences and inserting National Academies of Sciences, Engineering, and Medicine , (9) in section 611 by striking (a) , and (10) in section 614(c)(4) by striking “(12)” and inserting “(11)”. 503. Authorization of appropriations; uses of funds (a) Authorization of appropriations; uses of funds Section 303 of the Older Americans Act of 1965 ( 42 U.S.C. 3023 ) is amended to read as follows: 303. Authorization of appropriations; uses of funds (a) (1) There are authorized to be appropriated to carry out part B (relating to supportive services) $413,011,586 for fiscal year 2020, $437,792,281 for fiscal year 2021, $464,059,818 for fiscal year 2022, $491,903,407 for fiscal year 2023, and $521,417,612 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) $531,279,663 for fiscal year 2020, $563,156,443 for fiscal year 2021, $596,945,830 for fiscal year 2022, $632,762,580 for fiscal year 2023, and $670,728,334 for fiscal year 2024. (2) There are authorized to be appropriated to carry out subpart 2 of part C (relating to home delivered nutrition services) $269,577,167 for fiscal year 2020, $285,751,797 for fiscal year 2021, $302,896,905 for fiscal year 2022, $321,070,719 for fiscal year 2023, and $340,334,963 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, congregate and home delivered 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) $26,650,753 for fiscal year 2020, $28,249,798 for fiscal year 2021, $29,944,786 for fiscal year 2022, $31,741,473 for fiscal year 2023, and $33,645,961 for fiscal year 2024. (e) There are authorized to be appropriated to carry out part E (relating to family caregiver support) $194,331,264 for fiscal year 2020, $205,991,140 for fiscal year 2021, $218,350,609 for fiscal year 2022, $231,451,645 for fiscal year 2023, and $245,338,744 for fiscal year 2024. . (b) Section 304(a)(3)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3024(a)(3)(D) ) is amended— (1) in clause (i) by striking 2017 through 2019 and inserting 2020 through 2024 , and (2) in clause (ii) by striking 2020 and inserting 2025 . (c) Section 311(e) of the Older Americans Act of 1965 ( 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)) $171,682,200 for fiscal year 2020, $181,983,132 for fiscal year 2021, $192,902,120 for fiscal year 2022, $204,476,247 for fiscal year 2023, and $216,744,822 for fiscal year 2024. . (d) Section 411(b) of the Older Americans Act of 1965 ( 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, $14,549,157 for fiscal year 2020, $15,422,107 for fiscal year 2021, $16,347,433 for fiscal year 2022, $17,328,279 for fiscal year 2023, and $18,367,976 for fiscal year 2024; and (2) elder rights support activities under this section, $15,650,667 for fiscal year 2020, $16,589,707 for fiscal year 2021, $17,585,090 for fiscal year 2022, $18,640,195 for fiscal year 2023, and $19,758,607 for fiscal year 2024. . (e) Section 517(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3056o(a) ) is amended to read as follows: (a) In general There are authorized to be appropriated to carry out this title $429,020,486 for fiscal year 2020, $454,761,715 for fiscal year 2021, $482,047,418 for fiscal year 2022, $510,970,263 for fiscal year 2023, and $541,628,478 for fiscal year 2024. . (f) Section 702 of the Older Americans Act of 1965 ( 42 U.S.C. 3058a ) is amended to read as follows: 702. Authorization of appropriations (a) Ombudsman program There are authorized to be appropriated to carry out chapter 2, $18,110,027 for fiscal year 2020, $19,196,629 for fiscal year 2021, $20,348,427 for fiscal year 2022, $21,569,332 for fiscal year 2023, and $22,863,492 for fiscal year 2024. (b) Other programs There are authorized to be appropriated to carry out chapters 3 and 4, $5,119,287 for fiscal year 2020, $5,426,444 for fiscal year 2021, $5,752,031 for fiscal year 2022, $6,097,153 for fiscal year 2023, and $6,462,982 for fiscal year 2024. . 504. Effective date This Act shall take effect on October 1, 2019.

tv_txt: I 116th CONGRESS 1st Session H. R. 4334 IN THE HOUSE OF REPRESENTATIVES AN ACT To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes.

1. Short title; table of contents (a) Short title This Act may be cited as the Dignity in Aging Act of 2019 . (b) Table of contents The table of contents of this Act is the following: Sec. 1. Short title; table of contents. Title I—Ensuring collaboration and promoting independence for older individuals Sec. 101. Person-centered, trauma-informed care. Sec. 102. Vaccination. Sec. 103. Functions of Assistant Secretary. Sec. 104. Professional standards for nutrition official under Assistant Secretary. Sec. 105. Interagency Coordinating Committee on Age-Friendly Communities. Sec. 106. Technical assistance on age-friendly communities. Sec. 107. Malnutrition. Sec. 108. Coordination with resource centers. Sec. 109. Arts education. Sec. 110. Social determinants of health. Sec. 111. Falls prevention and chronic disease self-management education. Sec. 112. Extension of RAISE Family Caregivers Act. Sec. 113. Support for socially-isolated older Americans. Sec. 114. Increased focus of Assistant Secretary on health effects associated with social isolation. Sec. 115. Advisory council on health effects associated with social isolation. Sec. 116. Supportive services and senior centers. Sec. 117. Demonstration projects. Sec. 118. Younger onset Alzheimer’s Disease. Sec. 119. Priority for the senior community service employment program. Sec. 120. Direct care workforce. Sec. 121. National resource center for older individuals experiencing the long-term and adverse consequences of trauma. Sec. 122. National Resource Center for Women and Retirement. Sec. 123. Definition. Sec. 124. Review of reports. Sec. 125. Area plans. Sec. 126. Addressing chronic pain management. Sec. 127. Extension of the Supporting Grandparents Raising Grandchildren Act. Sec. 128. Screening for suicide risk. Sec. 129. Traumatic brain injury. Sec. 130. Addressing public health emergencies and emerging health threats. Sec. 131. Prevention of sexually transmitted diseases. Sec. 132. Aging and Disability Resource Center. Title II—Empowering the Aging Network to meet the needs of older individuals Sec. 201. National family caregiver support program cap. Sec. 202. Minimum funding level for State administrative expenses. Sec. 203. Culturally-appropriate, medically-tailored meals. Sec. 204. Business acumen provisions and clarification regarding outside funding for area agencies on aging. Sec. 205. Other practices. Sec. 206. Caregiver assessments. Sec. 207. Research and evaluation. Sec. 208. Grant program for multigenerational collaboration. Title III—Strengthening protections for older individuals Sec. 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort. Sec. 302. State long-term care volunteer ombudsman representatives. Sec. 303. Clarification regarding board and care facilities. Sec. 304. Report on legal hotlines. Sec. 305. Community outreach. Sec. 306. Principles for person-directed services and supports during serious illness. Title IV—Meeting the needs of older Native Americans Sec. 401. Expanding supportive services for Native American aging programs. Sec. 402. Enhancing capacity to support Native American aging programs. Title V—Miscellaneous Sec. 501. Technical corrections. Sec. 502. Authorization of appropriations; uses of funds. Sec. 503. Hold harmless formula. I Ensuring collaboration and promoting independence for older individuals 101. Person-centered, trauma-informed care Section 101(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3001(2) ) is amended by inserting (including access to person-centered, trauma-informed care) after health . 102. Vaccination Section 102(14) of the Older Americans Act of 1965 ( 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, after disease), . 103. Functions of Assistant Secretary (a) Review of applications Section 202 of the Older Americans Act of 1965 ( 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 a program for which such applicant previously received a grant unless the Assistant Secretary determines— (A) the program for which such application was submitted is operating effectively to achieve its stated purpose; and (B) such applicant complied with the assurances provided to the Assistant Secretary with the application for such previous grant; and ; 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 the Act. The Assistant Secretary shall ensure that this information is also directly provided to States and area agencies on aging. . (b) Addressing the needs of older individuals in disasters Section 202(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a) ) is amended— (1) in paragraph (30) by striking and at the end; (2) in paragraph (31) by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (32) provide technical assistance to and share best practices with States 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 governments, federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery. . 104. Professional standards for nutrition official under Assistant Secretary Section 205(a)(2)(C)(ii) of the Older Americans Act of 1965 ( 42 U.S.C. 3016(a)(2)(C)(ii) is amended to read as follows: (ii) be a registered dietitian or registered dietitian nutritionist. . 105. Interagency Coordinating Committee on Age-Friendly Communities Section 203 of the Older Americans Act of 1965 ( 42 U.S.C. 3013 ) is amended— (1) in subsection (b)— (A) in paragraph (18) by striking and at the end; (B) in subparagraph (19) by striking the period at the end, and inserting , and ; and (C) 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. ; and (2) in subsection (c)— (A) in paragraph (1)— (i) by striking Aging and inserting Age-Friendly Communities ; and (ii) by inserting to support the ability of older individuals to age in place, including through the provision of homelessness prevention services, support the ability of older individuals to access 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 services before the period at the end; (B) in paragraph (4) by inserting , except that the 1st term of a member appointed to the Interagency Coordinating Committee on Age-Friendly Communities shall begin not later than 1 year after the effective date of this exception before the period at the end; (C) in paragraph (5) by striking once each year and inserting semiannually ; (D) in paragraph (6)— (i) in subparagraph (A)— (I) in clause (iii) by striking and at the end; (II) in clause (iv) by adding and at the end; and (III) by adding at the end the following: (v) identifying best practices for connecting older individuals to services for which they may be eligible; ; (ii) in subparagraph (B)— (I) by inserting transportation, after housing, the 1st place it appears; (II) in clause (i) by striking and at the end; (III) by amending clause (ii) to read as follows: (ii) innovations in technology applications (including assistive technology devices and assistive technology services) that— (I) promote safe and accessible independent living environments; and (II) give older individuals access to information on available services or help in providing services to older individuals, including information on transportation services such as public transit, on-demand transportation services, volunteer-based transportation services, and other private transportation services; and ; and (IV) by adding at the end the following: (iii) transportation models that reduce costs of transportation for older individuals and provide the ability to schedule trips in advance and on demand, as appropriate; ; (iii) in subparagraph (E)— (I) by striking nongovernmental experts and organizations, including public health interest and research groups and foundations and inserting nongovernmental organizations, academic or research institutions, community-based organizations, and philanthropic organizations ; and (II) by striking (F) and inserting (G) ; (iv) by redesignating subparagraphs (E), (F), and (G) as subparagraphs (F), (G), and (H), respectively; (v) by inserting after subparagraph (D) the following: (E) work with the Centers for Disease Control and Prevention, the National Institute on Aging, Centers for Medicare and Medicaid Services, the Housing and Urban Development Office of Lead Hazard Control and Healthy Homes, and other Federal agencies as appropriate, to develop recommendations, in accordance with paragraph (1), to reduce falls among older individuals that incorporate evidence-based falls prevention programs and home modifications to reduce and prevent falls; ; and (vi) by adding at the end the following: (9) In this subsection, the term age-friendly community means a community that— (A) is taking steps— (i) to include accessible housing, accessible spaces and buildings, safe and secure paths, variable route transportation services, and programs and services designed to maintain health and well-being; (ii) to respect and include older individuals in social opportunities, civic participation, volunteerism, and employment; and (iii) to facilitate access to supportive services for older individuals; and (B) has a plan in place to meet local needs for housing, transportation, civic participation, social connectedness, and accessible spaces. ; and (3) by adding at the end the following: (d) Not later than 2 years after the effective date of this subsection, the Comptroller General of the United States shall conduct a study and issue a report that includes— (1) an inventory of Federal programs, administered by the Department of Health and Human Services, the Department of Housing and Urban Development, or any other Federal agency determined appropriate by the Comptroller General, that support home assessments and home modifications for older individuals and individuals with disabilities, (2) statistical data, for recent fiscal years, on the number of older individuals and individuals with disabilities served by each Federal program described in paragraph (1) and the approximate amount of Federal funding invested in each such program, (3) a demographic analysis of individuals served by each such program for recent fiscal years, (4) an analysis of duplication and gaps in populations supported by the Federal programs described in paragraph (1), (5) what is known about the impact of the Federal programs described in paragraph (1) on health status and health outcomes in populations supported by such programs, (6) a review of Federal efforts to coordinate Federal programs existing prior to the effective date of this subsection that support home assessments and home modifications for older individuals and individuals with disabilities and any considerations for improving coordination, which may include an indication of the Federal agency or department that is best suited to coordinate such Federal efforts, and (7) information on the extent to which consumer-friendly resources, such as a brochure, are available through the National Eldercare Locator Service established under section 202(a)(21), are accessible to all area agencies on aging, and contain information on home assessments and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals. . 106. Technical assistance on age-friendly communities Section 205(a)(2) of the Older Americans Act of 1965 ( 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 State agencies, area agencies on aging, local government agencies, or leaders in age-friendly communities (as defined in section 203(c)(9)) regarding— (i) support for public and private entities in building partnerships to promote such age-friendly communities; (ii) dissemination of, or consideration of ways to implement, best practices and recommendations from the Interagency Coordinating Committee on Age-Friendly Communities established under section 203(c); and (iii) methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities. . 107. Malnutrition The Older Americans Act of 1965 ( 42 U.S.C. 2011 et seq.) is amended— (1) in section 102(14)(B) by inserting (including screening for malnutrition) before the semicolon at the end; and (2) in section 330(1) by striking and food insecurity and inserting , food insecurity, and malnutrition . 108. Coordination with resource centers (a) Area plans Section 306(a) of the Older Americans Act of 1965 ( 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 ; and ; 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 older individuals eligible for assistance under this Act, with special emphasis on those older individuals whose needs were the focus of all centers funded under title IV in fiscal year 2019. . (b) State plans Section 307(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3027 ) is amended by adding at the end the following: (31) 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 agencies 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). . 109. Arts education (a) Program design Section 202(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a)(5) ) is amended by inserting cultural experiences, activities and services, including the arts, after education), . (b) Supportive services Section 321(a)(7) of the Older Americans Act of 1965 ( 42 U.S.C. 3030d(a)(7) ) is amended by inserting cultural experiences (including the arts), after art therapy, . 110. Social determinants of health Section 301(a)(1) of the Older Americans Act of 1965 ( 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) address the social determinants of health of older individuals. . 111. Falls prevention and chronic disease self-management education Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ) is amended— (1) by redesignating paragraphs (13) and (14) as paragraphs (15) and (16), respectively; and (2) by inserting after paragraph (12) the following: (13) 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 and older individuals with disabilities; (14) bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals and older individuals with disabilities to better manage their chronic conditions; . 112. Extension of RAISE Family Caregivers Act Section 6 of the RAISE Family Caregivers Act ( Public Law 115–119 ; 132 Stat. 27) is amended by striking 3 and inserting 4 . 113. Support for socially-isolated older Americans Section 102(14) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ) is amended— (1) in subparagraph (K) by striking and at the end; (2) in subparagraph (L) by striking (K) and inserting (L) ; (3) by redesignating subparagraph (L) as subparagraph (M); and (4) by inserting after subparagraph (K) the following: (L) 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 . 114. Increased focus of Assistant Secretary on health effects associated with social isolation Section 202(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a) ), as amended by section 103, is amended— (1) in paragraph (31) by striking ; and and inserting a semicolon; (2) in paragraph (32) by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (33) 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. . 115. Advisory council on health effects associated with social isolation Section 202 of the Older Americans Act of 1965 ( 42 U.S.C. 3012 ), as amended by section 103, is amended by adding at the end the following: (i) (1) The Assistant Secretary shall convene an advisory council on negative health effects associated with social isolation with aging network stakeholders, including caregivers, and select members in a manner that ensures geographic diversity of the members— (A) to review and evaluate efforts to address negative health effects associated with social isolation among older individuals; and (B) to identify challenges, solutions, and best practices related to such efforts. (2) The advisory council convened under paragraph (1) shall— (A) ensure consideration of consumer-directed care models; and (B) submit a report to Congress on its findings. (3) The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply with respect to the advisory council convened under paragraph (1). . 116. Supportive services and senior centers Section 321(a) of the Older Americans Act of 1965 ( 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 isolation; and . 117. Demonstration projects (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by section 111, is amended— (1) in paragraph (15) by striking and at the end; (2) by redesignating paragraph (16) as paragraph (17); and (3) by inserting after paragraph (15) the following: (16) projects that address negative health effects associated with social isolation among older adults; and . (b) Repeal Section 416 of the Older Americans Act of 1965 ( 42 U.S.C. 3032e ) is repealed. 118. Younger onset Alzheimer’s Disease (a) Definition of family caregiver Section 302(3) of the Older Americans Act of 1965 ( 42 U.S.C. 3022(3) ) is amended by inserting of any age after an individual . (b) Definition of resident Section 711(6) of the Older Americans Act of 1965 ( 42 U.S.C. 3058(6) ) is amended by inserting of any age after individual . 119. Priority for the senior community service employment program (a) Priority The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 503(a)(4)(C)— (A) in clause (iii) by striking and at the end; (B) in clause (iv) by adding and at the end; and (C) by adding at the end the following: (v) eligible individuals who have been incarcerated within the last 5 years or are under supervision following the release from prison or jail within the last 5 years; ; (2) in section 514(e)(1) by inserting older individuals who have been incarcerated or are under supervision following the release from prison or jail, after need, ; and (3) in section 518— (A) in subsection (a)(3)(B)(ii)— (i) in clause (IV) by striking or at the end; (ii) in clause (V) by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (VI) have been incarcerated within the last 5 years or are under supervision following the release from prison or jail within the last 5 years. ; and (B) in subsection (b)(2)— (i) in subparagraph (F) by striking or at the end; (ii) in subparagraph (G) by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (H) has been incarcerated or is under supervision following the release from prison or jail within the last 5 years. . (b) Transition period This section shall take effect 1 year after the date of the enactment of this Act. 120. Direct care workforce (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by sections 111 and 117, is amended— (1) by redesignating paragraphs (16) and (17) as paragraphs (17) and (18), respectively; and (2) by inserting after paragraph (15) the following: (16) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and to solicit, develop, and implement 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; (B) to provide supportive services and career planning for direct care workers; and (C) to support the advancement of direct care workers through education and workforce development programs that include necessary credential or licensing preparation, paid on-the-job training or work-based learning, and appropriate safety training; . (b) Older American community service employment program Section 502(e)(2)(B) of the Older Americans Act of 1965 ( 42 U.S.C. 3056(e)(2)(B) ) is amended— (1) in clause (iii) by striking and at the end; (2) in clause (iv) by adding and at the end; and (3) by adding at the end the following: (v) attract, retain, or advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers to entry for a diverse and high-quality direct care workforce, supportive services and career planning, and paid on-the-job training or work-based learning, with appropriate safety training; . 121. National resource center for older individuals experiencing the long-term and adverse consequences of trauma Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) , as amended by sections 111, 117, and 120, is amended— (1) in paragraph (17) by striking and at the end; (2) in paragraph (18) by striking the period at the end; and (3) by adding at the end the following: (19) the establishment and operation of a national resource center that shall— (A) provide training and technical assistance to agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences 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. . 122. National Resource Center for Women and Retirement Section 202 of the Older Americans Act of 1965 ( 42 U.S.C. 3012 ), as amended by sections 103 and 115, is amended by adding at the end the following: (j) (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 ). (2) The Center shall— (A) provide basic financial management, retirement planning, and other educational tools that promote financial wellness and help to identify and prevent fraud and elder exploitation, and integrate these with information on health and long-term care; (B) annually disseminate a summary of outreach 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 organizations; and (E) develop partnerships and collaborations to address program objectives. . 123. Definition Section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ) is amended— (1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55); and (2) by inserting after paragraph (40) the following: (41) The term person-centered, trauma-informed when used with respect to services means services provided through an aging program that— (A) use a holistic approach to providing services; (B) promote the dignity, strength and empowerment of victims of trauma; and (C) incorporate research-based practices based on knowledge about the role of trauma in trauma victims’ lives. . 124. Review of reports Section 308(b) of the Older Americans Act of 1965 ( 42 U.S.C. 3028(b) ) is amended by inserting at the end the following: (8) The Assistant Secretary shall review the reports submitted under section 307(a)(31) 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 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. . 125. Area plans Section 306(a)(4) of the Older Americans Act of 1965 ( 42 U.S.C. 3026(a)(4) ) is amended in subparagraph (B)(i)(VII) by inserting “, specifically including survivors of the Holocaust” after “placement”. 126. Addressing chronic pain management Section 102(14)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ) is amended by inserting chronic pain management, after substance abuse reduction, . 127. Extension of the Supporting Grandparents Raising Grandchildren Act Section 3(f) of the Supporting Grandparents Raising Grandchildren Act ( Public Law 115–196 ) is amended by striking “3” and inserting “4”. 128. Screening for suicide risk Section 102(14)(G) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14)(G) ) is amended by inserting and screening for suicide risk after depression . 129. Traumatic brain injury (a) Section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ), as amended by section 113, is amended— (1) in paragraph (14)— (A) in paragraph (M) by striking (L) and inserting (M) ; (B) by redesignating subparagraphs (H) through (M) as subparagraphs (I) through (N), respectively; and (C) by inserting after subparagraph (G) the following: (H) screening for fall-related traumatic brain injury; coordination of treatment, rehabilitation, and related services; and referral services; ; and (2) by adding at the end the following: (56) The term traumatic brain injury has the meaning given to it in section 339B(d) of the Public Health Service Act. . (b) Section 321(a)(8) of the Older Americans Act of 1965 (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 isolation, ; and (2) by striking screening) and inserting screening, and traumatic brain injury screening) . (c) Section 411(a)(12) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a)(12) ) is amended— (1) by inserting dementia, after dysfunction, ; (2) by striking and the 2d place it appears; and (3) by inserting and traumatic brain injury before the semicolon at the end. 130. Addressing public health emergencies and emerging health threats Section 102(14) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ), as amended by sections 113 and 129, is amended— (1) in subparagraph (M) by striking and at the end; (2) in subparagraph (N) by striking (M) and inserting (N) ; (3) by redesignating subparagraphs (K), (L), (M), and (N) as subparagraphs (L), (M), (N), and (O) respectively; and (4) by inserting after subparagraph (J) the following: (K) responses to public health emergencies and emerging health threats; . 131. Prevention of sexually transmitted diseases Section 102(14)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14)(D) ), as amended by section 102, is amended by inserting “prevention of sexually transmitted disease,” after “disease)”. 132. Aging and Disability Resource Center Section 102(4) of the Older Americans Act of 1965 ( 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 title VII of the Rehabilitation Act of 1973 ( 29 U.S.C. 796f et seq.)), and other aging or disability entities after provides ; (2) in subparagraph (B)— (A) by inserting services, supports, and after plan for long-term ; and (B) by inserting and choices after desires ; and (3) in subparagraph (D) by striking ( 29 U.S.C. 796f et seq.), and other community-based entities, and inserting , and other community-based entities, including other aging or disability entities . II Empowering the Aging Network to meet the needs of older individuals 201. National family caregiver support program cap (a) Federal share Section 373(g)(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(g)(2) ) 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 the enactment of this Act, and annually thereafter, the Assistant Secretary shall submit to the Committee on Education and Labor of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate 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—3030s–2). Each such report shall also be made available to the public. (2) Contents For purposes of reports required by paragraph (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 share allotment used by the State to provide support services for caregiver support for older relative caregivers and family caregivers. 202. Minimum funding level for State administrative expenses Section 308(b)(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3028(b)(2)(B) ) is amended by striking $500,000 and inserting $750,000 . 203. Culturally-appropriate, medically-tailored meals Section 339(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3939h(2)(A) ) is amended by inserting , including cultural considerations and preferences (including needs based on religious, cultural, or ethnic requirements) and medically tailored meals before the comma at the end. 204. 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) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(b)(9) ) is amended— (1) in subparagraph (A) by striking and after the semicolon at the end; (2) in subparagraph (B) by inserting and after the semicolon at the end; and (3) by adding at the end the following: (C) 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 of the Older Americans Act of 1965 ( 42 U.S.C. 3026 ) is amended by adding at the end the following: (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 in the planning and service area supported by the area agency on aging. . 205. Other practices Section 315 of the Older Americans Act of 1965 ( 42 U.S.C. 3030c-2 ) is amended by adding at the end the following: (e) Response to area agencies on aging Upon request from an area agency on aging, the State shall make available any policies or guidance pertaining to policies under this section. . 206. Caregiver assessments (a) Definition of caregiver assessment Section 372(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s(a) ) is amended by adding at the end the following: (4) Caregiver assessment The term caregiver assessment means a systematic process of gathering information about the situation of a caregiver who voluntarily participates in such process, which may include contact through a home visit, the Internet, telephone or teleconference, or in-person interaction, to identify the caregiver’s specific needs, barriers, and existing supports as identified by the caregiver that— (A) provides the opportunity for the recognized caregiver to participate in such process; (B) requires direct contact with the caregiver and is used to appropriately target and tailor support services to the caregiver’s unique needs; and (C) includes reassessment of such specific needs, barriers, and existing supports, including to accommodate a significant change in the caregiving situation, which shall occur on a voluntary basis with the consent of the caregiver. . (b) Use of caregiver assessments Section 373(b) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(b) ) is amended by inserting may be informed through the use of caregiver assessments and after with, . (c) Technical assistance for caregiver assessments Section 373 of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1 ) is amended by adding at the end the following: (h) Technical assistance for caregiver assessments Not later than 1 year after the effective date of this subsection, the Assistant Secretary, in consultation with caregivers, older individuals, individuals with a disability who receive care from an older relative caregiver, the aging network, and other experts and stakeholders, shall provide technical assistance to promote and implement the use of caregiver assessments. Such technical assistance shall include sharing available tools and templates, comprehensive assessment protocols, and best practices concerning— (1) conducting caregiver assessments and reassessments; (2) implementing such assessments that are consistent across a planning and service area; and (3) implementing caregiver support service plans, including referrals to and coordination of activities with relevant State and local services. . (d) Reporting on caregiver assessment Section 373(e) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(e) ) is amended— (1) in paragraph (3) by inserting , including caregiver assessments used in the State, after mechanisms the 1st place it appears; and (2) by adding at the end the following: (4) Report on caregiver assessments (A) In general Not later than 3 years after the effective date of this paragraph, the Assistant Secretary shall issue a report on the use of caregiver assessments by area agencies on aging, entities contracting with such agencies, and organizations. Such report shall include— (i) an analysis of the current use of caregiver assessments, including a repository of caregiver assessment tools or templates and comprehensive assessment protocols; (ii) using objective data, an analysis of the impact of caregiver assessments on— (I) family caregivers and older relative caregivers; and (II) the individuals to whom the caregivers described in subclause (I) provide care; (iii) an analysis of the impact of using caregiver assessments on the aging network; (iv) an analysis of how caregiver assessments are being used to identify the specific needs, barriers, and existing supports of family caregivers and older relative caregivers; (v) recommendations for using caregiver assessments, including in rural or underserved areas; and (vi) feedback from State agencies and area agencies on aging, particularly in rural or underserved areas, on the implementation of caregiver assessments. (B) Submission Not later than 6 months after the issuance of the report under subparagraph (A), the Assistant Secretary shall submit the report to the Committee on Education and Labor of the House of Representatives, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Special Committee on Aging of the Senate. . 207. Research and evaluation Section 201 of the Older Americans Act of 1965 ( 42 U.S.C. 3011 ) is amended by adding at the end the following: (g) (1) The Assistant Secretary shall coordinate the research and evaluation functions of this Act under a National 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 research, research dissemination, evaluation, demonstration projects, and related activities carried out under this Act; (B) to provide assessment of the programs authorized under this Act; and (C) to increase the repository of information on evidence-based programs and interventions available to the aging network. Such information shall be applicable to existing programs and help in the development of new evidence-based programs and interventions. (3) Activities of the Center shall include conducting, 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 interventions 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, health care savings (including to the Medicare program under title XVIII of the Social Security Act and the Medicaid program under title XIX of such Act as practicable), and independence of individuals served under this Act; (B) demonstration projects that support the objectives of the Act and activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations; (C) outreach and dissemination of research findings; and (D) technical assistance related to the activities described in this subparagraph. (4) The director shall be an individual with substantial knowledge 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, and related activities; (B) explains the basis for such priorities; and (C) describes how the plan will meet the needs of underserved populations. (6) The director shall coordinate research, research dissemination, evaluation, and demonstration projects, and related activities with appropriate agency program staff, and, as appropriate, coordinate 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 Committee 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 all research and evaluation authorities under this Act. . 208. Grant program for multigenerational collaboration Section 417 of the Older Americans Act of 1965 ( 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— (1) to provide opportunities for older individuals to participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals and individuals in younger generations by developing— (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 individuals; (E) increased lifelong learning; or (F) support for older relative caregivers by— (i) providing support for older relative caregivers (as defined in section 372) raising children (such as 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) to coordinate multigenerational activities and civic engagement activities, including multigenerational nutrition and meal service programs; (3) to promote volunteerism, including becoming a mentor to young people; and (4) to facilitate development of and participation in multigenerational activities and civic engagement activities. ; (2) by amending subsection (b) to read as follows: (b) Use of funds (1) In general An eligible organization shall use funds made available under a grant awarded, or a contract entered into, under this section to carry out a project described in subsection (a). (2) Provision of projects through grantees In making grants under this section, the Assistant Secretary shall ensure that awards are made for the activities and projects described in each of paragraphs (1) and (2) of subsection (a). ; (3) in subsection (c)— (A) in the matter preceding paragraph (1), by inserting that serves individuals in younger generations and older individuals after to carry out a project ; (B) in paragraph (1) by inserting , intent to carry out, or intent to partner with local organizations or multiservice organizations to carry out, after record of carrying out ; (C) in paragraph (3) by striking ; and and inserting a semicolon; (D) in paragraph (4) by striking the period at the end and inserting ; and ; and (E) by adding at the end the following: (5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities. ; (4) by amending subsection (e) to read as follows: (e) Eligible organizations Organizations eligible to receive a grant or enter into a contract under subsection (a) shall— (1) be a State, an area agency on aging, or an organization that provides opportunities for older individuals to participate in activities described in such subsection; and (2) have the capacity to conduct the coordination, promotion, and facilitation described in such subsection through the use of multigenerational coordinators. ; (5) by striking subsection (g); (6) in subsection (h)(2)(B)(i) by striking individuals from the generations with older individuals and inserting older individuals ; (7) by redesignating subsections (b) through (f) as subsections (c) through (g), respectively; and (8) by inserting after subsection (a) the following: (b) Grant period Each grant awarded or contract made under subsection (a) shall be to carry out projects for a period of not less than 36 months. . III Strengthening protections for older individuals 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) by amending section 306(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 area agencies 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) 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 section 712 and this title, and will expend for such purpose an amount that is not less than an 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 state agencies 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. . 302. State long-term care volunteer ombudsman representatives Section 712(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3058g(a)(5) ) is amended— (1) by redesignating subparagraph (D) as subparagraph (E); and (2) by inserting after subparagraph (C) the following: (D) Volunteer ombudsman representatives An individual designated as a volunteer ombudsman representative may receive financial support and recognition from the Office of the State Long-Term Care Ombudsman Program for expenses incurred during service. . 303. Clarification regarding board and care facilities Section 102(35)(C) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(35)(C) ) is amended by striking for purposes of sections 307(a)(12) and 712, . 304. Report on legal hotlines Not later than 3 years after the date of the enactment of this Act, the Assistant Secretary on Aging shall prepare and submit to the 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. 305. Community outreach Section 721(b)(12) of the Older Americans Act of 1965 ( 42 U.S.C. 3058i(b)(12) ) is amended— (1) in subparagraph (C) by inserting community outreach and education, after technical assistance ; and (2) in subparagraph (F)— (A) by striking studying and inserting implementing ; and (B) by inserting , programs, and materials after practices . 306. Principles for person-directed services and supports during serious illness (a) Definitions (1) Administrator The term Administrator means the Administrator of the Administration for Community Living. (2) Area agency on aging; Assistant Secretary; State agency The terms area agency on aging , Assistant Secretary , and State agency have the meanings given the terms in section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ). (3) Covered agency The term covered agency means— (A) a State agency or area agency on aging; and (B) a Federal agency other than the Department of Health and Human Services, and a unit of that Department other than the Administration on Aging, that the Assistant Secretary determines performs functions for which the principles are relevant, and the Centers for Medicare & Medicaid Services. (4) Principles The term principles means the Principles for Person-directed Services and Supports during Serious Illness, issued by the Administration on September 1, 2017, or an updated set of such Principles. (b) Dissemination The Administrator shall disseminate the principles to appropriate stakeholders within the aging network, as determined by the Assistant Secretary, and to covered agencies. The covered agencies may use the principles in setting priorities for service delivery and care plans in programs carried out by the agencies. (c) Feedback The Administrator shall solicit, on an ongoing basis, feedback on the principles from covered agencies, experts in the fields of aging and dementia, and stakeholders who provide or receive disability services. (d) Report Not less often than once, but not more often than annually, during the 3 years after the date of the enactment of this Act, the Administrator shall prepare and submit to Congress a report describing the feedback received under subsection (c) and indicating if any changes or updates are needed to the principles. IV Meeting the needs of older Native Americans 401. 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) in part D— (A) by amending section 643 to read as follows: 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. ; and (B) by adding at the end the following: 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. ; (2) by redesignating part D as part E; and (3) by inserting after part C the following: D Supportive services for healthy aging and independence 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 described in section 321(a). (2) Priority The Assistant Secretary, in making grants under this section, shall give priority to 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. . 402. Enhancing 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 inserting to ensure adequate capacity to deliver the services under such title, which technical assistance programs may include program management, data development and use, basic business skills, grant development, program and service innovations, and staff professional development and certification before the semicolon at the end; and (2) section 216 is amended to read as follows: 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 $44,042,171 for fiscal year 2020, $46,684,701 for fiscal year 2021, $49,485,783 for fiscal year 2022, $52,454,930 for fiscal year 2023, and $55,602,226 for fiscal year 2024. (b) Authorization of appropriations for programs There are authorized to be appropriated— (1) to carry out section 201(g), $20,000,000 for each of the fiscal years 2020 through 2024; (2) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,186,227 for fiscal year 2020, $2,317,401 for fiscal year 2021, $2,456,445 for fiscal year 2022, $2,603,832 for fiscal year 2023, and $2,760,062 for fiscal year 2024; (3) to carry out sections 215 and 202(j), $1,992,460 for fiscal year 2020, $2,112,008 for fiscal year 2021, $2,238,728 for fiscal year 2022, $2,373,052 for fiscal year 2023, and $2,515,435 for fiscal year 2024; (4) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,375,011 for fiscal year 2020, $1,457,511 for fiscal year 2021, $1,544,962 for fiscal year 2022, $1,637,660 for fiscal year 2023, and $1,735,919 for fiscal year 2024; (5) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,708,043 for fiscal year 2020, $9,230,526 for fiscal year 2021, $9,784,357 for fiscal year 2022, $10,371,419 for fiscal year 2023, and $10,993,704 for fiscal year 2024; and (6) to carry out section 201(c)(3)(H) (relating to professional development and technical assistance for programs under title VI), $500,000 for fiscal year 2021. . V Miscellaneous 501. Technical corrections The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 102(37)(A) by striking paragraph (5) and inserting paragraph (26) ; (2) in section 202(a)(23) by striking sections 307(a)(18) and 731(b)(2) and inserting sections 307(a)(13) and 731 ; (3) in section 202(e)(1)(A) by moving the left margin of clause (i) 2 ems to the left; (4) in sections 203(c)(7), 207(b)(2)(B), and 215(i) by striking Committee on Education and the Workforce and inserting Committee on Education and Labor ; (5) in section 207(b)(3)(A) by striking Administrator of the Health Care Finance Administration and inserting Administrator of the Centers for Medicare and Medicaid Services ; (6) in section 304(a)(3)(C) by striking term and all that follows through does , and inserting term State does ; (7) in section 304(d)(1)(B) by striking (excluding and all that follows through 303(a)(3)) ; (8) in section 306(a)— (A) by inserting the number of older individuals at risk for institutional placement residing in such area, after areas) residing in such area, the last place it appears; and (B) in paragraph (2) by striking who are victims of and inserting with ; (9) in section 339 by striking Institute of Medicine of the National Academy of Sciences and inserting National Academies of Sciences, Engineering, and Medicine ; (10) in section 611 by striking (a) ; and (11) in section 614(c)(4) by striking “(a)(12)” and inserting “(a)(11)”. 502. Authorization of appropriations; uses of funds (a) Authorization of appropriations; uses of funds Section 303 of the Older Americans Act of 1965 ( 42 U.S.C. 3023 ) is amended to read as follows: 303. Authorization of appropriations; uses of funds (a) (1) There are authorized to be appropriated to carry out part B (relating to supportive services) $413,011,586 for fiscal year 2020, $437,792,281 for fiscal year 2021, $464,059,818 for fiscal year 2022, $491,903,407 for fiscal year 2023, and $521,417,612 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) $531,279,663 for fiscal year 2020, $563,156,443 for fiscal year 2021, $596,945,830 for fiscal year 2022, $632,762,580 for fiscal year 2023, and $670,728,334 for fiscal year 2024. (2) There are authorized to be appropriated to carry out subpart 2 of part C (relating to home delivered nutrition services) $269,577,167 for fiscal year 2020, $285,751,797 for fiscal year 2021, $302,896,905 for fiscal year 2022, $321,070,719 for fiscal year 2023, and $340,334,963 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, congregate and home delivered 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) $26,650,753 for fiscal year 2020, $28,249,798 for fiscal year 2021, $29,944,786 for fiscal year 2022, $31,741,473 for fiscal year 2023, and $33,645,961 for fiscal year 2024. (e) There are authorized to be appropriated to carry out part E (relating to family caregiver support) $194,331,264 for fiscal year 2020, $205,991,140 for fiscal year 2021, $218,350,609 for fiscal year 2022, $231,451,645 for fiscal year 2023, and $245,338,744 for fiscal year 2024. . (b) Section 311(e) of the Older Americans Act of 1965 ( 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)) $171,682,200 for fiscal year 2020, $181,983,132 for fiscal year 2021, $192,902,120 for fiscal year 2022, $204,476,247 for fiscal year 2023, and $216,744,822 for fiscal year 2024. . (c) Section 411(b) of the Older Americans Act of 1965 ( 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, $14,549,157 for fiscal year 2020, $15,422,107 for fiscal year 2021, $16,347,433 for fiscal year 2022, $17,328,279 for fiscal year 2023, and $18,367,976 for fiscal year 2024; and (2) elder rights support activities under this section, $15,650,667 for fiscal year 2020, $16,589,707 for fiscal year 2021, $17,585,090 for fiscal year 2022, $18,640,195 for fiscal year 2023, and $19,758,607 for fiscal year 2024. . (d) Section 517(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3056o(a) ) is amended to read as follows: (a) In general There are authorized to be appropriated to carry out this title $429,020,486 for fiscal year 2020, $454,761,715 for fiscal year 2021, $482,047,418 for fiscal year 2022, $510,970,263 for fiscal year 2023, and $541,628,478 for fiscal year 2024. . (e) Section 702 of the Older Americans Act of 1965 (42 U.S.C.3058a) is amended to read as follows: 702. Authorization of appropriations (a) Ombudsman program There are authorized to be appropriated to carry out chapter 2, $18,110,027 for fiscal year 2020, $19,196,629 for fiscal year 2021, $20,348,427 for fiscal year 2022, $21,569,332 for fiscal year 2023, and $22,863,492 for fiscal year 2024. (b) Other programs There are authorized to be appropriated to carry out chapters 3 and 4, $5,119,287 for fiscal year 2020, $5,426,444 for fiscal year 2021, $5,752,031 for fiscal year 2022, $6,097,153 for fiscal year 2023, and $6,462,982 for fiscal year 2024. . 503. Hold harmless formula (a) In general 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) In this subparagraph and paragraph (5): (I) The term allot means allot under this subsection from a sum appropriated under section 303(a) or 303(b)(1), as the case may be. (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 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 corresponding sum appropriated for fiscal year 2019; (II) for fiscal year 2021, 99.50 percent of that sum; (III) for fiscal year 2022, 99.25 percent of that sum; (IV) for fiscal year 2023, 99.00 percent of that sum; (V) for fiscal year 2024, 98.75 percent of that sum; (VI) for fiscal year 2025, 98.50 percent of that sum; (VII) for fiscal year 2026, 98.25 percent of that sum; (VIII) for fiscal year 2027, 98.00 percent of that sum; (IX) for fiscal year 2028, 97.75 percent of that sum; and (X) for fiscal year 2029, 97.50 percent of that sum. (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 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 particular year, of the corresponding 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 subparagraphs. . (b) Repeal Section 304(a)(3)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3024(a)(3)(D) ) is repealed effective October 1, 2029.

Passed the House of Representatives October 28, 2019. Cheryl L. Johnson, Clerk.

tv_txt: II Calendar No. 280 116th CONGRESS 1st Session H. R. 4334 IN THE SENATE OF THE UNITED STATES October 29, 2019 Received; read the first time October 30, 2019 Read the second time and placed on the calendar AN ACT To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes.

1. Short title; table of contents (a) Short title This Act may be cited as the Dignity in Aging Act of 2019 . (b) Table of contents The table of contents of this Act is the following: Sec. 1. Short title; table of contents. Title I—Ensuring collaboration and promoting independence for older individuals Sec. 101. Person-centered, trauma-informed care. Sec. 102. Vaccination. Sec. 103. Functions of Assistant Secretary. Sec. 104. Professional standards for nutrition official under Assistant Secretary. Sec. 105. Interagency Coordinating Committee on Age-Friendly Communities. Sec. 106. Technical assistance on age-friendly communities. Sec. 107. Malnutrition. Sec. 108. Coordination with resource centers. Sec. 109. Arts education. Sec. 110. Social determinants of health. Sec. 111. Falls prevention and chronic disease self-management education. Sec. 112. Extension of RAISE Family Caregivers Act. Sec. 113. Support for socially-isolated older Americans. Sec. 114. Increased focus of Assistant Secretary on health effects associated with social isolation. Sec. 115. Advisory council on health effects associated with social isolation. Sec. 116. Supportive services and senior centers. Sec. 117. Demonstration projects. Sec. 118. Younger onset Alzheimer’s Disease. Sec. 119. Priority for the senior community service employment program. Sec. 120. Direct care workforce. Sec. 121. National resource center for older individuals experiencing the long-term and adverse consequences of trauma. Sec. 122. National Resource Center for Women and Retirement. Sec. 123. Definition. Sec. 124. Review of reports. Sec. 125. Area plans. Sec. 126. Addressing chronic pain management. Sec. 127. Extension of the Supporting Grandparents Raising Grandchildren Act. Sec. 128. Screening for suicide risk. Sec. 129. Traumatic brain injury. Sec. 130. Addressing public health emergencies and emerging health threats. Sec. 131. Prevention of sexually transmitted diseases. Sec. 132. Aging and Disability Resource Center. Title II—Empowering the Aging Network to meet the needs of older individuals Sec. 201. National family caregiver support program cap. Sec. 202. Minimum funding level for State administrative expenses. Sec. 203. Culturally-appropriate, medically-tailored meals. Sec. 204. Business acumen provisions and clarification regarding outside funding for area agencies on aging. Sec. 205. Other practices. Sec. 206. Caregiver assessments. Sec. 207. Research and evaluation. Sec. 208. Grant program for multigenerational collaboration. Title III—Strengthening protections for older individuals Sec. 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort. Sec. 302. State long-term care volunteer ombudsman representatives. Sec. 303. Clarification regarding board and care facilities. Sec. 304. Report on legal hotlines. Sec. 305. Community outreach. Sec. 306. Principles for person-directed services and supports during serious illness. Title IV—Meeting the needs of older Native Americans Sec. 401. Expanding supportive services for Native American aging programs. Sec. 402. Enhancing capacity to support Native American aging programs. Title V—Miscellaneous Sec. 501. Technical corrections. Sec. 502. Authorization of appropriations; uses of funds. Sec. 503. Hold harmless formula. I Ensuring collaboration and promoting independence for older individuals 101. Person-centered, trauma-informed care Section 101(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3001(2) ) is amended by inserting (including access to person-centered, trauma-informed care) after health . 102. Vaccination Section 102(14) of the Older Americans Act of 1965 ( 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, after disease), . 103. Functions of Assistant Secretary (a) Review of applications Section 202 of the Older Americans Act of 1965 ( 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 a program for which such applicant previously received a grant unless the Assistant Secretary determines— (A) the program for which such application was submitted is operating effectively to achieve its stated purpose; and (B) such applicant complied with the assurances provided to the Assistant Secretary with the application for such previous grant; and ; 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 the Act. The Assistant Secretary shall ensure that this information is also directly provided to States and area agencies on aging. . (b) Addressing the needs of older individuals in disasters Section 202(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a) ) is amended— (1) in paragraph (30) by striking and at the end; (2) in paragraph (31) by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (32) provide technical assistance to and share best practices with States 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 governments, federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery. . 104. Professional standards for nutrition official under Assistant Secretary Section 205(a)(2)(C)(ii) of the Older Americans Act of 1965 ( 42 U.S.C. 3016(a)(2)(C)(ii) is amended to read as follows: (ii) be a registered dietitian or registered dietitian nutritionist. . 105. Interagency Coordinating Committee on Age-Friendly Communities Section 203 of the Older Americans Act of 1965 ( 42 U.S.C. 3013 ) is amended— (1) in subsection (b)— (A) in paragraph (18) by striking and at the end; (B) in subparagraph (19) by striking the period at the end, and inserting , and ; and (C) 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. ; and (2) in subsection (c)— (A) in paragraph (1)— (i) by striking Aging and inserting Age-Friendly Communities ; and (ii) by inserting to support the ability of older individuals to age in place, including through the provision of homelessness prevention services, support the ability of older individuals to access 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 services before the period at the end; (B) in paragraph (4) by inserting , except that the 1st term of a member appointed to the Interagency Coordinating Committee on Age-Friendly Communities shall begin not later than 1 year after the effective date of this exception before the period at the end; (C) in paragraph (5) by striking once each year and inserting semiannually ; (D) in paragraph (6)— (i) in subparagraph (A)— (I) in clause (iii) by striking and at the end; (II) in clause (iv) by adding and at the end; and (III) by adding at the end the following: (v) identifying best practices for connecting older individuals to services for which they may be eligible; ; (ii) in subparagraph (B)— (I) by inserting transportation, after housing, the 1st place it appears; (II) in clause (i) by striking and at the end; (III) by amending clause (ii) to read as follows: (ii) innovations in technology applications (including assistive technology devices and assistive technology services) that— (I) promote safe and accessible independent living environments; and (II) give older individuals access to information on available services or help in providing services to older individuals, including information on transportation services such as public transit, on-demand transportation services, volunteer-based transportation services, and other private transportation services; and ; and (IV) by adding at the end the following: (iii) transportation models that reduce costs of transportation for older individuals and provide the ability to schedule trips in advance and on demand, as appropriate; ; (iii) in subparagraph (E)— (I) by striking nongovernmental experts and organizations, including public health interest and research groups and foundations and inserting nongovernmental organizations, academic or research institutions, community-based organizations, and philanthropic organizations ; and (II) by striking (F) and inserting (G) ; (iv) by redesignating subparagraphs (E), (F), and (G) as subparagraphs (F), (G), and (H), respectively; (v) by inserting after subparagraph (D) the following: (E) work with the Centers for Disease Control and Prevention, the National Institute on Aging, Centers for Medicare and Medicaid Services, the Housing and Urban Development Office of Lead Hazard Control and Healthy Homes, and other Federal agencies as appropriate, to develop recommendations, in accordance with paragraph (1), to reduce falls among older individuals that incorporate evidence-based falls prevention programs and home modifications to reduce and prevent falls; ; and (vi) by adding at the end the following: (9) In this subsection, the term age-friendly community means a community that— (A) is taking steps— (i) to include accessible housing, accessible spaces and buildings, safe and secure paths, variable route transportation services, and programs and services designed to maintain health and well-being; (ii) to respect and include older individuals in social opportunities, civic participation, volunteerism, and employment; and (iii) to facilitate access to supportive services for older individuals; and (B) has a plan in place to meet local needs for housing, transportation, civic participation, social connectedness, and accessible spaces. ; and (3) by adding at the end the following: (d) Not later than 2 years after the effective date of this subsection, the Comptroller General of the United States shall conduct a study and issue a report that includes— (1) an inventory of Federal programs, administered by the Department of Health and Human Services, the Department of Housing and Urban Development, or any other Federal agency determined appropriate by the Comptroller General, that support home assessments and home modifications for older individuals and individuals with disabilities, (2) statistical data, for recent fiscal years, on the number of older individuals and individuals with disabilities served by each Federal program described in paragraph (1) and the approximate amount of Federal funding invested in each such program, (3) a demographic analysis of individuals served by each such program for recent fiscal years, (4) an analysis of duplication and gaps in populations supported by the Federal programs described in paragraph (1), (5) what is known about the impact of the Federal programs described in paragraph (1) on health status and health outcomes in populations supported by such programs, (6) a review of Federal efforts to coordinate Federal programs existing prior to the effective date of this subsection that support home assessments and home modifications for older individuals and individuals with disabilities and any considerations for improving coordination, which may include an indication of the Federal agency or department that is best suited to coordinate such Federal efforts, and (7) information on the extent to which consumer-friendly resources, such as a brochure, are available through the National Eldercare Locator Service established under section 202(a)(21), are accessible to all area agencies on aging, and contain information on home assessments and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals. . 106. Technical assistance on age-friendly communities Section 205(a)(2) of the Older Americans Act of 1965 ( 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 State agencies, area agencies on aging, local government agencies, or leaders in age-friendly communities (as defined in section 203(c)(9)) regarding— (i) support for public and private entities in building partnerships to promote such age-friendly communities; (ii) dissemination of, or consideration of ways to implement, best practices and recommendations from the Interagency Coordinating Committee on Age-Friendly Communities established under section 203(c); and (iii) methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities. . 107. Malnutrition The Older Americans Act of 1965 ( 42 U.S.C. 2011 et seq.) is amended— (1) in section 102(14)(B) by inserting (including screening for malnutrition) before the semicolon at the end; and (2) in section 330(1) by striking and food insecurity and inserting , food insecurity, and malnutrition . 108. Coordination with resource centers (a) Area plans Section 306(a) of the Older Americans Act of 1965 ( 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 ; and ; 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 older individuals eligible for assistance under this Act, with special emphasis on those older individuals whose needs were the focus of all centers funded under title IV in fiscal year 2019. . (b) State plans Section 307(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3027 ) is amended by adding at the end the following: (31) 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 agencies 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). . 109. Arts education (a) Program design Section 202(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a)(5) ) is amended by inserting cultural experiences, activities and services, including the arts, after education), . (b) Supportive services Section 321(a)(7) of the Older Americans Act of 1965 ( 42 U.S.C. 3030d(a)(7) ) is amended by inserting cultural experiences (including the arts), after art therapy, . 110. Social determinants of health Section 301(a)(1) of the Older Americans Act of 1965 ( 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) address the social determinants of health of older individuals. . 111. Falls prevention and chronic disease self-management education Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ) is amended— (1) by redesignating paragraphs (13) and (14) as paragraphs (15) and (16), respectively; and (2) by inserting after paragraph (12) the following: (13) 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 and older individuals with disabilities; (14) bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals and older individuals with disabilities to better manage their chronic conditions; . 112. Extension of RAISE Family Caregivers Act Section 6 of the RAISE Family Caregivers Act ( Public Law 115–119 ; 132 Stat. 27) is amended by striking 3 and inserting 4 . 113. Support for socially-isolated older Americans Section 102(14) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ) is amended— (1) in subparagraph (K) by striking and at the end; (2) in subparagraph (L) by striking (K) and inserting (L) ; (3) by redesignating subparagraph (L) as subparagraph (M); and (4) by inserting after subparagraph (K) the following: (L) 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 . 114. Increased focus of Assistant Secretary on health effects associated with social isolation Section 202(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a) ), as amended by section 103, is amended— (1) in paragraph (31) by striking ; and and inserting a semicolon; (2) in paragraph (32) by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (33) 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. . 115. Advisory council on health effects associated with social isolation Section 202 of the Older Americans Act of 1965 ( 42 U.S.C. 3012 ), as amended by section 103, is amended by adding at the end the following: (i) (1) The Assistant Secretary shall convene an advisory council on negative health effects associated with social isolation with aging network stakeholders, including caregivers, and select members in a manner that ensures geographic diversity of the members— (A) to review and evaluate efforts to address negative health effects associated with social isolation among older individuals; and (B) to identify challenges, solutions, and best practices related to such efforts. (2) The advisory council convened under paragraph (1) shall— (A) ensure consideration of consumer-directed care models; and (B) submit a report to Congress on its findings. (3) The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply with respect to the advisory council convened under paragraph (1). . 116. Supportive services and senior centers Section 321(a) of the Older Americans Act of 1965 ( 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 isolation; and . 117. Demonstration projects (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by section 111, is amended— (1) in paragraph (15) by striking and at the end; (2) by redesignating paragraph (16) as paragraph (17); and (3) by inserting after paragraph (15) the following: (16) projects that address negative health effects associated with social isolation among older adults; and . (b) Repeal Section 416 of the Older Americans Act of 1965 ( 42 U.S.C. 3032e ) is repealed. 118. Younger onset Alzheimer’s Disease (a) Definition of family caregiver Section 302(3) of the Older Americans Act of 1965 ( 42 U.S.C. 3022(3) ) is amended by inserting of any age after an individual . (b) Definition of resident Section 711(6) of the Older Americans Act of 1965 ( 42 U.S.C. 3058(6) ) is amended by inserting of any age after individual . 119. Priority for the senior community service employment program (a) Priority The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 503(a)(4)(C)— (A) in clause (iii) by striking and at the end; (B) in clause (iv) by adding and at the end; and (C) by adding at the end the following: (v) eligible individuals who have been incarcerated within the last 5 years or are under supervision following the release from prison or jail within the last 5 years; ; (2) in section 514(e)(1) by inserting older individuals who have been incarcerated or are under supervision following the release from prison or jail, after need, ; and (3) in section 518— (A) in subsection (a)(3)(B)(ii)— (i) in clause (IV) by striking or at the end; (ii) in clause (V) by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (VI) have been incarcerated within the last 5 years or are under supervision following the release from prison or jail within the last 5 years. ; and (B) in subsection (b)(2)— (i) in subparagraph (F) by striking or at the end; (ii) in subparagraph (G) by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (H) has been incarcerated or is under supervision following the release from prison or jail within the last 5 years. . (b) Transition period This section shall take effect 1 year after the date of the enactment of this Act. 120. Direct care workforce (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by sections 111 and 117, is amended— (1) by redesignating paragraphs (16) and (17) as paragraphs (17) and (18), respectively; and (2) by inserting after paragraph (15) the following: (16) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and to solicit, develop, and implement 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; (B) to provide supportive services and career planning for direct care workers; and (C) to support the advancement of direct care workers through education and workforce development programs that include necessary credential or licensing preparation, paid on-the-job training or work-based learning, and appropriate safety training; . (b) Older American community service employment program Section 502(e)(2)(B) of the Older Americans Act of 1965 ( 42 U.S.C. 3056(e)(2)(B) ) is amended— (1) in clause (iii) by striking and at the end; (2) in clause (iv) by adding and at the end; and (3) by adding at the end the following: (v) attract, retain, or advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers to entry for a diverse and high-quality direct care workforce, supportive services and career planning, and paid on-the-job training or work-based learning, with appropriate safety training; . 121. National resource center for older individuals experiencing the long-term and adverse consequences of trauma Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) , as amended by sections 111, 117, and 120, is amended— (1) in paragraph (17) by striking and at the end; (2) in paragraph (18) by striking the period at the end; and (3) by adding at the end the following: (19) the establishment and operation of a national resource center that shall— (A) provide training and technical assistance to agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences 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. . 122. National Resource Center for Women and Retirement Section 202 of the Older Americans Act of 1965 ( 42 U.S.C. 3012 ), as amended by sections 103 and 115, is amended by adding at the end the following: (j) (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 ). (2) The Center shall— (A) provide basic financial management, retirement planning, and other educational tools that promote financial wellness and help to identify and prevent fraud and elder exploitation, and integrate these with information on health and long-term care; (B) annually disseminate a summary of outreach 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 organizations; and (E) develop partnerships and collaborations to address program objectives. . 123. Definition Section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ) is amended— (1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55); and (2) by inserting after paragraph (40) the following: (41) The term person-centered, trauma-informed when used with respect to services means services provided through an aging program that— (A) use a holistic approach to providing services; (B) promote the dignity, strength and empowerment of victims of trauma; and (C) incorporate research-based practices based on knowledge about the role of trauma in trauma victims’ lives. . 124. Review of reports Section 308(b) of the Older Americans Act of 1965 ( 42 U.S.C. 3028(b) ) is amended by inserting at the end the following: (8) The Assistant Secretary shall review the reports submitted under section 307(a)(31) 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 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. . 125. Area plans Section 306(a)(4) of the Older Americans Act of 1965 ( 42 U.S.C. 3026(a)(4) ) is amended in subparagraph (B)(i)(VII) by inserting “, specifically including survivors of the Holocaust” after “placement”. 126. Addressing chronic pain management Section 102(14)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ) is amended by inserting chronic pain management, after substance abuse reduction, . 127. Extension of the Supporting Grandparents Raising Grandchildren Act Section 3(f) of the Supporting Grandparents Raising Grandchildren Act ( Public Law 115–196 ) is amended by striking “3” and inserting “4”. 128. Screening for suicide risk Section 102(14)(G) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14)(G) ) is amended by inserting and screening for suicide risk after depression . 129. Traumatic brain injury (a) Section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ), as amended by section 113, is amended— (1) in paragraph (14)— (A) in paragraph (M) by striking (L) and inserting (M) ; (B) by redesignating subparagraphs (H) through (M) as subparagraphs (I) through (N), respectively; and (C) by inserting after subparagraph (G) the following: (H) screening for fall-related traumatic brain injury; coordination of treatment, rehabilitation, and related services; and referral services; ; and (2) by adding at the end the following: (56) The term traumatic brain injury has the meaning given to it in section 339B(d) of the Public Health Service Act. . (b) Section 321(a)(8) of the Older Americans Act of 1965 (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 isolation, ; and (2) by striking screening) and inserting screening, and traumatic brain injury screening) . (c) Section 411(a)(12) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a)(12) ) is amended— (1) by inserting dementia, after dysfunction, ; (2) by striking and the 2d place it appears; and (3) by inserting and traumatic brain injury before the semicolon at the end. 130. Addressing public health emergencies and emerging health threats Section 102(14) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ), as amended by sections 113 and 129, is amended— (1) in subparagraph (M) by striking and at the end; (2) in subparagraph (N) by striking (M) and inserting (N) ; (3) by redesignating subparagraphs (K), (L), (M), and (N) as subparagraphs (L), (M), (N), and (O) respectively; and (4) by inserting after subparagraph (J) the following: (K) responses to public health emergencies and emerging health threats; . 131. Prevention of sexually transmitted diseases Section 102(14)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14)(D) ), as amended by section 102, is amended by inserting “prevention of sexually transmitted disease,” after “disease)”. 132. Aging and Disability Resource Center Section 102(4) of the Older Americans Act of 1965 ( 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 title VII of the Rehabilitation Act of 1973 ( 29 U.S.C. 796f et seq.)), and other aging or disability entities after provides ; (2) in subparagraph (B)— (A) by inserting services, supports, and after plan for long-term ; and (B) by inserting and choices after desires ; and (3) in subparagraph (D) by striking ( 29 U.S.C. 796f et seq.), and other community-based entities, and inserting , and other community-based entities, including other aging or disability entities . II Empowering the Aging Network to meet the needs of older individuals 201. National family caregiver support program cap (a) Federal share Section 373(g)(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(g)(2) ) 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 the enactment of this Act, and annually thereafter, the Assistant Secretary shall submit to the Committee on Education and Labor of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate 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—3030s–2). Each such report shall also be made available to the public. (2) Contents For purposes of reports required by paragraph (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 share allotment used by the State to provide support services for caregiver support for older relative caregivers and family caregivers. 202. Minimum funding level for State administrative expenses Section 308(b)(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3028(b)(2)(B) ) is amended by striking $500,000 and inserting $750,000 . 203. Culturally-appropriate, medically-tailored meals Section 339(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3939h(2)(A) ) is amended by inserting , including cultural considerations and preferences (including needs based on religious, cultural, or ethnic requirements) and medically tailored meals before the comma at the end. 204. 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) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(b)(9) ) is amended— (1) in subparagraph (A) by striking and after the semicolon at the end; (2) in subparagraph (B) by inserting and after the semicolon at the end; and (3) by adding at the end the following: (C) 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 of the Older Americans Act of 1965 ( 42 U.S.C. 3026 ) is amended by adding at the end the following: (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 in the planning and service area supported by the area agency on aging. . 205. Other practices Section 315 of the Older Americans Act of 1965 ( 42 U.S.C. 3030c-2 ) is amended by adding at the end the following: (e) Response to area agencies on aging Upon request from an area agency on aging, the State shall make available any policies or guidance pertaining to policies under this section. . 206. Caregiver assessments (a) Definition of caregiver assessment Section 372(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s(a) ) is amended by adding at the end the following: (4) Caregiver assessment The term caregiver assessment means a systematic process of gathering information about the situation of a caregiver who voluntarily participates in such process, which may include contact through a home visit, the Internet, telephone or teleconference, or in-person interaction, to identify the caregiver’s specific needs, barriers, and existing supports as identified by the caregiver that— (A) provides the opportunity for the recognized caregiver to participate in such process; (B) requires direct contact with the caregiver and is used to appropriately target and tailor support services to the caregiver’s unique needs; and (C) includes reassessment of such specific needs, barriers, and existing supports, including to accommodate a significant change in the caregiving situation, which shall occur on a voluntary basis with the consent of the caregiver. . (b) Use of caregiver assessments Section 373(b) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(b) ) is amended by inserting may be informed through the use of caregiver assessments and after with, . (c) Technical assistance for caregiver assessments Section 373 of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1 ) is amended by adding at the end the following: (h) Technical assistance for caregiver assessments Not later than 1 year after the effective date of this subsection, the Assistant Secretary, in consultation with caregivers, older individuals, individuals with a disability who receive care from an older relative caregiver, the aging network, and other experts and stakeholders, shall provide technical assistance to promote and implement the use of caregiver assessments. Such technical assistance shall include sharing available tools and templates, comprehensive assessment protocols, and best practices concerning— (1) conducting caregiver assessments and reassessments; (2) implementing such assessments that are consistent across a planning and service area; and (3) implementing caregiver support service plans, including referrals to and coordination of activities with relevant State and local services. . (d) Reporting on caregiver assessment Section 373(e) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(e) ) is amended— (1) in paragraph (3) by inserting , including caregiver assessments used in the State, after mechanisms the 1st place it appears; and (2) by adding at the end the following: (4) Report on caregiver assessments (A) In general Not later than 3 years after the effective date of this paragraph, the Assistant Secretary shall issue a report on the use of caregiver assessments by area agencies on aging, entities contracting with such agencies, and organizations. Such report shall include— (i) an analysis of the current use of caregiver assessments, including a repository of caregiver assessment tools or templates and comprehensive assessment protocols; (ii) using objective data, an analysis of the impact of caregiver assessments on— (I) family caregivers and older relative caregivers; and (II) the individuals to whom the caregivers described in subclause (I) provide care; (iii) an analysis of the impact of using caregiver assessments on the aging network; (iv) an analysis of how caregiver assessments are being used to identify the specific needs, barriers, and existing supports of family caregivers and older relative caregivers; (v) recommendations for using caregiver assessments, including in rural or underserved areas; and (vi) feedback from State agencies and area agencies on aging, particularly in rural or underserved areas, on the implementation of caregiver assessments. (B) Submission Not later than 6 months after the issuance of the report under subparagraph (A), the Assistant Secretary shall submit the report to the Committee on Education and Labor of the House of Representatives, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Special Committee on Aging of the Senate. . 207. Research and evaluation Section 201 of the Older Americans Act of 1965 ( 42 U.S.C. 3011 ) is amended by adding at the end the following: (g) (1) The Assistant Secretary shall coordinate the research and evaluation functions of this Act under a National 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 research, research dissemination, evaluation, demonstration projects, and related activities carried out under this Act; (B) to provide assessment of the programs authorized under this Act; and (C) to increase the repository of information on evidence-based programs and interventions available to the aging network. Such information shall be applicable to existing programs and help in the development of new evidence-based programs and interventions. (3) Activities of the Center shall include conducting, 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 interventions 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, health care savings (including to the Medicare program under title XVIII of the Social Security Act and the Medicaid program under title XIX of such Act as practicable), and independence of individuals served under this Act; (B) demonstration projects that support the objectives of the Act and activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations; (C) outreach and dissemination of research findings; and (D) technical assistance related to the activities described in this subparagraph. (4) The director shall be an individual with substantial knowledge 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, and related activities; (B) explains the basis for such priorities; and (C) describes how the plan will meet the needs of underserved populations. (6) The director shall coordinate research, research dissemination, evaluation, and demonstration projects, and related activities with appropriate agency program staff, and, as appropriate, coordinate 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 Committee 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 all research and evaluation authorities under this Act. . 208. Grant program for multigenerational collaboration Section 417 of the Older Americans Act of 1965 ( 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— (1) to provide opportunities for older individuals to participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals and individuals in younger generations by developing— (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 individuals; (E) increased lifelong learning; or (F) support for older relative caregivers by— (i) providing support for older relative caregivers (as defined in section 372) raising children (such as 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) to coordinate multigenerational activities and civic engagement activities, including multigenerational nutrition and meal service programs; (3) to promote volunteerism, including becoming a mentor to young people; and (4) to facilitate development of and participation in multigenerational activities and civic engagement activities. ; (2) by amending subsection (b) to read as follows: (b) Use of funds (1) In general An eligible organization shall use funds made available under a grant awarded, or a contract entered into, under this section to carry out a project described in subsection (a). (2) Provision of projects through grantees In making grants under this section, the Assistant Secretary shall ensure that awards are made for the activities and projects described in each of paragraphs (1) and (2) of subsection (a). ; (3) in subsection (c)— (A) in the matter preceding paragraph (1), by inserting that serves individuals in younger generations and older individuals after to carry out a project ; (B) in paragraph (1) by inserting , intent to carry out, or intent to partner with local organizations or multiservice organizations to carry out, after record of carrying out ; (C) in paragraph (3) by striking ; and and inserting a semicolon; (D) in paragraph (4) by striking the period at the end and inserting ; and ; and (E) by adding at the end the following: (5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities. ; (4) by amending subsection (e) to read as follows: (e) Eligible organizations Organizations eligible to receive a grant or enter into a contract under subsection (a) shall— (1) be a State, an area agency on aging, or an organization that provides opportunities for older individuals to participate in activities described in such subsection; and (2) have the capacity to conduct the coordination, promotion, and facilitation described in such subsection through the use of multigenerational coordinators. ; (5) by striking subsection (g); (6) in subsection (h)(2)(B)(i) by striking individuals from the generations with older individuals and inserting older individuals ; (7) by redesignating subsections (b) through (f) as subsections (c) through (g), respectively; and (8) by inserting after subsection (a) the following: (b) Grant period Each grant awarded or contract made under subsection (a) shall be to carry out projects for a period of not less than 36 months. . III Strengthening protections for older individuals 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) by amending section 306(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 area agencies 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) 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 section 712 and this title, and will expend for such purpose an amount that is not less than an 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 state agencies 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. . 302. State long-term care volunteer ombudsman representatives Section 712(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3058g(a)(5) ) is amended— (1) by redesignating subparagraph (D) as subparagraph (E); and (2) by inserting after subparagraph (C) the following: (D) Volunteer ombudsman representatives An individual designated as a volunteer ombudsman representative may receive financial support and recognition from the Office of the State Long-Term Care Ombudsman Program for expenses incurred during service. . 303. Clarification regarding board and care facilities Section 102(35)(C) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(35)(C) ) is amended by striking for purposes of sections 307(a)(12) and 712, . 304. Report on legal hotlines Not later than 3 years after the date of the enactment of this Act, the Assistant Secretary on Aging shall prepare and submit to the 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. 305. Community outreach Section 721(b)(12) of the Older Americans Act of 1965 ( 42 U.S.C. 3058i(b)(12) ) is amended— (1) in subparagraph (C) by inserting community outreach and education, after technical assistance ; and (2) in subparagraph (F)— (A) by striking studying and inserting implementing ; and (B) by inserting , programs, and materials after practices . 306. Principles for person-directed services and supports during serious illness (a) Definitions (1) Administrator The term Administrator means the Administrator of the Administration for Community Living. (2) Area agency on aging; Assistant Secretary; State agency The terms area agency on aging , Assistant Secretary , and State agency have the meanings given the terms in section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ). (3) Covered agency The term covered agency means— (A) a State agency or area agency on aging; and (B) a Federal agency other than the Department of Health and Human Services, and a unit of that Department other than the Administration on Aging, that the Assistant Secretary determines performs functions for which the principles are relevant, and the Centers for Medicare & Medicaid Services. (4) Principles The term principles means the Principles for Person-directed Services and Supports during Serious Illness, issued by the Administration on September 1, 2017, or an updated set of such Principles. (b) Dissemination The Administrator shall disseminate the principles to appropriate stakeholders within the aging network, as determined by the Assistant Secretary, and to covered agencies. The covered agencies may use the principles in setting priorities for service delivery and care plans in programs carried out by the agencies. (c) Feedback The Administrator shall solicit, on an ongoing basis, feedback on the principles from covered agencies, experts in the fields of aging and dementia, and stakeholders who provide or receive disability services. (d) Report Not less often than once, but not more often than annually, during the 3 years after the date of the enactment of this Act, the Administrator shall prepare and submit to Congress a report describing the feedback received under subsection (c) and indicating if any changes or updates are needed to the principles. IV Meeting the needs of older Native Americans 401. 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) in part D— (A) by amending section 643 to read as follows: 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. ; and (B) by adding at the end the following: 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. ; (2) by redesignating part D as part E; and (3) by inserting after part C the following: D Supportive services for healthy aging and independence 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 described in section 321(a). (2) Priority The Assistant Secretary, in making grants under this section, shall give priority to 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. . 402. Enhancing 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 inserting to ensure adequate capacity to deliver the services under such title, which technical assistance programs may include program management, data development and use, basic business skills, grant development, program and service innovations, and staff professional development and certification before the semicolon at the end; and (2) section 216 is amended to read as follows: 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 $44,042,171 for fiscal year 2020, $46,684,701 for fiscal year 2021, $49,485,783 for fiscal year 2022, $52,454,930 for fiscal year 2023, and $55,602,226 for fiscal year 2024. (b) Authorization of appropriations for programs There are authorized to be appropriated— (1) to carry out section 201(g), $20,000,000 for each of the fiscal years 2020 through 2024; (2) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,186,227 for fiscal year 2020, $2,317,401 for fiscal year 2021, $2,456,445 for fiscal year 2022, $2,603,832 for fiscal year 2023, and $2,760,062 for fiscal year 2024; (3) to carry out sections 215 and 202(j), $1,992,460 for fiscal year 2020, $2,112,008 for fiscal year 2021, $2,238,728 for fiscal year 2022, $2,373,052 for fiscal year 2023, and $2,515,435 for fiscal year 2024; (4) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,375,011 for fiscal year 2020, $1,457,511 for fiscal year 2021, $1,544,962 for fiscal year 2022, $1,637,660 for fiscal year 2023, and $1,735,919 for fiscal year 2024; (5) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,708,043 for fiscal year 2020, $9,230,526 for fiscal year 2021, $9,784,357 for fiscal year 2022, $10,371,419 for fiscal year 2023, and $10,993,704 for fiscal year 2024; and (6) to carry out section 201(c)(3)(H) (relating to professional development and technical assistance for programs under title VI), $500,000 for fiscal year 2021. . V Miscellaneous 501. Technical corrections The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 102(37)(A) by striking paragraph (5) and inserting paragraph (26) ; (2) in section 202(a)(23) by striking sections 307(a)(18) and 731(b)(2) and inserting sections 307(a)(13) and 731 ; (3) in section 202(e)(1)(A) by moving the left margin of clause (i) 2 ems to the left; (4) in sections 203(c)(7), 207(b)(2)(B), and 215(i) by striking Committee on Education and the Workforce and inserting Committee on Education and Labor ; (5) in section 207(b)(3)(A) by striking Administrator of the Health Care Finance Administration and inserting Administrator of the Centers for Medicare and Medicaid Services ; (6) in section 304(a)(3)(C) by striking term and all that follows through does , and inserting term State does ; (7) in section 304(d)(1)(B) by striking (excluding and all that follows through 303(a)(3)) ; (8) in section 306(a)— (A) by inserting the number of older individuals at risk for institutional placement residing in such area, after areas) residing in such area, the last place it appears; and (B) in paragraph (2) by striking who are victims of and inserting with ; (9) in section 339 by striking Institute of Medicine of the National Academy of Sciences and inserting National Academies of Sciences, Engineering, and Medicine ; (10) in section 611 by striking (a) ; and (11) in section 614(c)(4) by striking “(a)(12)” and inserting “(a)(11)”. 502. Authorization of appropriations; uses of funds (a) Authorization of appropriations; uses of funds Section 303 of the Older Americans Act of 1965 ( 42 U.S.C. 3023 ) is amended to read as follows: 303. Authorization of appropriations; uses of funds (a) (1) There are authorized to be appropriated to carry out part B (relating to supportive services) $413,011,586 for fiscal year 2020, $437,792,281 for fiscal year 2021, $464,059,818 for fiscal year 2022, $491,903,407 for fiscal year 2023, and $521,417,612 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) $531,279,663 for fiscal year 2020, $563,156,443 for fiscal year 2021, $596,945,830 for fiscal year 2022, $632,762,580 for fiscal year 2023, and $670,728,334 for fiscal year 2024. (2) There are authorized to be appropriated to carry out subpart 2 of part C (relating to home delivered nutrition services) $269,577,167 for fiscal year 2020, $285,751,797 for fiscal year 2021, $302,896,905 for fiscal year 2022, $321,070,719 for fiscal year 2023, and $340,334,963 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, congregate and home delivered 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) $26,650,753 for fiscal year 2020, $28,249,798 for fiscal year 2021, $29,944,786 for fiscal year 2022, $31,741,473 for fiscal year 2023, and $33,645,961 for fiscal year 2024. (e) There are authorized to be appropriated to carry out part E (relating to family caregiver support) $194,331,264 for fiscal year 2020, $205,991,140 for fiscal year 2021, $218,350,609 for fiscal year 2022, $231,451,645 for fiscal year 2023, and $245,338,744 for fiscal year 2024. . (b) Section 311(e) of the Older Americans Act of 1965 ( 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)) $171,682,200 for fiscal year 2020, $181,983,132 for fiscal year 2021, $192,902,120 for fiscal year 2022, $204,476,247 for fiscal year 2023, and $216,744,822 for fiscal year 2024. . (c) Section 411(b) of the Older Americans Act of 1965 ( 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, $14,549,157 for fiscal year 2020, $15,422,107 for fiscal year 2021, $16,347,433 for fiscal year 2022, $17,328,279 for fiscal year 2023, and $18,367,976 for fiscal year 2024; and (2) elder rights support activities under this section, $15,650,667 for fiscal year 2020, $16,589,707 for fiscal year 2021, $17,585,090 for fiscal year 2022, $18,640,195 for fiscal year 2023, and $19,758,607 for fiscal year 2024. . (d) Section 517(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3056o(a) ) is amended to read as follows: (a) In general There are authorized to be appropriated to carry out this title $429,020,486 for fiscal year 2020, $454,761,715 for fiscal year 2021, $482,047,418 for fiscal year 2022, $510,970,263 for fiscal year 2023, and $541,628,478 for fiscal year 2024. . (e) Section 702 of the Older Americans Act of 1965 (42 U.S.C.3058a) is amended to read as follows: 702. Authorization of appropriations (a) Ombudsman program There are authorized to be appropriated to carry out chapter 2, $18,110,027 for fiscal year 2020, $19,196,629 for fiscal year 2021, $20,348,427 for fiscal year 2022, $21,569,332 for fiscal year 2023, and $22,863,492 for fiscal year 2024. (b) Other programs There are authorized to be appropriated to carry out chapters 3 and 4, $5,119,287 for fiscal year 2020, $5,426,444 for fiscal year 2021, $5,752,031 for fiscal year 2022, $6,097,153 for fiscal year 2023, and $6,462,982 for fiscal year 2024. . 503. Hold harmless formula (a) In general 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) In this subparagraph and paragraph (5): (I) The term allot means allot under this subsection from a sum appropriated under section 303(a) or 303(b)(1), as the case may be. (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 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 corresponding sum appropriated for fiscal year 2019; (II) for fiscal year 2021, 99.50 percent of that sum; (III) for fiscal year 2022, 99.25 percent of that sum; (IV) for fiscal year 2023, 99.00 percent of that sum; (V) for fiscal year 2024, 98.75 percent of that sum; (VI) for fiscal year 2025, 98.50 percent of that sum; (VII) for fiscal year 2026, 98.25 percent of that sum; (VIII) for fiscal year 2027, 98.00 percent of that sum; (IX) for fiscal year 2028, 97.75 percent of that sum; and (X) for fiscal year 2029, 97.50 percent of that sum. (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 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 particular year, of the corresponding 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 subparagraphs. . (b) Repeal Section 304(a)(3)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3024(a)(3)(D) ) is repealed effective October 1, 2029.

Passed the House of Representatives October 28, 2019. Cheryl L. Johnson, Clerk

October 30, 2019 Read the second time and placed on the calendar

tv_txt: IB Union Calendar No. 206 116th CONGRESS 1st Session H. R. 4334 [Report No. 116–258] IN THE HOUSE OF REPRESENTATIVES September 16, 2019 Ms. Bonamici (for herself, Ms. Stefanik , Mrs. Lee of Nevada , Mr. Comer , Ms. Wild , and Mr. Johnson of South Dakota ) introduced the following bill; which was referred to the Committee on Education and Labor October 28, 2019 Additional sponsors: Mr. Sablan , Mr. Guthrie , Ms. Stevens , Mr. Thompson of Pennsylvania , Mr. Courtney , Mr. Allen , Mr. Trone , Mr. Watkins , Mrs. Hayes , Mr. DeFazio , Mr. Fitzpatrick , Mr. Wright , Mr. David P. Roe of Tennessee , Mr. Walberg , Mr. Smucker , Mr. Meuser , Mr. Morelle , Mr. Keller , Mr. David Scott of Georgia , and Ms. Norton October 28, 2019 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed Strike out all after the enacting clause and insert the part printed in italic For text of introduced bill, see copy of bill as introduced on September 16, 2019 A BILL To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes.

1. Short title; table of contents (a) Short title This Act may be cited as the Dignity in Aging Act of 2019 . (b) Table of contents The table of contents of this Act is the following: Sec. 1. Short title; table of contents. Title I—Ensuring collaboration and promoting independence for older individuals Sec. 101. Person-centered, trauma-informed care. Sec. 102. Vaccination. Sec. 103. Functions of Assistant Secretary. Sec. 104.  Professional standards for nutrition official under the Assistant Secretary. Sec. 105. Interagency Coordinating Committee on Age-Friendly Communities. Sec. 106. Technical assistance on age-friendly communities. Sec. 107. Malnutrition. Sec. 108. Coordination with resource centers. Sec. 109. Arts education. Sec. 110. Social determinants of health. Sec. 111. Federal coordination of supports and services for living independently and safely at home. Sec. 112. Falls prevention and chronic disease self-management education. Sec. 113. Extension of RAISE Family Caregivers Act. Sec. 114. Support for socially-isolated older Americans. Sec. 115. Increased focus of Assistant Secretary on social isolation. Sec. 116. Advisory council on social isolation. Sec. 117. Supportive services and senior centers. Sec. 118. Demonstration projects. Sec. 119. Younger onset Alzheimer’s Disease. Sec. 120. Priority for the senior community service employment program. Sec. 121. Direct care workforce. Sec. 122. National resource center for older individuals experiencing the long-term and adverse consequences of trauma. Sec. 123. National Resource Center for Women and Retirement. Sec. 124. Definition. Sec. 125. Review of reports. Sec. 126. Area plans. Sec. 127. Addressing chronic pain management. Sec. 128. Extension of the Supporting Grandparents Raising Grandchildren Act. Sec. 129. Screening for suicide risk. Sec. 130. Traumatic brain injury. Sec. 131. Addressing public health emergencies and emerging health threats. Title II—Empowering the Aging Network to meet the needs of older individuals Sec. 201. National family caregiver support program cap. Sec. 202. Minimum funding level for State administrative expenses. Sec. 203. Culturally-appropriate, medically-tailored meals. Sec. 204. Business acumen provisions and clarification regarding outside funding for area agencies on aging. Sec. 205. Other practices. Sec. 206. Caregiver assessments. Sec. 207. Research and evaluation. Sec. 208. Grant program for multigenerational collaboration. Title III—Strengthening protections for older individuals Sec. 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort. Sec. 302. State long-term care volunteer ombudsman representatives. Sec. 303. Clarification regarding board and care facilities. Title IV—Meeting the needs of older Native Americans Sec. 401. Expanding supportive services for Native American aging programs. Sec. 402. Enhancing capacity to support Native American aging programs. Title V—Miscellaneous Sec. 501. Technical corrections. Sec. 502. Authorization of appropriations; uses of funds. Sec. 503. Effective date. I Ensuring collaboration and promoting independence for older individuals 101. Person-centered, trauma-informed care Section 101(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3001(2) ) is amended by inserting (including access to person-centered, trauma-informed care) after health . 102. Vaccination Section 102(14) of the Older Americans Act of 1965 ( 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, after disease), . 103. Functions of Assistant Secretary (a) Review of applications Section 202 of the Older Americans Act of 1965 ( 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 a program for which such applicant previously received a grant unless the Assistant Secretary determines— (A) the program for which such application was submitted is operating effectively to achieve its stated purpose; and (B) such applicant— (i) complied with the assurances provided to the Assistant Secretary with the application for such previous grant; and (ii) will comply with the assurances provided with the current submitted application; , 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 the Act. The Assistant Secretary shall ensure that this information is also directly provided to States and area agencies on aging. . (b) Addressing the needs of older individuals in disasters Section 202(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a) ) is amended— (1) in paragraph (30) by striking and at the end, (2) in paragraph (31) by striking the period at the end and inserting ; and , and (3) by adding at the following at the end the following: (32) provide technical assistance to and share best practices with States 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 governments, federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery. . 104. Professional standards for nutrition official under the Assistant Secretary Section 205(a)(2)(C)(ii) of the Older Americans Act of 1965 ( 42 U.S.C. 3016(a)(2)(C)(ii) is amended to read as follows: (ii) be a registered dietitian or registered dietitian nutritionist. . 105. Interagency Coordinating Committee on Age-Friendly Communities Section 203 of the Older Americans Act of 1965 ( 42 U.S.C. 3013 ) is amended— (1) in subsection (b)— (A) in paragraph (18) by striking and at the end, (B) in subparagraph (19) by striking the period at the end, and inserting , and , and (C) 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. , and (2) in subsection (c)— (A) in paragraph (1)— (i) by striking Aging and inserting Age-Friendly Communities , and (ii) by inserting to support the ability of older individuals to age in place, including through the provision of homelessness prevention services, support the ability of older individuals to access 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 services before the period at the end, (B) in paragraph (4) by inserting , except that the 1st term of a member appointed to the Interagency Coordinating Committee on Age-Friendly Communities shall begin not later than 1 year after the date of the enactment of the effective date of this exception before the period at the end, (C) in paragraph (5) by striking once each year and inserting semiannually , (D) in paragraph (6)— (i) in subparagraph (A)— (I) in clause (iii) by striking and at the end, (II) in clause (iv) by adding and at the end, and (III) by adding at the end the following: (v) identifying best practices for connecting older individuals to services for which they may be eligible; , (ii) by amending subparagraph (B)(ii) to read as follows: (ii) innovations in technology applications (including assistance technology devices and assistance technology services) that— (I) promote safe and accessible independent living environments; and (II) give older individuals access to information on available services or help in providing services to older individuals; , (iii) in subparagraph (E)— (I) by striking nongovernmental experts and organizations, including public health interest and research groups and foundations and inserting nongovernmental organizations, academic or research institutions, community-based organizations, and philanthropic organizations , and (II) by striking (F) and inserting (G) , (iv) by redesignating subparagraphs (E), (F), and (G) as subparagraphs (F), (G), and (H), respectively, (v) by inserting after subparagraph (D) the following: (E) work with the Centers for Disease Control and Prevention, the National Institute on Aging, Centers for Medicare and Medicaid Services, the Housing and Urban Development Office of Lead Hazard Control and Healthy Homes, and other Federal agencies as appropriate, to develop recommendations, in accordance with paragraph (1), to reduce falls among older individuals that incorporate evidence-based falls prevention programs and home modifications to reduce and prevent falls; , and (vi) by adding at the end the following: (9) In this subsection, the term age-friendly community means a community that-— (A) is taking steps— (i) to include accessible housing, accessible spaces and buildings, safe and secure paths, variable route transportation services, and programs and services designed to maintain health and well-being; (ii) to respect and include older individuals in social opportunities, civic participation, volunteerism, and employment; and (iii) to facilitate access to supportive services for older individuals; and (B) has a plan in place to meet local needs for housing, transportation, civic participation, social connectedness, and accessible spaces. . 106. Technical assistance on age-friendly communities Section 205(a)(2) of the Older Americans Act of 1965 ( 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 State agencies, area agencies on aging, local government agencies, or leaders in age-friendly communities (as defined 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 Age-Friendly Communities established under section 203(c); and (ii) methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities. . 107. Malnutrition The Older Americans Act of 1965 ( 42 U.S.C. 2011 et seq.) is amended— (1) in section 102(14)(B) by inserting (including screening for malnutrition) before the semicolon at the end, and (2) in section 330(1) by striking and food insecurity and inserting , food insecurity, and malnutrition . 108. Coordination with resource centers (a) Area plans Section 306(a) of the Older Americans Act of 1965 ( 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 ; and , and (3) by adding at the end the following: (18) provide assurances that the area agency on aging will collect data to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of the programs, policies, and services provided by such area agency on aging in assisting these individuals. Each agency plan shall 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 are the focus of all centers established under title IV. This requirement applies to all centers funded on the day before the effective date of this paragraph. . (b) State plans Section 307(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3027 ) is amended by adding at the end the following: (31) The State shall prepare and submit to the Assistant Secretary annual reports on the data collected to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of the programs, policies, and services provided by area agencies on aging in assisting these individuals. The reports shall describe any outreach efforts and other activities described in section 306(a)(18). This requirement applies to all centers funded on the day before the date of the enactment of the effective date of this paragraph. . 109. Arts education (a) Program design Section 202(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a)(5) ) is amended by inserting cultural experiences, activities and services, including the arts, after education), . (b) Supportive services Section 321(a)(7) of the Older Americans Act of 1965 ( 42 U.S.C. 3030d(a)(7) ) is amended by inserting cultural experiences (including the arts), after art therapy, . 110. Social determinants of health Section 301(a)(1) of the Older Americans Act of 1965 ( 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) address the social determinants of health of older individuals. . 111. Federal coordination of supports and services for living independently and safely at home Title II of the Older Americans Act of 1965 ( 42 U.S.C. 3011–3020 ) is amended by inserting after section 203A the following: 203B. Federal coordination of supports and services for living independently and safely at home (a) Initiative The Assistant Secretary shall carry out an initiative under this section to identify and disseminate information about Federal resources to promote falls prevention, home assessments, and home modifications, which may include in-home assistive technology, to enable older individuals to live independently and safely in a home environment. (b) Coordination of Federal efforts In carrying out the initiative under this section, the Assistant Secretary shall coordinate, through memoranda of understanding, agreements, or other appropriate means of coordination, with all Federal efforts and Federal programs in effect on the effective date of this section that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals, including older individuals with disabilities. (c) Reports Not later than 1 year after the effective date of this section, and triennially thereafter as needed, the Assistant Secretary shall publish a report that includes— (1) an inventory of the then current Federal programs that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals and older individuals with disabilities; (2) for the fiscal year of the report, statistical data on the number of older individuals and older individuals with disabilities served by each Federal program described in paragraph (1), including a demographic analysis and the approximate amount of Federal funding invested in each such program; (3) an evaluation of the impact of Federal programs that support falls prevention and home modifications, which may include in-home assistive technology, on health status and health outcomes in populations supported by such efforts and programs; and (4) information on the extent to which consumer-friendly resources, such as a brochure— (A) are available through the National Eldercare Locator Service established under section 202(a)(21); (B) are accessible to all area agencies on aging; and (C) contain information on home assessments and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals. . 112. Falls prevention and chronic disease self-management education Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ) is amended— (1) by redesignating paragraphs (13) and (14) as paragraphs (15) and (16), respectively, and (2) by inserting after paragraph (12) the following: (13) 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 and older individuals with disabilities; (14) bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals and older individuals with disabilities to better manage their chronic conditions; . 113. Extension of RAISE Family Caregivers Act Section 6 of the RAISE Family Caregivers Act ( Public Law 115–119 ; 132 Stat. 27) is amended by striking 3 and inserting 4 . 114. Support for socially-isolated older Americans Section 102(14) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ) is amended— (1) in subparagraph (K) by striking and at the end, (2) in subparagraph (L) by striking (K) and inserting (L) , (3) by redesignating subparagraph (L) as subparagraph (M), and (4) by inserting after subparagraph (K) the following: (L) screening for the prevention of social isolation and coordination of supportive services and health care to address social isolation and loneliness; and . 115. Increased focus of Assistant Secretary on social isolation Section 202(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a) ), as amended by section 103, is amended— (1) in paragraph (31) by striking ; and and inserting a semicolon, (2) in paragraph (32) by striking the period at the end and inserting ; and , and (3) by adding at the end the following: (33) develop objectives, priorities, and a long-term plan for supporting State and local efforts involving education about, prevention of, detection of, and response to social isolation among older individuals. . 116. Advisory council on social isolation Section 202 of the Older Americans Act of 1965 ( 42 U.S.C. 3012 ), as amended by section 103, is amended by adding at the end the following: (i) (1) The Assistant Secretary shall convene an advisory council on social isolation with aging network stakeholders, including caregivers, and select members in a manner that ensures geographic diversity of the members— (A) to review and evaluate efforts to address social isolation and loneliness among older individuals; and (B) to identify challenges, solutions, and best practices related to such efforts. (2) The advisory council convened under paragraph (1) shall— (A) ensure consideration of consumer-directed care models; and (B) submit a report to Congress on its findings. (3) The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply with respect to the advisory council convened under paragraph (1). . 117. Supportive services and senior centers Section 321(a) of the Older Americans Act of 1965 ( 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 social isolation; and . 118. Demonstration projects (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by section 112, is amended— (1) in paragraph (15) by striking and at the end, (2) by redesignating paragraph (16) as paragraph (17), and (3) by inserting after paragraph (15) the following: (16) projects that address social isolation and loneliness among older adults; and . (b) Repeal Section 416 of the Older Americans Act of 1965 ( 42 U.S.C. 3032e ) is repealed. 119. Younger onset Alzheimer’s Disease (a) Definition of family caregiver Section 302(3) of the Older Americans Act of 1965 ( 42 U.S.C. 3022(3) ) is amended by inserting of any age after an individual . (b) Definition of resident Section 711(6) of the Older Americans Act of 1965 ( 42 U.S.C. 3058(6) ) is amended by inserting of any age after individual . 120. Priority for the senior community service employment program The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 503(a)(4)(C)— (A) in clause (iii) by striking and at the end, (B) in clause (iv) by adding and at the end, and (C) by adding at the end the following: (v) eligible individuals who have been incarcerated or are under supervision following the release from prison or jail within the last 5 years; , (2) in section 514(e)(1) by inserting older individuals who have been incarcerated or are under supervision following the release from prison or jail, after need, , and (3) in section 518— (A) in subsection (a)(3)(B)(ii)— (i) in clause (IV) by striking or at the end, (ii) in clause (V) by striking the period at the end and inserting ; or , and (iii) by adding at the end the following: (VI) have been incarcerated or are under supervision following the release from prison or jail within the last 5 years. , and (B) in subsection (b)(2)— (i) in subparagraph (F) by striking or at the end, (ii) in subparagraph (G) by striking the period at the end and inserting ; or , (iii) by adding at the end the following: (H) has been incarcerated or is under supervision following the release from prison or jail within the last 5 years. . 121. Direct care workforce (a) Demonstrations Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by sections 112 and 118, is amended— (1) by redesignating paragraphs (16) and (17) as paragraphs (17) and (18), respectively, and (2) by inserting after paragraph (15) the following: (16) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and to solicit, develop, and implement 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 and retain direct care workers; (B) to provide supportive services and career planning for direct care workers; and (C) to support the advancement of direct care workers through education and workforce development programs that include necessary credential or licensing preparation, paid on-the-job training or work-based learning, and appropriate safety training; . (b) Older American community service employment program Section 502(e)(2)(B) of the Older Americans Act of 1965 ( 42 U.S.C. 3056(e)(2)(B) ) is amended— (1) in clause (iii) by striking and at the end, (2) in clause (iv) by adding and at the end, and (3) by adding at the end the following: (v) attract, retain, and advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers to entry for a diverse and high-quality direct care workforce, supportive services and career planning, and paid on-the-job training or work-based learning, with appropriate safety training; . 122. National resource center for older individuals experiencing the long-term and adverse consequences of trauma Section 411(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a) ), as amended by sections 112, 118, and 121, is amended— (1) by redesignating paragraphs (17) and (18) as paragraphs (18) and (19), respectively, and (2) by inserting after paragraph (16) the following: (17) the implementation of a national resource center that shall— (A) provide training and technical assistance to agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences 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; . 123. National Resource Center for Women and Retirement Section 202 of the Older Americans Act of 1965 ( 42 U.S.C. 3012 ), as amended by sections 103 and 116, is amended by adding at the end the following: (j) (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 ). (2) The Center shall— (A) provide basic financial management, retirement planning, and other educational tools that promote financial wellness and help to identify and prevent fraud and elder exploitation, and integrate these with information on health and long-term care; (B) annually disseminate a summary of outreach 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 organizations; and (E) develop partnerships and collaborations to address program objectives. . 124. Definition Section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ) is amended— (1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55), and (2) by inserting after paragraph (40) the following: (41) The term person-centered, trauma-informed when used with respect to services means services provided through an aging program that— (A) use a holistic approach to providing services; (B) promote the dignity, strength and empowerment of victims of trauma; and (C) incorporate research-based practices based on knowledge about the role of trauma in trauma victims’ lives. . 125. Review of reports Sec. 308(b) of the Older Americans Act of 1965 ( 42 U.S.C. 3028(b) ) is amended by inserting at the end the following: (8) The Assistant Secretary shall review the reports submitted under section 307(a)(31), and include in the report required by section 207(a), aggregated data, including the effectiveness and outreach efforts included in 307(a)(31), on services that are needed by older individuals whose needs are the focus of all centers funded under title IV. This requirement applies to all centers funded on the day before the date of the effective date of this paragraph. . 126. Area plans Section 306(a)(4) of the Older Americans Act of 1965 ( 42 U.S.C. 3026(a)(4) ) is amended in subparagraph (B)(i)(VII) by inserting “, specifically including survivors of the Holocaust” after “placement”. 127. Addressing chronic pain management Section 102(14)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ) is amended by inserting chronic pain management, after substance abuse reduction, . 128. Extension of the Supporting Grandparents Raising Grandchildren Act Section 3(f) of the Supporting Grandparents Raising Grandchildren Act ( Public Law 115–196 ) is amended by striking “3” and inserting “4”. 129. Screening for suicide risk Section 102(14)(G) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14)(G) ) is amended by inserting and screening for suicide risk after depression . 130. Traumatic brain injury (a) Definitions Section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ), as amended by section 114, is amended— (1) in paragraph (14)— (A) in paragraph (M) by striking (L) and inserting (M) , (B) by redesignating subparagraphs (H) through (M) as subparagraphs (I) through (N), respectively, (C) by inserting after subparagraph (G) the following: (H) screening for fall-related traumatic brain injury, coordination of treatment, rehabilitation and related services, and referral services; , and (2) by adding at the end the following: (56) The term traumatic brain injury has the meaning given to it in section 339B(d) of the Public Health Service Act. . (b) Health screening Section 321(a)(8) of the Older Americans Act of 1965 (42 U.S.C.3030d(a)(8)) is amended to read as follows: (8) services designed to provide health screening (including mental and behavioral health screening, screening for social isolation and loneliness, falls prevention services screening and traumatic brain injury screening) to detect or prevent (or both) illnesses and injuries that occur most frequently in older individuals; . (c) Activities for health Section 411(a)(12) of the Older Americans Act of 1965 ( 42 U.S.C. 3032(a)(12) ) is amended to read as follows: (12) building public awareness of cognitive impairments such as Alzheimer's disease and related disorders with neurological and organic brain dysfunction, depression, mental health disorders, and traumatic brain injury; . 131. Addressing public health emergencies and emerging health threats Section 102(14) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(14) ), as amended by sections 114 and 130, is amended— (1) in subparagraph (M) by striking and at the end, (2) in subparagraph (N) by striking (M) and inserting (N) , (3) by redesignating subparagraphs (K), (L), (M), and (N) as subparagraphs (L), (M), (N), and (O) respectively, and (4) by inserting after subparagraph (J) the following: (K) responses to public health emergencies and emerging health threats; . II Empowering the Aging Network to meet the needs of older individuals 201. National family caregiver support program cap (a) Federal share Section 373(g)(2) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(g)(2) ) 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 the enactment of this Act, and annually thereafter, the Assistant Secretary shall submit to the Committee on Education and Labor of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate 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–3030s–2). Each such report shall also be made available to the public. (2) Contents For purposes of reports required by paragraph (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 share allotment used by the State to provide support services for caregiver support for older relative caregivers and family caregivers. 202. Minimum funding level for State administrative expenses Section 308(b)(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3028(b)(2)(B) ) is amended by striking $500,000 and inserting $750,000 . 203. Culturally-appropriate, medically-tailored meals Section 339(2)(A) of the Older Americans Act of 1965 ( 42 U.S.C. 3939h(2)(A) ) is amended by inserting , including cultural considerations and preferences (including needs based on religious, cultural, or ethnic requirements) and medically tailored meals before the comma at the end. 204. 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) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(b)(9) ) is amended— (1) in subparagraph (A) by striking and after the semicolon at the end, (2) in subparagraph (B) by inserting and after the semicolon at the end, and (3) by adding at the end the following: (C) 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 of the Older Americans Act of 1965 ( 42 U.S.C. 3026 ) is amended by adding at the end the following: (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 in the planning and service area supported by the area agency on aging. . 205. Other practices Section 315 of the Older Americans Act of 1965 ( 42 U.S.C. 3030c-2 ) is amended by adding at the end the following: (e) Response to area agencies on aging Upon request from an area agency on aging, the State shall make available any policies or guidance pertaining to policies under this section. . 206. Caregiver assessments (a) Definition of caregiver assessment Section 372(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s(a) ) is amended by adding at the end the following: (4) Caregiver assessment The term caregiver assessment means a systematic process of gathering information about the situation of a caregiver who voluntarily participates in such process to identify the caregiver’s specific needs, barriers, and existing supports as identified by the caregiver that— (A) provides the opportunity for the recognized caregiver to participate in such process; (B) requires direct contact with the caregiver and is used to appropriately target and tailor support services to the caregiver’s unique needs; and (C) includes reassessment of such specific needs, barriers, and existing supports, including to accommodate a significant change in the caregiving situation, which shall occur on a voluntary basis with the consent of the caregiver. . (b) Use of caregiver assessments Section 373(b) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(b) ) is amended by inserting may be informed through the use of caregiver assessments and after with, . (c) Technical assistance for caregiver assessments Section 373 of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1 ) is amended by adding at the end the following: (h) Technical assistance for caregiver assessments Not later than 1 year after the effective date of this subsection, the Assistant Secretary, in consultation with caregivers, older individuals, individuals with a disability who receive care from an older relative caregiver, the aging network, and other experts and stakeholders, shall provide technical assistance to promote and implement the use of caregiver assessments. Such technical assistance shall include sharing available tools and templates, comprehensive assessment protocols, and best practices concerning— (1) conducting caregiver assessments and reassessments; (2) implementing such assessments that are consistent across a planning and service area; and (3) implementing caregiver support service plans, including referrals to and coordination of activities with relevant State and local services. . (d) Reporting on caregiver assessment Section 373(e) of the Older Americans Act of 1965 ( 42 U.S.C. 3030s–1(e) ) is amended— (1) in paragraph (3) by inserting , including caregiver assessments used in the State, after mechanisms the 1st place it appears, and (2) by adding at the end the following: (4) Report on caregiver assessments (A) In general Not later than 3 years after the effective date of this paragraph, the Assistant Secretary shall issue a report on the use of caregiver assessments by area agencies on aging, entities contracting with such agencies, and organizations. Such report shall include— (i) an analysis of the current use of caregiver assessments, including a repository of caregiver assessment tools or templates and comprehensive assessment protocols; (ii) using objective data, an analysis of the impact of caregiver assessments on— (I) family caregivers and older relative caregivers; and (II) the individuals to whom the caregivers described in subclause (I) provide care; (iii) an analysis of the impact of using caregiver assessments on the aging network; (iv) an analysis of how caregiver assessments are being used to identify the specific needs, barriers, and existing supports of family caregivers and older relative caregivers; (v) recommendations for using caregiver assessments, including in rural or underserved areas; and (vi) feedback from State agencies and area agencies on aging, particularly in rural or underserved areas, on the implementation of caregiver assessments. (B) Submission Not later than 6 months after the issuance of the report under subparagraph (A), the Assistant Secretary shall submit the report to the Committee on Education and Labor of the House of Representatives, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Special Committee on Aging of the Senate. . 207. Research and evaluation Section 201 of the Older Americans Act of 1965 ( 42 U.S.C. 3011 ) is amended by adding at the end the following: (g) (1) The Assistant Secretary shall coordinate the research and evaluation functions of this Act under a National 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 research, research dissemination, evaluation, demonstration projects, and related activities carried out under this Act; (B) to provide assessment of the programs authorized under this Act; and (C) to increase the repository of information on evidence-based programs and interventions available to the aging network. Such information shall be applicable to existing programs and help in the development of new evidence-based programs and interventions. (3) Activities of the Center shall include conducting, 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 interventions authorized by this Act; and (ii) research on and assessment of the impacts that programs and interventions under this Act have on 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 the Act and activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations; (C) outreach and dissemination of research findings; and (D) technical assistance related to the activities described in this subparagraph. (4) The director shall be an individual with substantial knowledge 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, and related activities; (B) explains the basis for such priorities; and (C) describes how the plan will meet the needs of underserved populations. (6) The director shall, as appropriate, coordinate 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 Committee 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 all research and evaluation authorities under this Act. . 208. Grant program for multigenerational collaboration Section 417 of the Older Americans Act of 1965 ( 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— (1) to provide opportunities for older individuals to participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals and individuals in younger generations by developing— (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 individuals; (E) increased lifelong learning; or (F) support for family caregivers by— (i) providing support for older relative caregivers (as defined in section 372) raising children (such as 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) to coordinate multigenerational activities and civic engagement activities, including multigenerational nutrition and meal service programs; (3) to promote volunteerism, including becoming a mentor to young people; and (4) to facilitate development of and participation in multigenerational activities and civic engagement activities. , (2) by amending subsection (b) to read as follows: (b) Use of funds (1) In general An eligible organization shall use funds made available under a grant awarded, or a contract entered into, under this section to carry out a project described in subsection (a). (2) Provision of projects through grantees In making grants under this section, the Assistant Secretary shall ensure that awards are made for the activities and projects described in each of paragraphs (1) and (2) of subsection (a). ; (3) in subsection (c)— (A) in the matter preceding paragraph (1), by inserting that serves individuals in younger generations and older individuals after to carry out a project ; (B) in paragraph (1) by inserting , intent to carry out, or intent to partner with local organizations or multiservice organizations to carry out, after record of carrying out , (C) in paragraph (3) by striking ; and and inserting a semicolon, (D) in paragraph (4) by striking the period at the end and inserting ; and , and (E) by adding at the end the following: (5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities. , (4) by amending subsection (e) to read as follows: (e) Eligible organizations Organizations eligible to receive a grant or enter into a contract under subsection (a) shall— (1) be a State, an area agency on aging, or an organization that provides opportunities for older individuals to participate in activities described in such subsection; and (2) have the capacity to conduct the coordination, promotion, and facilitation described in such subsection through the use of multigenerational coordinators. , (5) by striking subsection (g), (6) in subsection (h)(2)(B)(i) by striking individuals from the generations with older individuals and inserting older individuals , (7) by redesignating subsections (b) through (f) as subsections (c) through (g), respectively, and (8) by inserting after subsection (a) the following: (b) Grant period Each grant awarded or contract made under subsection (a) shall be to carry out projects for a period of not less than 36 months. . III Strengthening protections for older individuals 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 306(a)(9)— (A) by inserting together with any other funds after Act , and (B) by striking 2000 and inserting 2019 , and (2) in section 307(a)(9)— (A) by striking an amount the 1st place it appears and inserting the total amount , (B) by striking 2000 and inserting 2019 each place it appears, and (C) by inserting from all sources including after received each place it appears. 302. State long-term care volunteer ombudsman representatives Section 712(a)(5) of the Older Americans Act of 1965 ( 42 U.S.C. 3058g(a)(5) ) is amended— (1) by redesignating subparagraph (D) as subparagraph (E), and (2) by inserting after subparagraph (C) the following: (D) Volunteer ombudsman representatives An individual designated as a volunteer ombudsman representative may receive financial support and recognition from the Office of the State Long-Term Care Ombudsman Program for expenses incurred during service. . 303. Clarification regarding board and care facilities Section 102(35)(C) of the Older Americans Act of 1965 ( 42 U.S.C. 3002(35)(C) ) is amended by striking for purposes of sections 307(a)(12) and 712, . IV Meeting the needs of older Native Americans 401. 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) in part D— (A) by amending section 643 to read as follows: 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. , and (B) by adding at the end the following: 644. Funding set aside Of the funds appropriated under section 643(1) for a fiscal year, 5 percent shall be made available to carry out part D for such fiscal year. , (2) by redesignating part D as part E, and (3) by inserting after part C the following: D Supportive services for healthy aging and independence 636. Program (a) In general The Assistant Secretary shall carry out a 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 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 described in section 321(a). (2) Priority The Assistant Secretary, in making grants under this section, shall give priority to 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. . 402. Enhancing 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 inserting to ensure adequate capacity to deliver the services under such title, which technical assistance programs may include program management, data development and use, basic business skills, grant development, program and service innovations, and staff professional development and certification before the semicolon at the end, and (2) section 216 is amended to read as follows: 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 $44,042,171 for fiscal year 2020, $46,684,701 for fiscal year 2021, $49,485,783 for fiscal year 2022, $52,454,930 for fiscal year 2023, and $55,602,226 for fiscal year 2024. (b) Authorization of appropriations for programs There are authorized to be appropriated— (1) to carry out section 201(g), $20,000,000 for each of the fiscal years 2020 through 2024; (2) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,186,227 for fiscal year 2020, $2,317,401 for fiscal year 2021, $2,456,445 for fiscal year 2022, $2,603,832 for fiscal year 2023, and $2,760,062 for fiscal year 2024; (3) to carry out section 215, $1,992,460 for fiscal year 2020, $2,112,008 for fiscal year 2021, $2,238,728 for fiscal year 2022, $2,373,052 for fiscal year 2023, and $2,515,435 for fiscal year 2024; (4) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,375,011 for fiscal year 2020, $1,457,511 for fiscal year 2021, $1,544,962 for fiscal year 2022, $1,637,660 for fiscal year 2023, and $1,735,919 for fiscal year 2024; (5) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,708,043 for fiscal year 2020, $9,230,526 for fiscal year 2021, $9,784,357 for fiscal year 2022, $10,371,419 for fiscal year 2023, and $10,993,704 for fiscal year 2024; and (6) to carry out section 201(c)(3)(H) (relating to professional development and technical assistance for programs under title VI), $500,000 for fiscal year 2020. . V Miscellaneous 501. Technical corrections The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 102(37)(A) by striking paragraph (5) and inserting paragraph (26) , (2) in section 202(a)(23) by striking sections 307(a)(18) and 731(b)(2) and inserting sections 307(a)(13) and 731 , (3) in section 202(e)(1)(A) by moving the left margin of clause (i) 2 ems to the left, (4) in sections 203(c)(7), 207(b)(2)(B), and 215(i) by striking Committee on Education and the Workforce and inserting Committee on Education and Labor , (5) in section 207(b)(3)(A) by striking Administrator of the Health Care Finance Administration and inserting Administrator of the Centers for Medicare and Medicaid Services , (6) in section 304(a)(3)(C) by striking term and all that follows through does , and inserting term State does , (7) in section 306(a)— (A) by inserting the number of older individuals at risk for institutional placement residing in such area, after areas) residing in such area, the last place it appears, and (B) in paragraph (2) by striking who are victims of and inserting with , (8) in section 339 by striking Institute of Medicine of the National Academy of Sciences and inserting National Academies of Sciences, Engineering, and Medicine , (9) in section 611 by striking (a) , and (10) in section 614(c)(4) by striking “(a)(12)” and inserting “(a)(11)”. 502. Authorization of appropriations; uses of funds (a) Authorization of appropriations; uses of funds Section 303 of the Older Americans Act of 1965 ( 42 U.S.C. 3023 ) is amended to read as follows: 303. Authorization of appropriations; uses of funds (a) (1) There are authorized to be appropriated to carry out part B (relating to supportive services) $413,011,586 for fiscal year 2020, $437,792,281 for fiscal year 2021, $464,059,818 for fiscal year 2022, $491,903,407 for fiscal year 2023, and $521,417,612 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) $531,279,663 for fiscal year 2020, $563,156,443 for fiscal year 2021, $596,945,830 for fiscal year 2022, $632,762,580 for fiscal year 2023, and $670,728,334 for fiscal year 2024. (2) There are authorized to be appropriated to carry out subpart 2 of part C (relating to home delivered nutrition services) $269,577,167 for fiscal year 2020, $285,751,797 for fiscal year 2021, $302,896,905 for fiscal year 2022, $321,070,719 for fiscal year 2023, and $340,334,963 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, congregate and home delivered 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) $26,650,753 for fiscal year 2020, $28,249,798 for fiscal year 2021, $29,944,786 for fiscal year 2022, $31,741,473 for fiscal year 2023, and $33,645,961 for fiscal year 2024. (e) There are authorized to be appropriated to carry out part E (relating to family caregiver support) $194,331,264 for fiscal year 2020, $205,991,140 for fiscal year 2021, $218,350,609 for fiscal year 2022, $231,451,645 for fiscal year 2023, and $245,338,744 for fiscal year 2024. . (b) Section 304(a)(3)(D) of the Older Americans Act of 1965 ( 42 U.S.C. 3024(a)(3)(D) ) is amended— (1) in clause (i) by striking 2017 through 2019 and inserting 2020 through 2024 , and (2) in clause (ii) by striking 2020 and inserting 2025 . (c) Section 311(e) of the Older Americans Act of 1965 ( 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)) $171,682,200 for fiscal year 2020, $181,983,132 for fiscal year 2021, $192,902,120 for fiscal year 2022, $204,476,247 for fiscal year 2023, and $216,744,822 for fiscal year 2024. . (d) Section 411(b) of the Older Americans Act of 1965 ( 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, $14,549,157 for fiscal year 2020, $15,422,107 for fiscal year 2021, $16,347,433 for fiscal year 2022, $17,328,279 for fiscal year 2023, and $18,367,976 for fiscal year 2024; and (2) elder rights support activities under this section, $15,650,667 for fiscal year 2020, $16,589,707 for fiscal year 2021, $17,585,090 for fiscal year 2022, $18,640,195 for fiscal year 2023, and $19,758,607 for fiscal year 2024. . (e) Section 517(a) of the Older Americans Act of 1965 ( 42 U.S.C. 3056o(a) ) is amended to read as follows: (a) In general There are authorized to be appropriated to carry out this title $429,020,486 for fiscal year 2020, $454,761,715 for fiscal year 2021, $482,047,418 for fiscal year 2022, $510,970,263 for fiscal year 2023, and $541,628,478 for fiscal year 2024. . (f) Section 702 of the Older Americans Act of 1965 (42 U.S.C.3058a) is amended to read as follows: 702. Authorization of appropriations (a) Ombudsman program There are authorized to be appropriated to carry out chapter 2, $18,110,027 for fiscal year 2020, $19,196,629 for fiscal year 2021, $20,348,427 for fiscal year 2022, $21,569,332 for fiscal year 2023, and $22,863,492 for fiscal year 2024. (b) Other programs There are authorized to be appropriated to carry out chapters 3 and 4, $5,119,287 for fiscal year 2020, $5,426,444 for fiscal year 2021, $5,752,031 for fiscal year 2022, $6,097,153 for fiscal year 2023, and $6,462,982 for fiscal year 2024. . 503. Effective date This Act shall take effect on October 1, 2019.

October 28, 2019 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

tv_txt: 116th CONGRESS 2d Session H.R. 4334 In the Senate of the United States, March 3, 2020. Amendment:

That the bill from the House of Representatives (H.R. 4334) entitled An Act to amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes. , do pass with the following Strike all after the enacting clause and insert the following: 1. Short title This Act may be cited as the Supporting Older Americans Act of 2020 . 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 associated 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 associated with social isolation. Sec. 116. Notification of availability of or updates to policies, practices, and procedures 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 Secretary. 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. 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.). 4. Definitions In this Act, the terms area agency on aging , Assistant Secretary , greatest social need , older individual , and Secretary have the meanings given such terms in section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ). I Modernizing definitions and programs under the Administration on Aging 101. Reauthorization Section 216 ( 42 U.S.C. 3020f ) is amended to read as follows: 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 Support 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. . 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 . 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 provides ; (2) in subparagraph (B)— (A) by inserting services, supports, and after plan for long-term ; and (B) by inserting and choices after desires ; and (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, . 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 subparagraph with the margins of subparagraph (J); and (II) by striking ; and and inserting a semicolon; (ii) by redesignating subparagraph (L) as subparagraph (M); and (iii) by inserting after subparagraph (K) the following: (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 evidence-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 . 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 cardiovascular disease), . 106. Malnutrition The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (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 . 107. Sexually transmitted diseases Section 102(14)(D) ( 42 U.S.C. 3002(14)(D) ), as amended by section 105(2), is further amended by inserting prevention of sexually transmitted diseases, after vaccine-preventable disease, . 108. Addressing chronic pain management Section 102(14)(D) ( 42 U.S.C. 3002(14)(D) ), as amended by section 107, is further amended by inserting chronic pain management, after substance abuse reduction, . 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 . 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) . 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, . 112. Person-centered, trauma-informed services definition Section 102 ( 42 U.S.C. 3002 ) is amended— (1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55), respectively; and (2) by inserting after paragraph (40) the following: (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. . 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)). . 114. Modernizing the review of applications and providing 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 submitted 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 disasters 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 practices 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 governments, Federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery; . 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 . 116. Notification of availability of or updates to policies, practices, and procedures through a uniform 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. . 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 promotion 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 populations, and before consult . 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 semicolon 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: (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 paragraphs (26) through (29). 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 demonstration 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; . 120. National resource center for older individuals experiencing the long-term and adverse consequences 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 agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences 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; . 121. National Resource Center for Women and Retirement 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 ). (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 organizations; and (E) develop partnerships and collaborations to address program objectives. . 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 following: (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. 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, coordinate with the Assistant Secretary for Mental Health and Substance Use and the Director of the Centers for Disease Control and Prevention— (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 entities, 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 services, including in the arts, after education), . 124. Modernizing the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities (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 Communities ; 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 recommendations described in paragraph (1) may include recommendations for ; (B) in subparagraph (A)— (i) by striking share information with and establish an ongoing system to and inserting ways to ; and (ii) by striking for older individuals and recommend 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 semicolon; (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 Homes of the Department of Housing and Urban Development, and other Federal agencies, as appropriate, to reduce and prevent falls among older individuals, that incorporate evidence-based falls prevention programs and home modifications, which recommendations shall supplement and not unnecessarily duplicate activities authorized under section 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 organizations, 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 individuals ; 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 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 programs to meet the needs of growing age-friendly communities. . 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 redesignated by section 124(c)(1), is amended to read as follows: (ii) be a registered dietitian or registered dietitian nutritionist. . 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 authorized 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 individuals for negative health effects associated with social isolation; 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 negative health effects identified under clauses (ii) and (iii) of subparagraph (A), and subparagraph (B), of paragraph (2). (b) Submission of report (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 evaluation 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. 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 interventions authorized under this Act; and (C) to increase the repository of information on evidence-based programs and interventions available to the aging network, which information shall be applicable to existing programs and interventions and help in the development of new evidence-based programs and interventions. (3) Activities of the Center shall include, as appropriate, conducting, 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 interventions 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 partnerships 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. (4) The director shall be an individual with substantial knowledge 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 underserved 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 Committee 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 subsections (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 demonstration 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 Medicaid 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 Pensions 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 Representatives. . II Improving grants for State and community programs on aging 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. . 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 . 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 subpart 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 delivered 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) $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. . 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 subsection 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 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 particular year, of the State's allotment from the corresponding 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 subparagraphs. . (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) . 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) . 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 section 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 other Federal, State, and local funds expended to support activities described in section 712. . 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 agencies 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). . 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. 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)— (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 allotment and inserting such total amount ; and (B) in paragraph (2)(A), by striking $500,000 and inserting $750,000 . 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. . 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. . 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. . 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 isolation, ; and (2) by inserting , and traumatic brain injury screening after falls prevention services screening . 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 isolation; 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, . 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. 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: 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 congregate 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 measurement 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 (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 programs 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. . 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 paragraphs (2) through (4), respectively; and (2) by inserting before paragraph (2), as so redesignated, the following: (1) Caregiver assessment The term caregiver assessment 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 subsections (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 services; and (C) any other issue determined relevant by the Assistant Secretary; and (2) make available, including on the website of the Administration and pursuant to section 202(a)(34), best practices 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 Secretary may award funds authorized under this section to States, public agencies, private nonprofit agencies, institutions of higher education, and organizations, including tribal organizations, for conducting activities of national significance that— (1) promote quality and continuous improvement in the support provided to family caregivers and older relative caregivers 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 consultation with stakeholders with appropriate expertise and, as appropriate, informed by the strategy developed under the RAISE Family Caregivers Act ( 42 U.S.C. 3030s note), shall provide technical assistance 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 reassessments) 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 assessments, 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 caregiver 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 particular consideration to supporting— (i) a caregiver specified in this subparagraph who is caring for individuals with disabilities, or, if appropriate, with a serious illness; and (ii) caregivers with disabilities; (E) recommendations for furthering the use of caregiver assessments, as appropriate, including in rural or underserved 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 relative 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) . 218. National Family Caregiver Support program cap (a) Federal share Subsection (h)(2), as redesignated by section 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 Education 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 paragraph (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. III Modernizing Activities for Health, Independence, and Longevity 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. . 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 . 303. Falls prevention and chronic disease self-management 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; . 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 associated with social isolation among older individuals; and . 305. Technical assistance and innovation to improve transportation for older individuals Section 416(b)(2) ( 42 U.S.C. 3032e(b)(2) ) is amended— (1) in subparagraph (B), by inserting before the semicolon , call center, website or Internet-based portal, mobile application, 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, volunteer-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 appropriate; (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 transportation services; and . 306. Grant program for multigenerational collaboration 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 participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals 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 individuals; (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 (4) facilitate development of, and participation in, multigenerational activities and civic engagement activities. ; (2) by striking subsection (g); (3) by redesignating subsections (b) through (f) as subsections (c) through (g), respectively; (4) by inserting after subsection (a) the following: (b) Grant and contract periods Each grant awarded and contract entered into under subsection (a) shall be for a period of not less than 36 months. ; (5) by amending subsection (c), as so redesignated, to read as follows: (c) Use of funds (1) In general An eligible organization shall use funds made available under a grant awarded, or a contract entered into, under this section to carry out a project described in subsection (a). (2) Provision of projects through grantees In awarding grants and entering into contracts under this section, the Assistant Secretary shall ensure that such grants and contracts are for the projects that satisfy each requirement under paragraphs (1) through (4) of subsection (a). ; (6) in subsection (d), as so redesignated— (A) in paragraph (1), by inserting , intent to carry out, or intent to partner with local organizations or multiservice organizations to carry out, after record of carrying out ; (B) in paragraph (3), by striking ; and and inserting a semicolon; (C) in paragraph (4), by striking the period and inserting ; and ; and (D) by adding at the end the following: (5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities. ; (7) by amending subsections (f) and (g), as so redesignated, to read as follows: (f) Eligible organizations Organizations eligible to receive a grant or enter into a contract under subsection (a) shall— (1) be a State, an area agency on aging, or an organization that provides opportunities for older individuals to participate in activities described in such subsection; and (2) have the capacity to conduct the coordination, promotion, and facilitation described in such subsection through the use of multigenerational coordinators. (g) Evaluation (1) In general Not later than 3 years after the date of enactment of the Supporting Older Americans Act of 2020 , the Assistant Secretary shall, through data submitted by organizations carrying out projects through grants or contracts under this section, evaluate the activities supported through such grants and contracts to determine— (A) the effectiveness of such activities; (B) the impact of such activities on the community being served and the organization providing the activities; and (C) the impact of such activities on older individuals participating in such projects. (2) Report to Congress Not later than 6 months after the Assistant Secretary completes the evaluation under paragraph (1), the Assistant Secretary shall prepare and submit to the Speaker of the House of Representatives and the President pro tempore of the Senate a report that assesses such evaluation and contains, at a minimum— (A) the names or descriptive titles of the projects funded under subsection (a); (B) a description of the nature and operation of such projects; (C) the names and addresses of organizations that conducted such projects; (D) a description of the methods and success of such projects in recruiting older individuals as employees and as volunteers to participate in the projects; (E) a description of the success of the projects in retaining older individuals participating in such projects as employees and as volunteers; (F) the rate of turnover of older individuals who are employees or volunteers in such projects; (G) a strategy for disseminating the findings resulting from such projects; and (H) any policy change recommendations relating to such projects. ; and (8) in subsection (h)(2)(B)(i), by striking individuals from the generations with older individuals and inserting older individuals . IV Senior Community Service Employment Program 401. Priority for the senior community service employment program (a) Priority The Act ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 503(a)(4)(C) ( 42 U.S.C. 3056a(a)(4)(C) )— (A) in clause (iii), by striking and at the end; (B) in clause (iv), by adding and at the end; and (C) by adding at the end the following: (v) eligible individuals who have been incarcerated within the last 5 years or are under supervision following release from prison or jail within the last 5 years; ; (2) in section 514(e)(1) ( 42 U.S.C. 3056l(e)(1) ), by inserting eligible individuals who have been incarcerated or are under supervision following release from prison or jail, after need, ; and (3) in section 518 ( 42 U.S.C. 3056p )— (A) in subsection (a)(3)(B)(ii)— (i) in subclause (IV), by striking or at the end; (ii) in subclause (V), by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (VI) have been incarcerated within the last 5 years or are under supervision following release from prison or jail within the last 5 years. ; and (B) in subsection (b)(2)— (i) in subparagraph (F), by striking or at the end; (ii) in subparagraph (G), by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (H) has been incarcerated within the last 5 years or is under supervision following release from prison or jail within the last 5 years. . (b) Transition period This section shall take effect 1 year after the date of enactment of this Act. 402. Authorization of appropriations Section 517(a) ( 42 U.S.C. 3056o(a) ) is amended to read as follows: (a) In general There are authorized to be appropriated to carry out this title $428,000,000 for fiscal year 2020, $453,680,000 for fiscal year 2021, $480,900,800 for fiscal year 2022, $509,754,848 for fiscal year 2023, and $540,340,139 for fiscal year 2024. . V Enhancing grants for Native Americans 501. Reauthorization Title VI ( 42 U.S.C. 3057 et seq.) is amended— (1) in part D ( 42 U.S.C. 3057l et seq.)— (A) by amending section 643 ( 42 U.S.C. 3057n ) to read as follows: 643. Authorization of appropriations There are authorized to be appropriated to carry out this title— (1) for parts A and B, $37,102,560 for fiscal year 2020, $39,298,714 for fiscal year 2021, $41,626,636 for fiscal year 2022, $44,094,235 for fiscal year 2023, and $46,709,889 for fiscal year 2024; and (2) for part C, $10,759,920 for fiscal year 2020, $11,405,515 for fiscal year 2021, $12,089,846 for fiscal year 2022, $12,815,237 for fiscal year 2023, and $13,584,151 for fiscal year 2024. ; and (B) by adding at the end the following: 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, provided that for such fiscal year— (1) the funds appropriated for parts A and B are greater than the funds appropriated for fiscal year 2019; and (2) the Assistant Secretary makes available for parts A and B no less than the amount of resources made available for fiscal year 2019. ; (2) by redesignating part D, as so amended, as part E; and (3) by inserting after part C the following: D Supportive services for healthy aging and independence 636. Program (a) In general The Assistant Secretary may carry out a competitive demonstration program for making grants to tribal organizations or organizations serving Native Hawaiians with applications approved under parts A and B, to pay for the Federal share of carrying out programs, to enable the organizations described in this subsection 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 described in section 321(a). (2) Priority The Assistant Secretary, in making grants under this section, shall give priority to 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. (3) Rule of construction Nothing in this section shall be construed or interpreted to prohibit the provision of supportive services under part A or B. . VI Modernizing allotments for vulnerable elder rights protection activities and other programs 601. Reauthorization; vulnerable elder rights protection activities Section 702 ( 42 U.S.C. 3058a ) is amended by striking subsections (a) and (b) and inserting the following: (a) Ombudsman program There are authorized to be appropriated to carry out chapter 2, $18,066,950 for fiscal year 2020, $19,150,967 for fiscal year 2021, $20,300,025 for fiscal year 2022, $21,518,027 for fiscal year 2023, and $22,809,108 for fiscal year 2024. (b) Other programs There are authorized to be appropriated to carry out chapters 3 and 4, $5,107,110 for fiscal year 2020, $5,413,537 for fiscal year 2021, $5,738,349 for fiscal year 2022, $6,082,650 for fiscal year 2023, and $6,447,609 for fiscal year 2024. . 602. Volunteer State long-term care ombudsman representatives Section 712(a)(5) ( 42 U.S.C. 3058g(a)(5) ) is amended by adding at the end the following: (E) Rule of construction for volunteer ombudsman representatives Nothing in this paragraph shall be construed as prohibiting the program from providing and financially supporting recognition for an individual designated under subparagraph (A) as a volunteer to represent the Ombudsman program, or from reimbursing or otherwise providing financial support to such an individual for any costs, such as transportation costs, incurred by the individual in serving as such volunteer. . 603. Prevention of elder abuse, neglect, and exploitation Section 721(b)(12) ( 42 U.S.C. 3058i(b)(12) ) is amended— (1) in subparagraph (C), by inserting community outreach and education, after technical assistance, ; and (2) in subparagraph (F)— (A) by striking studying and inserting implementing ; and (B) by inserting , programs, and materials after practices . 604. Principles for person-directed services and supports during serious illness (a) Definitions (1) Administrator The term Administrator means the Administrator of the Administration for Community Living. (2) Covered agency The term covered agency means— (A) a State agency or area agency on aging; and (B) a Federal agency other than the Department of Health and Human Services, and a unit of that Department other than the Administration on Aging, that the Assistant Secretary determines performs functions for which the principles are relevant, and the Centers for Medicare & Medicaid Services. (3) Principles The term principles means the Principles for Person-directed Services and Supports during Serious Illness, issued by the Administration for Community Living on September 1, 2017, or an updated set of such Principles. (4) State agency The term State agency has the meaning given the term in section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ). (b) Dissemination The Administrator shall disseminate the principles to appropriate stakeholders within the aging network, as determined by the Assistant Secretary, and to covered agencies. The covered agencies may use the principles in setting priorities for service delivery and care plans in programs carried out by the agencies. (c) Feedback The Administrator shall solicit, on an ongoing basis, feedback on the principles from covered agencies, experts in the fields of aging and dementia, and stakeholders who provide or receive disability services. (d) Report Not less often than once, but not more often than annually, during the 3 years after the date of enactment of this Act, the Administrator shall prepare and submit to Congress a report describing the feedback received under subsection (c) and indicating if any changes or updates are needed to the principles. 605. Extension of the Supporting Grandparents Raising Grandchildren Act Section 3(f) of the Supporting Grandparents Raising Grandchildren Act ( Public Law 115–196 ) is amended by striking “3” and inserting “4”. 606. Best practices for home and community-based ombudsmen Not later than 3 years after the date of enactment of this Act, the Assistant Secretary shall issue a report updating the best practices for home and community-based ombudsmen that were included in the report entitled Best Practices for Home and Community-Based Ombudsmen , issued by the National Direct Service Workforce Resource Center of the Centers for Medicare & Medicaid Services and prepared by the Research and Training Center at the University of Minnesota and The Lewin Group (January 2013). 607. Senior home modification assistance initiative Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall conduct a study and issue a report that includes— (1) an inventory of Federal programs, administered by the Department of Health and Human Services, the Department of Housing and Urban Development, or any other Federal agency or department determined appropriate by the Comptroller General, that support evidence-based falls prevention, home assessments, and home modifications for older individuals and individuals with disabilities; (2) statistical data, for recent fiscal years, on the number of older individuals and individuals with disabilities served by each Federal program described in paragraph (1) and the approximate amount of Federal funding invested in each such program; (3) a demographic analysis of individuals served by each such program for recent fiscal years; (4) an analysis of duplication and gaps in populations supported by the Federal programs described in paragraph (1); (5) what is known about the impact of the Federal programs described in paragraph (1) on health status and health outcomes in populations supported by such programs; (6) a review of Federal efforts to coordinate Federal programs existing prior to the date of enactment of this Act that support evidence-based falls prevention, home assessments, and home modifications for older individuals and individuals with disabilities and any considerations for improving coordination, which may include an indication of the Federal agency or department that is best suited to coordinate such Federal programs; and (7) information on the extent to which consumer-friendly resources, such as a brochure, are available through the National Eldercare Locator Service established under section 202(a)(21) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a)(21) ), are accessible to all area agencies on aging, and contain information on evidence-based falls prevention, home assessments, and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals. VII Miscellaneous 701. Technical corrections The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 102(37)(A) ( 42 U.S.C. 3002(37)(A) ), by striking paragraph (5) and inserting paragraph (26) ; (2) in section 202(a)(23) ( 42 U.S.C. 3012(a)(23) ), by striking sections 307(a)(18) and 731(b)(2) and inserting sections 307(a)(13) and 731 ; (3) in section 202(e)(1)(A) ( 42 U.S.C. 3012(e)(1)(A) ), by moving the left margin of clause (i) 2 ems to the left; (4) in sections 203(c)(7) ( 42 U.S.C. 3013(c)(7) ), 207(b)(2)(B) ( 42 U.S.C. 3018(b)(2)(B) ), and 215(i) ( 42 U.S.C. 3020e–1(i) ), by striking Committee on Education and the Workforce each place it appears and inserting Committee on Education and Labor ; (5) in section 207(b)(3)(A) ( 42 U.S.C. 3018(b)(3)(A) ), by striking Administrator of the Health Care Finance Administration and inserting Administrator of the Centers for Medicare & Medicaid Services ; (6) in section 304(a)(3)(C) ( 42 U.S.C. 3024(a)(3)(C) ), by striking term and all that follows through does and inserting term State does ; (7) in section 304(d)(1)(B), by striking (excluding and all that follows through 303(a)(3)) ; (8) in section 306(a) ( 42 U.S.C. 3026(a) )— (A) in paragraph (1), by inserting the number of older individuals at risk for institutional placement residing in such area, before and the number of older individuals who are Indians ; and (B) in paragraph (2)(B), by striking who are victims of and inserting with ; (9) in section 339(2)(A)(ii)(I) ( 42 U.S.C. 3030g–21(2)(A)(ii)(I) ), by striking Institute of Medicine of the National Academy of Sciences and inserting National Academies of Sciences, Engineering, and Medicine ; (10) in section 611 ( 42 U.S.C. 3057b ), by striking (a) ; (11) in section 614(c)(4) ( 42 U.S.C. 3057e(c)(4) ), by striking (a)(12) and inserting (a)(11) ; and (12) in section 721(i) ( 42 U.S.C. 3058i(i) , by striking section 206(g) and inserting section 206(h) .

Secretary

tv_txt: I 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 H. R. 4334 AN ACT To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes.

1. Short title This Act may be cited as the Supporting Older Americans Act of 2020 . 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 associated 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 associated with social isolation. Sec. 116. Notification of availability of or updates to policies, practices, and procedures 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 Secretary. 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. 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.). 4. Definitions In this Act, the terms area agency on aging , Assistant Secretary , greatest social need , older individual , and Secretary have the meanings given such terms in section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ). I Modernizing definitions and programs under the Administration on Aging 101. Reauthorization Section 216 ( 42 U.S.C. 3020f ) is amended to read as follows: 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 Support 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. . 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 . 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 provides ; (2) in subparagraph (B)— (A) by inserting services, supports, and after plan for long-term ; and (B) by inserting and choices after desires ; and (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, . 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 subparagraph with the margins of subparagraph (J); and (II) by striking ; and and inserting a semicolon; (ii) by redesignating subparagraph (L) as subparagraph (M); and (iii) by inserting after subparagraph (K) the following: (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 evidence-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 . 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 cardiovascular disease), . 106. Malnutrition The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (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 . 107. Sexually transmitted diseases Section 102(14)(D) ( 42 U.S.C. 3002(14)(D) ), as amended by section 105(2), is further amended by inserting prevention of sexually transmitted diseases, after vaccine-preventable disease, . 108. Addressing chronic pain management Section 102(14)(D) ( 42 U.S.C. 3002(14)(D) ), as amended by section 107, is further amended by inserting chronic pain management, after substance abuse reduction, . 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 . 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) . 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, . 112. Person-centered, trauma-informed services definition Section 102 ( 42 U.S.C. 3002 ) is amended— (1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55), respectively; and (2) by inserting after paragraph (40) the following: (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. . 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)). . 114. Modernizing the review of applications and providing 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 submitted 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 disasters 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 practices 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 governments, Federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery; . 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 . 116. Notification of availability of or updates to policies, practices, and procedures through a uniform 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. . 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 promotion 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 populations, and before consult . 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 semicolon 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: (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 paragraphs (26) through (29). 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 demonstration 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; . 120. National resource center for older individuals experiencing the long-term and adverse consequences 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 agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences 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; . 121. National Resource Center for Women and Retirement 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 ). (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 organizations; and (E) develop partnerships and collaborations to address program objectives. . 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 following: (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. 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, coordinate with the Assistant Secretary for Mental Health and Substance Use and the Director of the Centers for Disease Control and Prevention— (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 entities, 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 services, including in the arts, after education), . 124. Modernizing the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities (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 Communities ; 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 recommendations described in paragraph (1) may include recommendations for ; (B) in subparagraph (A)— (i) by striking share information with and establish an ongoing system to and inserting ways to ; and (ii) by striking for older individuals and recommend 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 semicolon; (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 Homes of the Department of Housing and Urban Development, and other Federal agencies, as appropriate, to reduce and prevent falls among older individuals, that incorporate evidence-based falls prevention programs and home modifications, which recommendations shall supplement and not unnecessarily duplicate activities authorized under section 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 organizations, 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 individuals ; 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 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 programs to meet the needs of growing age-friendly communities. . 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 redesignated by section 124(c)(1), is amended to read as follows: (ii) be a registered dietitian or registered dietitian nutritionist. . 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 authorized 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 individuals for negative health effects associated with social isolation; 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 negative health effects identified under clauses (ii) and (iii) of subparagraph (A), and subparagraph (B), of paragraph (2). (b) Submission of report (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 evaluation 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. 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 interventions authorized under this Act; and (C) to increase the repository of information on evidence-based programs and interventions available to the aging network, which information shall be applicable to existing programs and interventions and help in the development of new evidence-based programs and interventions. (3) Activities of the Center shall include, as appropriate, conducting, 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 interventions 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 partnerships 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. (4) The director shall be an individual with substantial knowledge 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 underserved 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 Committee 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 subsections (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 demonstration 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 Medicaid 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 Pensions 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 Representatives. . II Improving grants for State and community programs on aging 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. . 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 . 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 subpart 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 delivered 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) $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. . 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 subsection 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 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 particular year, of the State's allotment from the corresponding 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 subparagraphs. . (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) . 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) . 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 section 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 other Federal, State, and local funds expended to support activities described in section 712. . 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 agencies 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). . 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. 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)— (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 allotment and inserting such total amount ; and (B) in paragraph (2)(A), by striking $500,000 and inserting $750,000 . 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. . 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. . 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. . 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 isolation, ; and (2) by inserting , and traumatic brain injury screening after falls prevention services screening . 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 isolation; 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, . 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. 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: 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 congregate 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 measurement 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 (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 programs 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. . 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 paragraphs (2) through (4), respectively; and (2) by inserting before paragraph (2), as so redesignated, the following: (1) Caregiver assessment The term caregiver assessment 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 subsections (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 services; and (C) any other issue determined relevant by the Assistant Secretary; and (2) make available, including on the website of the Administration and pursuant to section 202(a)(34), best practices 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 Secretary may award funds authorized under this section to States, public agencies, private nonprofit agencies, institutions of higher education, and organizations, including tribal organizations, for conducting activities of national significance that— (1) promote quality and continuous improvement in the support provided to family caregivers and older relative caregivers 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 consultation with stakeholders with appropriate expertise and, as appropriate, informed by the strategy developed under the RAISE Family Caregivers Act ( 42 U.S.C. 3030s note), shall provide technical assistance 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 reassessments) 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 assessments, 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 caregiver 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 particular consideration to supporting— (i) a caregiver specified in this subparagraph who is caring for individuals with disabilities, or, if appropriate, with a serious illness; and (ii) caregivers with disabilities; (E) recommendations for furthering the use of caregiver assessments, as appropriate, including in rural or underserved 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 relative 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) . 218. National Family Caregiver Support program cap (a) Federal share Subsection (h)(2), as redesignated by section 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 Education 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 paragraph (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. III Modernizing Activities for Health, Independence, and Longevity 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. . 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 . 303. Falls prevention and chronic disease self-management 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; . 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 associated with social isolation among older individuals; and . 305. Technical assistance and innovation to improve transportation for older individuals Section 416(b)(2) ( 42 U.S.C. 3032e(b)(2) ) is amended— (1) in subparagraph (B), by inserting before the semicolon , call center, website or Internet-based portal, mobile application, 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, volunteer-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 appropriate; (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 transportation services; and . 306. Grant program for multigenerational collaboration 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 participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals 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 individuals; (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 (4) facilitate development of, and participation in, multigenerational activities and civic engagement activities. ; (2) by striking subsection (g); (3) by redesignating subsections (b) through (f) as subsections (c) through (g), respectively; (4) by inserting after subsection (a) the following: (b) Grant and contract periods Each grant awarded and contract entered into under subsection (a) shall be for a period of not less than 36 months. ; (5) by amending subsection (c), as so redesignated, to read as follows: (c) Use of funds (1) In general An eligible organization shall use funds made available under a grant awarded, or a contract entered into, under this section to carry out a project described in subsection (a). (2) Provision of projects through grantees In awarding grants and entering into contracts under this section, the Assistant Secretary shall ensure that such grants and contracts are for the projects that satisfy each requirement under paragraphs (1) through (4) of subsection (a). ; (6) in subsection (d), as so redesignated— (A) in paragraph (1), by inserting , intent to carry out, or intent to partner with local organizations or multiservice organizations to carry out, after record of carrying out ; (B) in paragraph (3), by striking ; and and inserting a semicolon; (C) in paragraph (4), by striking the period and inserting ; and ; and (D) by adding at the end the following: (5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities. ; (7) by amending subsections (f) and (g), as so redesignated, to read as follows: (f) Eligible organizations Organizations eligible to receive a grant or enter into a contract under subsection (a) shall— (1) be a State, an area agency on aging, or an organization that provides opportunities for older individuals to participate in activities described in such subsection; and (2) have the capacity to conduct the coordination, promotion, and facilitation described in such subsection through the use of multigenerational coordinators. (g) Evaluation (1) In general Not later than 3 years after the date of enactment of the Supporting Older Americans Act of 2020 , the Assistant Secretary shall, through data submitted by organizations carrying out projects through grants or contracts under this section, evaluate the activities supported through such grants and contracts to determine— (A) the effectiveness of such activities; (B) the impact of such activities on the community being served and the organization providing the activities; and (C) the impact of such activities on older individuals participating in such projects. (2) Report to Congress Not later than 6 months after the Assistant Secretary completes the evaluation under paragraph (1), the Assistant Secretary shall prepare and submit to the Speaker of the House of Representatives and the President pro tempore of the Senate a report that assesses such evaluation and contains, at a minimum— (A) the names or descriptive titles of the projects funded under subsection (a); (B) a description of the nature and operation of such projects; (C) the names and addresses of organizations that conducted such projects; (D) a description of the methods and success of such projects in recruiting older individuals as employees and as volunteers to participate in the projects; (E) a description of the success of the projects in retaining older individuals participating in such projects as employees and as volunteers; (F) the rate of turnover of older individuals who are employees or volunteers in such projects; (G) a strategy for disseminating the findings resulting from such projects; and (H) any policy change recommendations relating to such projects. ; and (8) in subsection (h)(2)(B)(i), by striking individuals from the generations with older individuals and inserting older individuals . IV Senior Community Service Employment Program 401. Priority for the senior community service employment program (a) Priority The Act ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 503(a)(4)(C) ( 42 U.S.C. 3056a(a)(4)(C) )— (A) in clause (iii), by striking and at the end; (B) in clause (iv), by adding and at the end; and (C) by adding at the end the following: (v) eligible individuals who have been incarcerated within the last 5 years or are under supervision following release from prison or jail within the last 5 years; ; (2) in section 514(e)(1) ( 42 U.S.C. 3056l(e)(1) ), by inserting eligible individuals who have been incarcerated or are under supervision following release from prison or jail, after need, ; and (3) in section 518 ( 42 U.S.C. 3056p )— (A) in subsection (a)(3)(B)(ii)— (i) in subclause (IV), by striking or at the end; (ii) in subclause (V), by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (VI) have been incarcerated within the last 5 years or are under supervision following release from prison or jail within the last 5 years. ; and (B) in subsection (b)(2)— (i) in subparagraph (F), by striking or at the end; (ii) in subparagraph (G), by striking the period at the end and inserting ; or ; and (iii) by adding at the end the following: (H) has been incarcerated within the last 5 years or is under supervision following release from prison or jail within the last 5 years. . (b) Transition period This section shall take effect 1 year after the date of enactment of this Act. 402. Authorization of appropriations Section 517(a) ( 42 U.S.C. 3056o(a) ) is amended to read as follows: (a) In general There are authorized to be appropriated to carry out this title $428,000,000 for fiscal year 2020, $453,680,000 for fiscal year 2021, $480,900,800 for fiscal year 2022, $509,754,848 for fiscal year 2023, and $540,340,139 for fiscal year 2024. . V Enhancing grants for Native Americans 501. Reauthorization Title VI ( 42 U.S.C. 3057 et seq.) is amended— (1) in part D ( 42 U.S.C. 3057l et seq.)— (A) by amending section 643 ( 42 U.S.C. 3057n ) to read as follows: 643. Authorization of appropriations There are authorized to be appropriated to carry out this title— (1) for parts A and B, $37,102,560 for fiscal year 2020, $39,298,714 for fiscal year 2021, $41,626,636 for fiscal year 2022, $44,094,235 for fiscal year 2023, and $46,709,889 for fiscal year 2024; and (2) for part C, $10,759,920 for fiscal year 2020, $11,405,515 for fiscal year 2021, $12,089,846 for fiscal year 2022, $12,815,237 for fiscal year 2023, and $13,584,151 for fiscal year 2024. ; and (B) by adding at the end the following: 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, provided that for such fiscal year— (1) the funds appropriated for parts A and B are greater than the funds appropriated for fiscal year 2019; and (2) the Assistant Secretary makes available for parts A and B no less than the amount of resources made available for fiscal year 2019. ; (2) by redesignating part D, as so amended, as part E; and (3) by inserting after part C the following: D Supportive services for healthy aging and independence 636. Program (a) In general The Assistant Secretary may carry out a competitive demonstration program for making grants to tribal organizations or organizations serving Native Hawaiians with applications approved under parts A and B, to pay for the Federal share of carrying out programs, to enable the organizations described in this subsection 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 described in section 321(a). (2) Priority The Assistant Secretary, in making grants under this section, shall give priority to 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. (3) Rule of construction Nothing in this section shall be construed or interpreted to prohibit the provision of supportive services under part A or B. . VI Modernizing allotments for vulnerable elder rights protection activities and other programs 601. Reauthorization; vulnerable elder rights protection activities Section 702 ( 42 U.S.C. 3058a ) is amended by striking subsections (a) and (b) and inserting the following: (a) Ombudsman program There are authorized to be appropriated to carry out chapter 2, $18,066,950 for fiscal year 2020, $19,150,967 for fiscal year 2021, $20,300,025 for fiscal year 2022, $21,518,027 for fiscal year 2023, and $22,809,108 for fiscal year 2024. (b) Other programs There are authorized to be appropriated to carry out chapters 3 and 4, $5,107,110 for fiscal year 2020, $5,413,537 for fiscal year 2021, $5,738,349 for fiscal year 2022, $6,082,650 for fiscal year 2023, and $6,447,609 for fiscal year 2024. . 602. Volunteer State long-term care ombudsman representatives Section 712(a)(5) ( 42 U.S.C. 3058g(a)(5) ) is amended by adding at the end the following: (E) Rule of construction for volunteer ombudsman representatives Nothing in this paragraph shall be construed as prohibiting the program from providing and financially supporting recognition for an individual designated under subparagraph (A) as a volunteer to represent the Ombudsman program, or from reimbursing or otherwise providing financial support to such an individual for any costs, such as transportation costs, incurred by the individual in serving as such volunteer. . 603. Prevention of elder abuse, neglect, and exploitation Section 721(b)(12) ( 42 U.S.C. 3058i(b)(12) ) is amended— (1) in subparagraph (C), by inserting community outreach and education, after technical assistance, ; and (2) in subparagraph (F)— (A) by striking studying and inserting implementing ; and (B) by inserting , programs, and materials after practices . 604. Principles for person-directed services and supports during serious illness (a) Definitions (1) Administrator The term Administrator means the Administrator of the Administration for Community Living. (2) Covered agency The term covered agency means— (A) a State agency or area agency on aging; and (B) a Federal agency other than the Department of Health and Human Services, and a unit of that Department other than the Administration on Aging, that the Assistant Secretary determines performs functions for which the principles are relevant, and the Centers for Medicare & Medicaid Services. (3) Principles The term principles means the Principles for Person-directed Services and Supports during Serious Illness, issued by the Administration for Community Living on September 1, 2017, or an updated set of such Principles. (4) State agency The term State agency has the meaning given the term in section 102 of the Older Americans Act of 1965 ( 42 U.S.C. 3002 ). (b) Dissemination The Administrator shall disseminate the principles to appropriate stakeholders within the aging network, as determined by the Assistant Secretary, and to covered agencies. The covered agencies may use the principles in setting priorities for service delivery and care plans in programs carried out by the agencies. (c) Feedback The Administrator shall solicit, on an ongoing basis, feedback on the principles from covered agencies, experts in the fields of aging and dementia, and stakeholders who provide or receive disability services. (d) Report Not less often than once, but not more often than annually, during the 3 years after the date of enactment of this Act, the Administrator shall prepare and submit to Congress a report describing the feedback received under subsection (c) and indicating if any changes or updates are needed to the principles. 605. Extension of the Supporting Grandparents Raising Grandchildren Act Section 3(f) of the Supporting Grandparents Raising Grandchildren Act ( Public Law 115–196 ) is amended by striking “3” and inserting “4”. 606. Best practices for home and community-based ombudsmen Not later than 3 years after the date of enactment of this Act, the Assistant Secretary shall issue a report updating the best practices for home and community-based ombudsmen that were included in the report entitled Best Practices for Home and Community-Based Ombudsmen , issued by the National Direct Service Workforce Resource Center of the Centers for Medicare & Medicaid Services and prepared by the Research and Training Center at the University of Minnesota and The Lewin Group (January 2013). 607. Senior home modification assistance initiative Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall conduct a study and issue a report that includes— (1) an inventory of Federal programs, administered by the Department of Health and Human Services, the Department of Housing and Urban Development, or any other Federal agency or department determined appropriate by the Comptroller General, that support evidence-based falls prevention, home assessments, and home modifications for older individuals and individuals with disabilities; (2) statistical data, for recent fiscal years, on the number of older individuals and individuals with disabilities served by each Federal program described in paragraph (1) and the approximate amount of Federal funding invested in each such program; (3) a demographic analysis of individuals served by each such program for recent fiscal years; (4) an analysis of duplication and gaps in populations supported by the Federal programs described in paragraph (1); (5) what is known about the impact of the Federal programs described in paragraph (1) on health status and health outcomes in populations supported by such programs; (6) a review of Federal efforts to coordinate Federal programs existing prior to the date of enactment of this Act that support evidence-based falls prevention, home assessments, and home modifications for older individuals and individuals with disabilities and any considerations for improving coordination, which may include an indication of the Federal agency or department that is best suited to coordinate such Federal programs; and (7) information on the extent to which consumer-friendly resources, such as a brochure, are available through the National Eldercare Locator Service established under section 202(a)(21) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(a)(21) ), are accessible to all area agencies on aging, and contain information on evidence-based falls prevention, home assessments, and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals. VII Miscellaneous 701. Technical corrections The Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.) is amended— (1) in section 102(37)(A) ( 42 U.S.C. 3002(37)(A) ), by striking paragraph (5) and inserting paragraph (26) ; (2) in section 202(a)(23) ( 42 U.S.C. 3012(a)(23) ), by striking sections 307(a)(18) and 731(b)(2) and inserting sections 307(a)(13) and 731 ; (3) in section 202(e)(1)(A) ( 42 U.S.C. 3012(e)(1)(A) ), by moving the left margin of clause (i) 2 ems to the left; (4) in sections 203(c)(7) ( 42 U.S.C. 3013(c)(7) ), 207(b)(2)(B) ( 42 U.S.C. 3018(b)(2)(B) ), and 215(i) ( 42 U.S.C. 3020e–1(i) ), by striking Committee on Education and the Workforce each place it appears and inserting Committee on Education and Labor ; (5) in section 207(b)(3)(A) ( 42 U.S.C. 3018(b)(3)(A) ), by striking Administrator of the Health Care Finance Administration and inserting Administrator of the Centers for Medicare & Medicaid Services ; (6) in section 304(a)(3)(C) ( 42 U.S.C. 3024(a)(3)(C) ), by striking term and all that follows through does and inserting term State does ; (7) in section 304(d)(1)(B), by striking (excluding and all that follows through 303(a)(3)) ; (8) in section 306(a) ( 42 U.S.C. 3026(a) )— (A) in paragraph (1), by inserting the number of older individuals at risk for institutional placement residing in such area, before and the number of older individuals who are Indians ; and (B) in paragraph (2)(B), by striking who are victims of and inserting with ; (9) in section 339(2)(A)(ii)(I) ( 42 U.S.C. 3030g–21(2)(A)(ii)(I) ), by striking Institute of Medicine of the National Academy of Sciences and inserting National Academies of Sciences, Engineering, and Medicine ; (10) in section 611 ( 42 U.S.C. 3057b ), by striking (a) ; (11) in section 614(c)(4) ( 42 U.S.C. 3057e(c)(4) ), by striking (a)(12) and inserting (a)(11) ; and (12) in section 721(i) ( 42 U.S.C. 3058i(i) , by striking section 206(g) and inserting section 206(h) .

Speaker of the House of Representatives. Vice President of the United States and President of the Senate.