Supporting Older Americans Act of 2020
PL 116-131 (H.R.4334), enacted 03/25/2020

[116th Congress Public Law 131]
[From the U.S. Government Publishing Office]



[[Page 239]]

                     SUPPORTING OLDER AMERICANS ACT

                                 OF 2020

[[Page 131 STAT. 240]]

Public Law 116-131
116th Congress

                                 An Act


 
To amend the Older Americans Act of 1965 to authorize appropriations for 
fiscal years 2020 through 2024, and for other purposes. <<NOTE: Mar. 25, 
                         2020 -  [H.R. 4334]>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, <<NOTE: Supporting Older 
Americans Act of 2020.>> 
SECTION 1. <<NOTE: 42 USC 3001 note.>>  SHORT TITLE.

    This Act may be cited as the ``Supporting Older Americans Act of 
2020''.
SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.

 TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION 
                                ON AGING

Sec. 101. Reauthorization.
Sec. 102. Person-centered, trauma-informed services.
Sec. 103. Aging and Disability Resource Centers.
Sec. 104. Assistive technology.
Sec. 105. Vaccination.
Sec. 106. Malnutrition.
Sec. 107. Sexually transmitted diseases.
Sec. 108. Addressing chronic pain management.
Sec. 109. Screening for suicide risk.
Sec. 110. Screening for fall-related traumatic brain injury; addressing 
           public health emergencies and emerging health threats; 
           negative health effects 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.

[[Page 131 STAT. 241]]

Sec. 126. Report on social isolation.
Sec. 127. Research and evaluation.

  TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

Sec. 201. Social determinants of health.
Sec. 202. Younger onset Alzheimer's disease.
Sec. 203. Reauthorization.
Sec. 204. Hold harmless formula.
Sec. 205. Outreach efforts.
Sec. 206. State Long-Term Care Ombudsman program minimum funding and 
           maintenance of effort.
Sec. 207. Coordination with resource centers.
Sec. 208. Senior legal hotlines.
Sec. 209. Increase in limit on use of allotted funds for State 
           administrative costs.
Sec. 210. Improvements to nutrition programs.
Sec. 211. Review of reports.
Sec. 212. Other practices.
Sec. 213. Screening for negative health effects associated with social 
           isolation and traumatic brain injury.
Sec. 214. Supportive services and senior centers.
Sec. 215. Culturally appropriate, medically tailored meals.
Sec. 216. Nutrition services study.
Sec. 217. National Family Caregiver Support program.
Sec. 218. National Family Caregiver Support program cap.

    TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
                                LONGEVITY

Sec. 301. Reauthorization.
Sec. 302. Public awareness of traumatic brain injury.
Sec. 303. Falls prevention and chronic disease self-management 
           education.
Sec. 304. Demonstration to address negative health impacts associated 
           with social isolation.
Sec. 305. Technical assistance and innovation to improve transportation 
           for older individuals.
Sec. 306. Grant program for multigenerational collaboration.

          TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

Sec. 401. Priority for the senior community service employment program.
Sec. 402. Authorization of appropriations.

             TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

Sec. 501. Reauthorization.

TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION 
                      ACTIVITIES AND OTHER PROGRAMS

Sec. 601. Reauthorization; vulnerable elder rights protection 
           activities.
Sec. 602. Volunteer State long-term care ombudsman representatives.
Sec. 603. Prevention of elder abuse, neglect, and exploitation.
Sec. 604. Principles for person-directed services and supports during 
           serious illness.
Sec. 605. Extension of the Supporting Grandparents Raising Grandchildren 
           Act.
Sec. 606. Best practices for home and community-based ombudsmen.
Sec. 607. Senior home modification assistance initiative.

                        TITLE VII--MISCELLANEOUS

Sec. 701. Technical corrections.

SEC. 3. REFERENCES.

    Except as otherwise expressly provided in this Act, wherever in this 
Act an amendment or repeal is expressed in terms of an amendment to, or 
a repeal of, a section or other provision, the reference shall be 
considered to be made to that section or other provision of the Older 
Americans Act of 1965 (42 U.S.C. 3001 et seq.).
SEC. 4. <<NOTE: 42 USC 3001 note.>>  DEFINITIONS.

    In this Act, the terms ``area agency on aging'', ``Assistant 
Secretary'', ``greatest social need'', ``older individual'', and 
``Secretary''

[[Page 131 STAT. 242]]

have the meanings given such terms in section 102 of the Older Americans 
Act of 1965 (42 U.S.C. 3002).

 TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION 
                                ON AGING

SEC. 101. REAUTHORIZATION.

    Section 216 (42 U.S.C. 3020f) is amended to read as follows:
``SEC. 216. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--For purposes of carrying out this Act, there are 
authorized to be appropriated for administration, salaries, and expenses 
of the Administration $43,937,410 for fiscal year 2020, $46,573,655 for 
fiscal year 2021, $49,368,074 for fiscal year 2022, $52,330,158 for 
fiscal year 2023, and $55,469,968 for fiscal year 2024.
    ``(b) Additional Authorizations.--There are authorized to be 
appropriated--
            ``(1) to carry out section 202(a)(21) (relating to the 
        National Eldercare Locator Service), $2,180,660 for fiscal year 
        2020, $2,311,500 for fiscal year 2021, $2,450,190 for fiscal 
        year 2022, $2,597,201 for fiscal year 2023, and $2,753,033 for 
        fiscal year 2024;
            ``(2) to carry out section 215, $1,988,060 for fiscal year 
        2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal 
        year 2022, $2,367,811 for fiscal year 2023, and $2,509,880 for 
        fiscal year 2024;
            ``(3) to carry out section 202 (relating to Elder Rights 
        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.''.
SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES.

    Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting 
``(including access to person-centered, trauma-informed services as 
appropriate)'' after ``health''.
SEC. 103. AGING AND DISABILITY RESOURCE CENTERS.

    Section 102(4) (42 U.S.C. 3002(4)) is amended--
            (1) in the matter preceding subparagraph (A), by inserting 
        ``, in collaboration with (as appropriate) area agencies on 
        aging, centers for independent living (as described in part C of 
        chapter 1 of title VII of the Rehabilitation Act of 1973 (29 
        U.S.C. 796f et seq.)), and other aging or disability entities'' 
        after ``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

[[Page 131 STAT. 243]]

            (3) in subparagraph (D), by striking ``part C of title VII 
        of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and 
        other community-based entities,'' and inserting ``part C of 
        chapter 1 of title VII of the Rehabilitation Act of 1973, and 
        other community-based entities, including other aging or 
        disability entities,''.
SEC. 104. ASSISTIVE TECHNOLOGY.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
            (1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the 
        end the following:

    ``(C) The term `State assistive technology entity' means the agency, 
office, or other entity designated under subsection (c)(1) of section 4 
of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to carry out 
State activities under such section.'';
            (2) in section 306 (42 U.S.C. 3026)--
                    (A) in subsection (a)(6)--
                          (i) in subparagraph (G), by striking ``; and'' 
                      and inserting a semicolon;
                          (ii) in subparagraph (H), by striking 
                      ``appropriate;'' and inserting ``appropriate; 
                      and''; and
                          (iii) by adding at the end the following:
            ``(I) to the extent feasible, coordinate with the State 
        agency to disseminate information about the State assistive 
        technology entity and access to assistive technology options for 
        serving older individuals;''; and
                    (B) in subsection (b)(3)--
                          (i) in subparagraph (K)--
                                    (I) by aligning the margins of the 
                                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''.
SEC. 105. VACCINATION.

    Section 102(14) (42 U.S.C. 3002(14)) is amended--
            (1) in subparagraph (B), by inserting ``immunization 
        status,'' after ``oral health,''; and
            (2) in subparagraph (D), by inserting ``infectious disease, 
        and vaccine-preventable disease, as well as'' after 
        ``cardiovascular disease),''.
SEC. 106. MALNUTRITION.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--

[[Page 131 STAT. 244]]

            (1) in section 102(14)(B), as amended by section 105(1), by 
        inserting ``(including screening for malnutrition)'' after 
        ``nutrition screening''; and
            (2) in section 330(1), by striking ``and food insecurity'' 
        and inserting ``, food insecurity, and malnutrition''.
SEC. 107. SEXUALLY TRANSMITTED DISEASES.

    Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 
105(2), is further amended by inserting ``prevention of sexually 
transmitted diseases,'' after ``vaccine-preventable disease,''.
SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT.

    Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 
107, is further amended by inserting ``chronic pain management,'' after 
``substance abuse reduction,''.
SEC. 109. SCREENING FOR SUICIDE RISK.

    Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting 
``and screening for suicide risk'' after ``depression''.
SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY; 
                        ADDRESSING PUBLIC HEALTH EMERGENCIES AND 
                        EMERGING HEALTH THREATS; NEGATIVE HEALTH 
                        EFFECTS ASSOCIATED WITH SOCIAL ISOLATION.

    Section 102(14) (42 U.S.C. 3002(14)) is amended--
            (1) by redesignating subparagraphs (H) through (J), and 
        subparagraphs (K) and (L), as subparagraphs (I) through (K), and 
        subparagraphs (M) and (O), respectively;
            (2) by inserting after subparagraph (G) the following:
                    ``(H) screening for fall-related traumatic brain 
                injury and other fall-related injuries, coordination of 
                treatment, rehabilitation and related services, and 
                referral services related to such injury or injuries;'';
            (3) by inserting after subparagraph (K), as redesignated by 
        paragraph (1), the following:
                    ``(L) services that are a part of responses to a 
                public health emergency or emerging health threat;''; 
                and
            (4) in subparagraph (M), as redesignated by paragraph (1), 
        by striking ``; and'' and inserting a semicolon;
            (5) by inserting after subparagraph (M), as redesignated by 
        paragraph (1), the following:
                    ``(N) screening for the prevention of negative 
                health effects associated with social isolation and 
                coordination of supportive services and health care to 
                address negative health effects associated with social 
                isolation; and''; and
            (6) in subparagraph (O), as redesignated, by striking ``(A) 
        through (K)'' and inserting ``(A) through (N)''.
SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES.

    Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking 
``for purposes of sections 307(a)(12) and 712,''.
SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES 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:

[[Page 131 STAT. 245]]

            ``(41) The term `person-centered, trauma-informed', with 
        respect to services, means services provided through an aging 
        program that--
                    ``(A) use a holistic approach to providing services 
                or care;
                    ``(B) promote the dignity, strength, and empowerment 
                of victims of trauma; and
                    ``(C) incorporate evidence-based practices based on 
                knowledge about the role of trauma in trauma victims' 
                lives.''.
SEC. 113. TRAUMATIC BRAIN INJURY.

    Section 102 (42 U.S.C. 3002), as amended by section 112, is further 
amended--
            (1) by redesignating paragraph (55) as paragraph (56); and
            (2) by inserting after paragraph (54) the following:
            ``(55) The term `traumatic brain injury' has the meaning 
        given such term in section 393B(d) of the Public Health Service 
        Act (42 U.S.C. 280b-1c(d)).''.
SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS AND 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) <<NOTE: Lists.>>  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;''.

[[Page 131 STAT. 246]]

SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON NEGATIVE 
                        HEALTH EFFECTS ASSOCIATED WITH SOCIAL 
                        ISOLATION.

    Section 202(a) (42 U.S.C. 3012(a)), as amended by section 114(b), is 
further amended by adding at the end the following:
            ``(33) <<NOTE: Reports.>>  with input from aging network 
        stakeholders, including caregivers, develop objectives, 
        priorities, and a long-term plan for supporting State and local 
        efforts involving education about prevention of, detection of, 
        and response to negative health effects associated with social 
        isolation among older individuals, and submit a report to 
        Congress on this effort by January 2021; and''.
SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES TO 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.''.
SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION.

    (a) Functions of the Assistant Secretary.--Section 202 (42 U.S.C. 
3012) is amended--
            (1) in subsection (a)(28), by inserting before the semicolon 
        ``, including information and technical assistance on delivery 
        of such services in different settings''; and
            (2) in subsection (b)(9)(B), by inserting before the 
        semicolon ``, including delivery of such services in different 
        settings''.

    (b) Evidence-Based Disease Prevention and Health 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''.
SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICATION REGARDING 
                        OUTSIDE FUNDING FOR AREA AGENCIES ON 
                        AGING.

    (a) Assistance Relating To Growing and Sustaining Capacity.--Section 
202(b)(9) (42 U.S.C. 3012(b)(9)) is amended--
            (1) in subparagraph (A), by striking ``and'' after the 
        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:

[[Page 131 STAT. 247]]

    ``(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).
SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS.

    Section 411(a) (42 U.S.C. 3032(a)) is amended--
            (1) by redesignating paragraphs (13) and (14) as paragraphs 
        (14) and (15), respectively; and
            (2) by inserting after paragraph (12) the following:
            ``(13) <<NOTE: Coordination.>>  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;''.
SEC. 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;''.
SEC. 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').

[[Page 131 STAT. 248]]

    ``(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) <<NOTE: Summary.>>  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.''.
SEC. 122. FAMILY CAREGIVERS.

    (a) Administration.--Section 202 (42 U.S.C. 3012), as amended by 
section 114, is further amended by adding at the end the 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.
SEC. 123. <<NOTE: 42 USC 3012 note.>>  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),''.

[[Page 131 STAT. 249]]

SEC. 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 <<NOTE: Deadline.>>  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) <<NOTE: Coordination.>>  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

[[Page 131 STAT. 250]]

                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

[[Page 131 STAT. 251]]

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) <<NOTE: Methodologies.>>  methods for managing and 
        coordinating existing programs to meet the needs of growing age-
        friendly communities.''.
SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION OFFICIAL UNDER 
                        THE ASSISTANT SECRETARY.

    Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as 
redesignated by section 124(c)(1), is amended to read as follows:
            ``(ii) be a registered dietitian or registered dietitian 
        nutritionist.''.
SEC. 126. REPORT ON SOCIAL ISOLATION.

    (a) Preparation of Report.--
            (1) In general.--The Secretary shall, in carrying out 
        activities under section 206(a) of the Older Americans Act of 
        1965 (42 U.S.C. 3017(a)), prepare a report on programs 
        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.--

[[Page 131 STAT. 252]]

            (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.
SEC. 127. RESEARCH AND EVALUATION.

    (a) Center.--Section 201 (42 U.S.C. 3011) is amended by adding at 
the end the following:
    ``(g)(1) The Assistant Secretary shall, as appropriate, coordinate 
the research and evaluation functions of this Act under a Research, 
Demonstration, and Evaluation Center for the Aging Network (in this 
subsection referred to as the `Center'), which shall be headed by a 
director designated by the Assistant Secretary from individuals 
described in paragraph (4).
    ``(2) The purpose of the Center shall be--
            ``(A) <<NOTE: Coordination.>>  to coordinate, as 
        appropriate, research, research dissemination, evaluation, 
        demonstration projects, and related activities carried out under 
        this Act;
            ``(B) <<NOTE: Assessment.>>  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.

[[Page 131 STAT. 253]]

    ``(4) The director shall be an individual with substantial knowledge 
of and experience in aging and health policy, and research 
administration.
    ``(5) <<NOTE: Deadline. Time period. Federal Register, 
publication. Public information. Plan.>>  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) <<NOTE: Coordination.>>  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) <<NOTE: Reports.>>  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) <<NOTE: Consultation.>>  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) <<NOTE: Coordination.>>  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) <<NOTE: Deadline. Analyses.>>  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.''.

[[Page 131 STAT. 254]]

  TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

SEC. 201. SOCIAL DETERMINANTS OF HEALTH.

    Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amended--
            (1) in subparagraph (C), by striking ``and'' at the end;
            (2) in subparagraph (D), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(E) measure impacts related to social determinants 
                of health of older individuals.''.
SEC. 202. YOUNGER ONSET ALZHEIMER'S DISEASE.

    The Act (42 U.S.C. 3001 et seq.) is amended--
            (1) in section 302(3) (42 U.S.C. 3022(3)), by inserting ``of 
        any age'' after ``an individual''; and
            (2) in section 711(6) (42 U.S.C. 3058f(6)), by inserting 
        ``of any age'' after ``individual''.
SEC. 203. REAUTHORIZATION.

    (a) Grants for State and Community Programs on Aging.--Subsections 
(a) through (e) of section 303 (42 U.S.C. 3023) are amended to read as 
follows:
    ``(a)(1) There are authorized to be appropriated to carry out part B 
(relating to supportive services) $412,029,180 for fiscal year 2020, 
$436,750,931 for fiscal year 2021, $462,955,987 for fiscal year 2022, 
$490,733,346 for fiscal year 2023, and $520,177,347 for fiscal year 
2024.
    ``(2) Funds appropriated under paragraph (1) shall be available to 
carry out section 712.
    ``(b)(1) There are authorized to be appropriated to carry out 
subpart 1 of part C (relating to congregate nutrition services) 
$530,015,940 for fiscal year 2020, $561,816,896 for fiscal year 2021, 
$595,525,910 for fiscal year 2022, $631,257,465 for fiscal year 2023, 
and $669,132,913 for fiscal year 2024.
    ``(2) There are authorized to be appropriated to carry out 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) <<NOTE: Evaluation.>>  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)

[[Page 131 STAT. 255]]

$26,587,360 for fiscal year 2020, $28,182,602 for fiscal year 2021, 
$29,873,558 for fiscal year 2022, $31,665,971 for fiscal year 2023, and 
$33,565,929 for fiscal year 2024.
    ``(e) There are authorized to be appropriated to carry out part E 
(relating to family caregiver support) $193,869,020 for fiscal year 
2020, $205,501,161 for fiscal year 2021, $217,831,231 for fiscal year 
2022, $230,901,105 for fiscal year 2023, and $244,755,171 for fiscal 
year 2024.''.
    (b) Nutrition Services Incentive Program.--Section 311(e) (42 U.S.C. 
3030a(e)) is amended to read as follows:
    ``(e) There are authorized to be appropriated to carry out this 
section (other than subsection (c)(1)) $171,273,830 for fiscal year 
2020, $181,550,260 for fiscal year 2021, $192,443,275 for fiscal year 
2022, $203,989,872 for fiscal year 2023, and $216,229,264 for fiscal 
year 2024.''.
SEC. 204. HOLD HARMLESS FORMULA.

    (a) In General.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is 
amended to read as follows:
                    ``(D)(i) <<NOTE: Definitions.>>  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

[[Page 131 STAT. 256]]

                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) <<NOTE: Effective date. 42 USC 3024 note.>>  Repeal.--Section 
304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is repealed, effective October 1, 
2029.

    (c) Conforming Amendment.--Section 304(a)(5) (42 U.S.C. 3024(a)(5)) 
is amended by striking ``of the prior year'' and inserting ``as required 
by paragraph (3)''.
SEC. 205. OUTREACH EFFORTS.

    Section 306(a)(4)(B) (42 U.S.C. 3026(a)(4)(B)) is amended--
            (1) in clause (i)(VII), by inserting ``, specifically 
        including survivors of the Holocaust'' after ``placement''; and
            (2) in clause (ii), by striking ``(VI)'' and inserting 
        ``(VII)''.
SEC. 206. STATE LONG-TERM CARE OMBUDSMAN PROGRAM MINIMUM FUNDING 
                        AND MAINTENANCE OF EFFORT.

    The Act (42 U.S.C. 3001 et seq.) is amended--
            (1) by amending section 306(a)(9) (42 U.S.C. 3026(a)(9)) to 
        read as follows:
            ``(9) provide assurances that--
                    ``(A) the area agency on aging, in carrying out the 
                State Long-Term Care Ombudsman program under section 
                307(a)(9), will expend not less than the total amount of 
                funds appropriated under this Act and expended by the 
                agency in fiscal year 2019 in carrying out such a 
                program under this title; and
                    ``(B) funds made available to the area agency on 
                aging pursuant to section 712 shall be used to 
                supplement and not supplant other Federal, State, and 
                local funds expended to support activities described in 
                section 712;''; and
            (2) by amending section 307(a)(9) (42 U.S.C. 3027(a)(9)) to 
        read as follows:
            ``(9) The plan shall provide assurances that--
                    ``(A) the State agency will carry out, through the 
                Office of the State Long-Term Care Ombudsman, a State 
                Long-Term Care Ombudsman program in accordance with 
                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

[[Page 131 STAT. 257]]

                other Federal, State, and local funds expended to 
                support activities described in section 712.''.
SEC. 207. COORDINATION WITH RESOURCE CENTERS.

    (a) Area Plans.--Section 306(a) (42 U.S.C. 3026(a)) is amended--
            (1) in paragraph (16), by striking ``and'' at the end;
            (2) in paragraph (17), by striking the period at the end and 
        inserting a semicolon; and
            (3) by adding at the end the following:
            ``(18) provide assurances that the area agency on aging will 
        collect data to determine--
                    ``(A) the services that are needed by older 
                individuals whose needs were the focus of all centers 
                funded under title IV in fiscal year 2019; and
                    ``(B) the effectiveness of the programs, policies, 
                and services provided by such area agency on aging in 
                assisting such individuals; and
            ``(19) provide assurances that the area agency on aging will 
        use outreach efforts that will identify individuals eligible for 
        assistance under this Act, with special emphasis on those 
        individuals whose needs were the focus of all centers funded 
        under title IV in fiscal year 2019.''.

    (b) State Plans.--Section 307(a) (42 U.S.C. 3027(a)), as amended by 
section 118(c), is further amended by adding at the end the following:
            ``(30) <<NOTE: Reports.>>  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).''.
SEC. 208. <<NOTE: Reports.>>  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) <<NOTE: Recommenda- tions.>>  recommendations on 
        additional actions that should be taken related to senior legal 
        hotlines.
SEC. 209. INCREASE IN LIMIT ON USE OF ALLOTTED FUNDS FOR STATE 
                        ADMINISTRATIVE COSTS.

    Section 308 (42 U.S.C. 3028) is amended--
            (1) in subsection (a), in paragraphs (1) and (2), by 
        striking ``subsection (b)(1)'' and inserting ``subsection (b)''; 
        and
            (2) in subsection (b)--

[[Page 131 STAT. 258]]

                    (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''.
SEC. 210. IMPROVEMENTS TO NUTRITION PROGRAMS.

    Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at the 
end the following:
    ``(D) The State, in consultation with area agencies on aging, shall 
ensure the process used by the State in transferring funds under this 
paragraph (including requirements relating to the authority and timing 
of such transfers) is simplified and clarified to reduce administrative 
barriers and direct limited resources to the greatest nutrition service 
needs at the community level. Such process shall be modified to attempt 
to lessen the administrative barriers of such transfers, and help direct 
limited resources to where they are needed the most as the unmet need 
for nutrition services grows.''.
SEC. 211. REVIEW OF REPORTS.

    Section 308(b) (42 U.S.C. 3028(b)) is amended by adding at the end 
the following:
    ``(8) The Assistant Secretary shall review the reports submitted 
under section 307(a)(30) and include aggregate data in the report 
required by section 207(a), including data on--
            ``(A) the effectiveness of the programs, policies, and 
        services provided by area agencies on aging in assisting older 
        individuals whose needs were the focus of all centers funded 
        under title IV in fiscal year 2019; and
            ``(B) outreach efforts and other activities carried out to 
        satisfy the assurances described in paragraphs (18) and (19) of 
        section 306(a), to identify such older individuals and their 
        service needs.''.
SEC. 212. OTHER PRACTICES.

    Section 315 (42 U.S.C. 3030c-2) is amended by adding at the end the 
following:
    ``(e) Response to Area Agencies on Aging.--
            ``(1) In general.--Upon request from an area agency on 
        aging, the State shall make available any policies or guidance 
        pertaining to policies established under this section.
            ``(2) Rule of construction.--Nothing in paragraph (1) shall 
        require a State to develop policies or guidance pertaining to 
        policies established under this section.''.

[[Page 131 STAT. 259]]

SEC. 213. SCREENING FOR NEGATIVE HEALTH EFFECTS ASSOCIATED WITH 
                        SOCIAL ISOLATION AND TRAUMATIC BRAIN 
                        INJURY.

    Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is amended--
            (1) by striking ``screening and'' and inserting ``screening, 
        screening for negative health effects associated with social 
        isolation,''; and
            (2) by inserting ``, and traumatic brain injury screening'' 
        after ``falls prevention services screening''.
SEC. 214. SUPPORTIVE SERVICES AND SENIOR CENTERS.

    (a) In General.--Section 321(a) (42 U.S.C. 3030d(a)) is amended--
            (1) in paragraph (24), by striking ``and'' at the end;
            (2) by redesignating paragraph (25) as paragraph (26); and
            (3) by inserting after paragraph (24) the following:
            ``(25) services that promote or support social connectedness 
        and reduce negative health effects associated with social 
        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,''.
SEC. 215. CULTURALLY APPROPRIATE, MEDICALLY TAILORED MEALS.

    Section 339(2)(A)(iii) (42 U.S.C. 3030g-21(2)(A)(iii)) is amended by 
inserting ``, including meals adjusted for cultural considerations and 
preferences and medically tailored meals'' before the comma at the end.
SEC. 216. NUTRITION SERVICES STUDY.

    Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et seq.) is 
amended by adding at the end the following:
``SEC. 339B. <<NOTE: 42 USC 3030g-23.>>  NUTRITION SERVICES IMPACT 
                          STUDY.

    ``(a) Study.--
            ``(1) <<NOTE: Assessment.>>  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.-- <<NOTE: Determination.>> 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.--

[[Page 131 STAT. 260]]

            ``(1) Preparation.-- <<NOTE: Deadline.>> 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) <<NOTE: Notification.>>  Issuance.--The Assistant 
        Secretary shall issue the recommendations, and make the 
        recommendations available as a notification pursuant to section 
        202(a)(34) and to the committees of the Senate and of the House 
        of Representatives with jurisdiction over this Act, and the 
        Special Committee on Aging of the Senate.''.
SEC. 217. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) Definitions for National Family Caregiver Support Program.--
Section 372(a) (42 U.S.C. 3030s(a)) is amended--
            (1) by redesignating paragraphs (1) through (3) as 
        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) <<NOTE: Deadline. Time period.>>  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

[[Page 131 STAT. 261]]

            ``(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) <<NOTE: Deadline. Consultation.>>  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.-- <<NOTE: Analyses.>> 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

[[Page 131 STAT. 262]]

                          (ii) caregivers with disabilities;
                    (E) <<NOTE: Recommenda- tions.>>  recommendations 
                for furthering the use of caregiver assessments, as 
                appropriate, including in rural or underserved areas; 
                and
                    (F) <<NOTE: Recommenda- tions.>>  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)''.
SEC. 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) <<NOTE: 42 USC 3030s-1 note.>>  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.). <<NOTE: Public information.>> 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.

[[Page 131 STAT. 263]]

    TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
                                LONGEVITY

SEC. 301. REAUTHORIZATION.

    Section 411(b) (42 U.S.C. 3032(b)) is amended to read as follows:
    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out--
            ``(1) aging network support activities under this section, 
        $14,514,550 for fiscal year 2020, $15,385,423 for fiscal year 
        2021, $16,308,548 for fiscal year 2022, $17,287,061 for fiscal 
        year 2023, and $18,324,285 for fiscal year 2024; and
            ``(2) elder rights support activities under this section, 
        $15,613,440 for fiscal year 2020, $16,550,246 for fiscal year 
        2021, $17,543,261 for fiscal year 2022, $18,595,857 for fiscal 
        year 2023, and $19,711,608 for fiscal year 2024.''.
SEC. 302. PUBLIC AWARENESS OF TRAUMATIC BRAIN INJURY.

    Section 411(a)(12) (42 U.S.C. 3032(a)(12)) is amended--
            (1) by striking ``impairments'' and inserting 
        ``impairments,''; and
            (2) by striking ``, and mental disorders'' and inserting ``, 
        mental disorders, and traumatic brain injury''.
SEC. 303. FALLS PREVENTION AND CHRONIC DISEASE SELF-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;''.
SEC. 304. DEMONSTRATION TO ADDRESS NEGATIVE HEALTH IMPACTS 
                        ASSOCIATED WITH SOCIAL ISOLATION.

    Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 119, 120, 
and 303, is further amended--
            (1) in paragraph (17), by striking ``; and'' and inserting a 
        semicolon;
            (2) by redesignating paragraph (18) as paragraph (19); and
            (3) by inserting after paragraph (17), the following:
            ``(18) projects that address negative health effects 
        associated with social isolation among older individuals; and''.
SEC. 305. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE 
                        TRANSPORTATION FOR OLDER INDIVIDUALS.

    Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amended--

[[Page 131 STAT. 264]]

            (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''.
SEC. 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

[[Page 131 STAT. 265]]

            ``(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) <<NOTE: Deadline. Data.>>  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.

[[Page 131 STAT. 266]]

            ``(2) <<NOTE: Assessment.>>  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) <<NOTE: Strategy.>>  a strategy for 
                disseminating the findings resulting from such projects; 
                and
                    ``(H) <<NOTE: Recommenda- tions.>>  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''.

          TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

SEC. 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)--

[[Page 131 STAT. 267]]

                          (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) <<NOTE: Time period.>>  has been incarcerated 
                within the last 5 years or is under supervision 
                following release from prison or jail within the last 5 
                years.''.

    (b) <<NOTE: Effective date. 42 USC 3056a note.>>  Transition 
Period.--This section shall take effect 1 year after the date of 
enactment of this Act.
SEC. 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.''.

             TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

SEC. 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:
``SEC. 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:
``SEC. 644. <<NOTE: 42 USC 3057o.>>  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:

[[Page 131 STAT. 268]]

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

``SEC. 636. <<NOTE: 42 USC 3057k-21.>>  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.''.

TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION 
                      ACTIVITIES AND OTHER PROGRAMS

SEC. 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.''.
SEC. 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:

[[Page 131 STAT. 269]]

                    ``(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.''.
SEC. 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''.
SEC. 604. <<NOTE: 42 USC 3001 note.>>  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.

[[Page 131 STAT. 270]]

SEC. 605. EXTENSION OF THE SUPPORTING GRANDPARENTS RAISING 
                        GRANDCHILDREN ACT.

    Section 3(f) of the Supporting Grandparents Raising Grandchildren 
Act (Public Law 115-196) <<NOTE: 132 Stat. 1513.>>  is amended by 
striking ``3'' and inserting ``4''.
SEC. 606. <<NOTE: Reports.>>  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).
SEC. 607. SENIOR HOME MODIFICATION ASSISTANCE INITIATIVE.

     <<NOTE: Reports.>> 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) <<NOTE: Data.>>  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) <<NOTE: Analysis>>  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) <<NOTE: Review.>>  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

[[Page 131 STAT. 271]]

        attempting to live independently and safely in their homes and 
        for the caregivers of such individuals.

                        TITLE VII--MISCELLANEOUS

SEC. 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

[[Page 131 STAT. 272]]

            (12) in section 721(i) (42 U.S.C. 3058i(i), by striking 
        ``section 206(g)'' and inserting ``section 206(h)''.

    Approved March 25, 2020.

LEGISLATIVE HISTORY--H.R. 4334:
---------------------------------------------------------------------------

HOUSE REPORTS: No. 116-258 (Comm. on Education and Labor).
CONGRESSIONAL RECORD:
                                                        Vol. 165 (2019):
                                    Oct. 28, considered and passed 
                                        House.
                                                        Vol. 166 (2020):
                                    Mar. 3, considered and passed 
                                        Senate, amended.
                                    Mar. 11, House concurred in Senate 
                                        amendment.
DAILY COMPILATION OF PRESIDENTIAL DOCUMENTS (2020):
            Mar. 25, Presidential statement.

                                  <all>