119 S2120 IS: Older Americans Act Reauthorization Act of 2025
U.S. Senate
2025-06-18
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.
This Act may be cited as the Older Americans Act Reauthorization Act of 2025
.
2.
The table of contents for this Act is as follows:
Sec. 1.
Short title.
Sec. 2.
Table of contents.
Sec. 3.
References.
Sec. 4.
Definitions.
TITLE
I—Strengthening the Aging Network to Meet the Needs of Older
Individuals
Sec. 101.
Declaration of objectives.
Sec. 102.
Addressing mental health and substance use disorders and cognitive impairments
of older individuals.
Sec. 103.
List of national resource centers.
Sec. 104.
Awareness of relevant Federal programs.
Sec. 105.
Evaluations and surveys.
Sec. 106.
Contracting.
Sec. 107.
Guidance on reallocation of funding between area agencies on aging.
Sec. 108.
Right to first refusal.
Sec. 109.
Area agency on aging capabilities.
Sec. 110.
Supporting older individuals with disabilities through improved
coordination.
Sec. 111.
Business acumen, fiscal training, and technical assistance.
Sec. 112.
Enhancing access to assistive technology.
Sec. 113.
White House Conference on Aging.
Sec. 114.
Technical amendments.
TITLE
II—Improving Health Outcomes and Encouraging Independence for Older
Individuals
Sec. 201.
Disease prevention and health promotion services.
Sec. 202.
Improving health outcomes.
Sec. 203.
Technical assistance on evidence-based programs.
Sec. 204.
Enhancing multipurpose senior centers.
Sec. 205.
Addressing home modifications.
Sec. 206.
National resource center for engaging older adults.
Sec. 207.
Multigenerational and civic engagement activities.
Sec. 208.
Report relating to health outcomes for older individuals living with or near
family members.
Sec. 209.
Improving broadband coordination and reducing social isolation.
TITLE
III—Enhancing Innovation and Flexibility in Nutrition Services
Sec. 301.
Medically tailored meals.
Sec. 302.
Grab-and-go meals.
Sec. 303.
GAO study on Nutrition Services Incentive Program.
Sec. 304.
Innovations in nutrition programs and services.
TITLE
IV—Supporting Family Caregivers
Sec. 401.
Improving the National Family Caregiver Support Program.
Sec. 402.
Emphasizing respite care.
Sec. 403.
Clarifying supportive services.
Sec. 404.
Direct care workforce resource center.
Sec. 405.
Supporting Grandparents Raising Grandchildren Act.
Sec. 406.
RAISE Family Caregivers Act.
TITLE
V—Community Service Senior Opportunities Act
Sec. 501.
Improving the Community Service Employment Program.
Sec. 502.
GAO report on alignment within the Community Service Employment
Program.
TITLE
VI—Improving Services for Native Elders
Sec. 601.
Older Americans Tribal Advisory Committee.
Sec. 602.
Supportive services; set aside.
Sec. 603.
GAO report on Tribal services.
Sec. 604.
Technical amendments.
TITLE
VII—Strengthening the Long-Term Care Ombudsman Programs and Elder Abuse
Prevention
Sec. 701.
Director of the Office of Long-Term Care Ombudsman Programs.
Sec. 702.
Legal assistance training resources relating to elder abuse
prevention.
Sec. 703.
Improving training of volunteers under the State Long-Term Care Ombudsman
Program.
Sec. 704.
Reporting on State Long-Term Care Ombudsman Programs.
Sec. 705.
Study on State Long-Term Care Ombudsman Programs.
TITLE
VIII—Authorizations of appropriations
Sec. 801.
Administration on Aging.
Sec. 802.
Grants for State and community programs on aging.
Sec. 803.
Activities for health, independence, and longevity.
Sec. 804.
Community Service Senior Opportunities Act.
Sec. 805.
Grants for Native Americans.
Sec. 806.
Allotments for elder rights protection activities.
3.
Except as otherwise expressly provided in this Act, wherever in this Act an amendment or repeal is expressed in terms of an amendment to, or a repeal of, a section or other provision, the reference shall be considered to be made to that section or other provision of the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).
4.
In this Act, the terms area agency on aging, Assistant Secretary, older individual, and Secretary have the meanings given such terms in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002).
<enum>I</enum>
<header>Strengthening the Aging Network to Meet the Needs of Older Individuals</header>
<section id="id5b7a5d17-3682-4dfa-863c-e0ed505b646c" changed="not-changed">
<enum>101.</enum>
<header>Declaration of objectives</header>
<text display-inline="no-display-inline">Section 101 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idc479427e-e0f8-48fd-b53e-039b451000a5" changed="not-changed">
<enum>(1)</enum>
<text>in the matter preceding paragraph (1), by striking <quote>of the following objectives:</quote> and inserting <quote>of the objectives of—</quote>;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id36e51896-07c0-4c50-a32f-a51d074bfcff" changed="not-changed">
<enum>(2)</enum>
<text>in each of paragraphs (1) through (10), by amending the first word so that it begins with a lowercase letter;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id2214f261-ad24-4899-b8f7-b7adfdc42f42" changed="not-changed">
<enum>(3)</enum>
<text display-inline="yes-display-inline">in each of paragraphs (1) through (8), by striking the period at the end and inserting a semicolon;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idd6c15689-4d2e-4119-ad60-04046f4447f4" changed="not-changed">
<enum>(4)</enum>
<text>in each of paragraphs (9) and (10), by striking the period at the end and inserting <quote>; and</quote>;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id3fc4e41d-e780-4ba4-8e02-2067aff2eb66" changed="not-changed">
<enum>(5)</enum>
<text>in paragraph (2), by inserting <quote>to improve health outcomes and reduce health care expenditures</quote> after <quote>economic status</quote>;</text>
</paragraph>
<paragraph id="id3ae83c45-c678-42ed-b6c8-3704ee8fed1c" changed="not-changed">
<enum>(6)</enum>
<text>by redesignating paragraphs (1) through (10) as subparagraphs (A) through (J), respectively, and adjusting the margins accordingly;</text>
</paragraph>
<paragraph id="ide84c3d89-763e-42b8-a33d-ebee5254b78d" changed="not-changed">
<enum>(7)</enum>
<text>in the matter preceding subparagraph (A) (as so redesignated), by striking <quote>our democratic society, the older people</quote> and inserting the following: “our democratic society—</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id01c31a3c-494a-4a3b-8641-6ff33c84ad0b" changed="not-changed">
<paragraph commented="no" display-inline="no-display-inline" id="idf6daa8c4-f4ed-4920-8b5b-4e8a75a7c0b4" changed="not-changed">
<enum>(1)</enum>
<text>the older people</text> </paragraph> <after-quoted-block>; and</after-quoted-block> </quoted-block> </paragraph> <paragraph commented="no" display-inline="no-display-inline" id="id55112a75-90a0-4f4d-b471-150f60c873d7" changed="not-changed"> <enum>(8)</enum> <text>by adding at the end the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="ida10e8fc5-4053-4db3-9ce4-2d43c44815be" changed="not-changed">
<paragraph id="id3eaebb2b-8708-4da4-9cd1-4c4457566527" changed="not-changed">
<enum>(2)</enum>
<text>the families of older individuals and community-based organizations, including faith-based organizations, also play a vital role in supporting and honoring older individuals and their happiness, dignity, and independence.</text>
</paragraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</section>
<section id="id901ae573-b830-47ef-8d44-c856d5d2a82d" changed="not-changed">
<enum>102.</enum>
<header>Addressing mental health and substance use disorders and cognitive
impairments of older individuals</header>
<text display-inline="no-display-inline">Section 201(f) (<external-xref legal-doc="usc" parsable-cite="usc/42/3011">42 U.S.C. 3011(f)</external-xref>) is amended to read as follows:</text>
<quoted-block id="id1f432d10-15df-4948-9d33-1a5f66588a35" display-inline="no-display-inline" style="OLC" changed="not-changed">
<subsection id="id3987eac2-b19e-4e28-ac62-c472805d004e" changed="not-changed">
<enum>(f)</enum>
<paragraph commented="no" display-inline="yes-display-inline" id="id7ad9b68e-4722-4a02-ba3b-560ba5de74ab" changed="not-changed">
<enum>(1)</enum>
<text>The Assistant Secretary may designate an officer or employee who shall be responsible for the administration of services for mental health and substance use disorders and cognitive impairments authorized under this Act and serve as an effective and visible advocate for the related needs of older individuals within the Department of Health and Human Services, including by ensuring that relevant information disseminated and research conducted or supported by the Department takes into consideration such services.</text>
</paragraph>
<paragraph id="idac02c200-a24b-46e9-9fc8-8dc776e83967" indent="up1" changed="not-changed">
<enum>(2)</enum>
<text>It shall be the duty of the Assistant Secretary, acting through the individual designated under paragraph (1), and in consultation with the heads of relevant agencies within the Department of Health and Human Services, including the Substance Abuse and Mental Health Services Administration, to develop objectives, priorities, and a long-term plan for supporting State and local efforts under this Act involving education about, and prevention, detection, and treatment of, mental health and substance use disorders and cognitive impairments, including age-related dementia, depression, and Alzheimer’s disease and related neurological disorders with neurological and organic brain dysfunction.</text>
</paragraph>
<paragraph id="id9f18e9ec-fff6-48c6-9c2b-f463f435e93f" indent="up1" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(3)</enum>
<text>Not later than 2 years after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, the Assistant Secretary shall report to 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 Workforce of the House of Representatives on the activities of the officer or employee designated under paragraph (1) in carrying out the requirements under this subsection, including any activities to identify and reduce duplication and gaps across the Department in such information disseminated and research conducted or supported by the Department.</text>
</paragraph>
</subsection>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id427141b8-826a-4785-be71-3e51d762c5a7" changed="not-changed">
<enum>103.</enum>
<header>List of national resource centers</header>
<text display-inline="no-display-inline">Section 202 (<external-xref legal-doc="usc" parsable-cite="usc/42/3012">42 U.S.C. 3012</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idc81566a5-79d1-4b6f-a0d0-b2fa9d11c733" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (d)(4), by striking <quote>Resource Center on Elder Abuse</quote> and inserting <quote>Center</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id5839f55f-e080-41a5-ab1e-3419bb365f74" changed="not-changed">
<enum>(2)</enum>
<text display-inline="yes-display-inline">by striking subsection (h) and inserting the following:</text>
<quoted-block id="ida3870b30-00b1-480c-b4ac-c9cb2155ea8e" display-inline="no-display-inline" style="OLC" changed="not-changed">
<subsection id="id16e27862-fc52-47b9-a9c4-5c991647cb4f" changed="not-changed">
<enum>(h)</enum>
<paragraph commented="no" display-inline="yes-display-inline" id="idf466224a-567b-40a6-b9f8-2a9ce570cd0a" changed="not-changed">
<enum>(1)</enum>
<text>The Assistant Secretary shall publish online in a publicly accessible format, on an annual basis, a list of national resource centers and demonstration projects authorized under, or administratively established through funds provided under, this Act. </text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id34a8e7f3-005f-4013-9d17-729af8be49da" indent="up1" changed="not-changed">
<enum>(2)</enum>
<text display-inline="yes-display-inline">The Assistant Secretary shall ensure that the list published pursuant to paragraph (1)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id042cffff-b9aa-4aed-af1c-75a53a4c1259" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">includes—</text> <clause commented="no" display-inline="no-display-inline" id="id4789a744-6d35-490f-9a74-2ee2de926071" changed="not-changed"> <enum>(i)</enum> <text display-inline="yes-display-inline">a description of each such center and demonstration project, including the projected goals and activities of each such center and demonstration project;</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="id0734ad61-329c-47f4-8e03-b7955cf58d67" changed="not-changed">
<enum>(ii)</enum>
<text display-inline="yes-display-inline">a citation to the statutory authorization of each such center and demonstration project, or a citation to the statutory authority that the Assistant Secretary relies upon to administratively establish each such center and demonstration project; </text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="iddac8c6ee-dfb4-4c97-8c0f-fdfa331e6947" changed="not-changed">
<enum>(iii)</enum>
<text display-inline="yes-display-inline">the award amount for each such center and demonstration project; and</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="id309efffb-262c-4438-9504-ff70db9831eb" changed="not-changed">
<enum>(iv)</enum>
<text display-inline="yes-display-inline">a summary of any evaluations required under this Act for each such center, including a description of any measures of effectiveness; and</text>
</clause>
</subparagraph>
<subparagraph id="idde68b61e-4b30-47c2-9cf5-964a4e98ba07" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">is directly provided to State agencies, area agencies on aging, and the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives.</text>
</subparagraph>
</paragraph>
</subsection>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</section>
<section id="idc094255c-db0b-4b36-852b-fa9c9ff5bd2f" changed="not-changed">
<enum>104.</enum>
<header>Awareness of relevant Federal programs</header>
<text display-inline="no-display-inline">Title II (<external-xref legal-doc="usc" parsable-cite="usc/42/3011">42 U.S.C. 3011 et seq.</external-xref>) is amended by inserting after section 203A (<external-xref legal-doc="usc" parsable-cite="usc/42/3013a">42 U.S.C. 3013a</external-xref>) the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id47e98422-fd1d-4289-8d47-40bf785b7889" changed="not-changed">
<section id="id288d067a-e0d4-4020-85cb-e49638a2d29a" changed="not-changed">
<enum>203B.</enum>
<header>Awareness of relevant Federal programs</header>
<text display-inline="no-display-inline">In carrying out section 203(a)(1), the Assistant Secretary shall coordinate with the heads of relevant Federal departments and agencies to ensure that the aging network and individuals served under this Act are aware of, and, subject to applicable eligibility criteria, have access to, Federal programs that may advance the objectives of this Act, including programs described in section 203(b) and other programs to meet housing, health care, and other supportive service needs to help such individuals age in place.</text>
</section>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section commented="no" display-inline="no-display-inline" section-type="subsequent-section" id="id3cf60b7f-90f7-4685-8d73-0ec31aac683c" changed="not-changed">
<enum>105.</enum>
<header>Evaluations and surveys</header>
<text display-inline="no-display-inline">Section 206 (<external-xref legal-doc="usc" parsable-cite="usc/42/3017">42 U.S.C. 3017</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id3a49ea06-497d-488e-b625-9766516608f7" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">by striking subsection (d) and inserting the following:</text>
<quoted-block id="idd3bb6c02-9701-4cf2-b145-1613418108b5" display-inline="no-display-inline" style="OLC" changed="not-changed">
<subsection commented="no" display-inline="no-display-inline" id="idf07404ab-8ae3-4afd-9d0a-169c4e436c7a" changed="not-changed">
<enum>(d)</enum>
<paragraph commented="no" display-inline="yes-display-inline" id="ide22f1774-97ab-4039-85ed-5970a14d22ea" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">In carrying out evaluations under this section, the Secretary shall—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id785b2913-8570-4933-a705-5d8eafa4c2ef" indent="up1" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">award grants to, or enter into contracts with, public or nonprofit private organizations or academic or research institutions to survey State agencies, area agencies on aging, and other program and project participants about the strengths and weaknesses of the programs and projects; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" indent="up1" id="id0c284b4d-6fac-4df8-b93c-ee4a20c11eec" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">conduct, where appropriate, evaluations that compare the effectiveness of related programs in achieving common objectives. </text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id40dedce4-f049-4b01-acad-db335b2586a2" indent="up1" changed="not-changed">
<enum>(2)</enum>
<text display-inline="yes-display-inline">The surveys and evaluations under paragraph (1) shall include information on programs, services, use and sources of funding (including any transfer of funding between area agencies on aging), identified unmet need for services and related indicators, and any other challenges faced by State agencies and area agencies on aging in carrying out the activities of this Act. </text>
</paragraph>
<paragraph id="id32134c8e-59c8-43b7-8f8b-4c821d46716c" indent="up1" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(3)</enum>
<text display-inline="yes-display-inline">The Secretary shall, in carrying out the evaluations under paragraph (1), consult with organizations concerned with older individuals, including organizations that represent minority individuals, older individuals residing in rural areas, and older individuals with disabilities.</text>
</paragraph>
</subsection>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idab43d65b-8740-46bd-a20c-9c9af3ad4a75" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (g), by striking <quote>him</quote> and inserting <quote>the Secretary</quote>.</text>
</paragraph>
</section>
<section id="id1b644eab-536d-4419-a440-60aa4b720aeb" changed="not-changed">
<enum>106.</enum>
<header>Contracting</header>
<subsection commented="no" display-inline="no-display-inline" id="idfc138984-6370-4c2f-bac0-a61e6b033c87" changed="not-changed">
<enum>(a)</enum>
<header display-inline="yes-display-inline">In general</header>
<text display-inline="yes-display-inline">Section 212 (<external-xref legal-doc="usc" parsable-cite="usc/42/3020c">42 U.S.C. 3020c</external-xref>) is amended—</text>
<paragraph id="ida4f00586ee8a4b47abca78b287a95e4b" changed="not-changed">
<enum>(1)</enum>
<text>in the section heading, by striking <quote><header-in-text style="OLC" level="section">and grant authority</header-in-text></quote>;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id2e04ff6f-1f31-440c-8ab8-4a0ffe1833b9" changed="not-changed">
<enum>(2)</enum>
<text display-inline="yes-display-inline">by striking subsection (a) and inserting the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id42856e7d-b745-4a64-a471-a62528b6eb4b" changed="not-changed">
<subsection commented="no" display-inline="no-display-inline" id="idd91edf21-205a-435c-96b7-2bbb1a2fa1ff" changed="not-changed">
<enum>(a)</enum>
<header>In general</header>
<text>Subject to subsection (b), this Act shall not be construed to prevent a recipient of a grant or a contract under this Act (other than title V) from entering into a contract, commercial relationship, or other business arrangement (referred to in this section as an <quote>agreement</quote>) with a profitmaking organization for the recipient to provide services to individuals or entities not otherwise receiving services under this Act, provided that—</text>
<paragraph commented="no" display-inline="no-display-inline" id="ide33bf080-de71-40e5-8ff4-5be99edabc1b" changed="not-changed">
<enum>(1)</enum>
<text>in the case funds provided under this Act are used in developing or carrying out the agreement—</text>
<subparagraph id="id80c8e991-75d0-4006-bb73-f6805513d1fd" changed="not-changed">
<enum>(A)</enum>
<text>such agreement guarantees that the cost is reimbursed to the recipient;</text>
</subparagraph>
<subparagraph id="idfe8cdf31-c8cb-4f2a-9540-6405e0477d21" changed="not-changed">
<enum>(B)</enum>
<text>if such agreement provides for the provision of 1 or more services, of the type provided under this Act by or on behalf of such recipient, to an individual or entity seeking to receive such services—</text>
<clause id="id6dab2724-e5dc-4aef-ace4-18f639e1d3d8" changed="not-changed">
<enum>(i)</enum>
<text>the individuals and entities may only purchase such services at their fair market rate;</text>
</clause>
<clause id="idc474caef-135d-4f67-9035-0009719e3ee3" changed="not-changed">
<enum>(ii)</enum>
<text>all costs incurred by the recipient in providing such services (and not otherwise reimbursed under subparagraph (A)), are reimbursed to such recipient; and</text>
</clause>
<clause id="id6b9e6030-6d05-47b7-97f9-2d39c1eb9c43" changed="not-changed">
<enum>(iii)</enum>
<text>except in the case of an agreement with a health plan or health care provider, the recipient reports the rates for providing such services under such agreement in accordance with subsection (c) and the rates are consistent with the prevailing market rate for provision of such services in the relevant geographic area as determined by the State agency or area agency on aging (as applicable); and</text>
</clause>
</subparagraph>
<subparagraph id="id68c2dec4-e40c-44d2-9dd3-a8de1d76d1e0"
changed="not-changed">
<enum>(C)</enum>
<text>any amount of payment to the recipient under the agreement that exceeds reimbursement under this subsection of the recipient's costs is used to provide, or support the provision of, services under this Act; and</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idb59e7a88-3a9c-44fd-9d9a-d3b61db2c32c" changed="not-changed">
<enum>(2)</enum>
<text display-inline="yes-display-inline">subject to subsection (e), in the case no funds provided under this Act are used in developing or carrying out the agreement—</text>
<subparagraph id="id69bccba0-aefe-4760-b3ce-380d4a175270" changed="not-changed">
<enum>(A)</enum>
<text>not later than 45 days after the agreement first goes into effect, and annually thereafter until the termination of such agreement, the recipient of a grant or contract under this Act shall, in writing—</text>
<clause id="id4ec10bd0-02b2-4176-bea7-f6e054b99b80" changed="not-changed">
<enum>(i)</enum>
<text>notify the State agency of—</text> <subclause id="id4a2661bb-2b79-4440-a6ec-b84a8df183d1" changed="not-changed"> <enum>(I)</enum> <text>the existence of the agreement; and</text>
</subclause>
<subclause id="id0421f0fb-ba69-4bfd-afca-d696c4e9acb8" changed="not-changed">
<enum>(II)</enum>
<text>the services provided and populations served under the agreement; and</text>
</subclause>
</clause>
<clause id="id933d6c0f-7708-4232-8585-e1c35fce80f3" changed="not-changed">
<enum>(ii)</enum>
<text>provide assurances to the State agency that—</text>
<subclause id="id65c85d81-7324-42b2-9959-a0e4341d48b6" changed="not-changed">
<enum>(I)</enum>
<text>nothing in the agreement—</text> <item id="id5bbf4245-4d6c-453f-b709-01b25bf37be3" changed="not-changed"> <enum>(aa)</enum> <text>undermines—</text>
<subitem id="ida382fda8-8fc8-4f6d-a179-5d750cd08c33" changed="not-changed">
<enum>(AA)</enum>
<text>the duties of the recipient under this Act; or</text>
</subitem>
<subitem id="id7a6e23f8-d706-4390-9722-0cd957474d2f" changed="not-changed">
<enum>(BB)</enum>
<text>the provision of services in accordance with this Act; or</text>
</subitem>
</item>
<item id="id65ff75d9-8e61-4c60-9d4f-d0860d300491" changed="not-changed">
<enum>(bb)</enum>
<text>violates any other terms and conditions of an award received by the recipient under this Act; and</text>
</item>
</subclause>
<subclause id="id45502a00-8e38-4b1b-813c-c22f756cbfce" changed="not-changed">
<enum>(II)</enum>
<text>any potential real or perceived conflict of interest with respect to the agreement has been prevented, mitigated, or otherwise addressed, including providing a description of any such conflicts of interest and a description of the actions taken to mitigate such conflicts of interest; and</text>
</subclause>
</clause>
</subparagraph>
<subparagraph id="ide510dd1e-72fb-4658-97a5-86b681e63d9f" changed="not-changed">
<enum>(B)</enum>
<text>not later than 45 days after the population or services under the agreement substantially change due to an amendment to the agreement, the recipient shall, in writing—</text>
<clause id="id8bcbf7d9-9a72-4cf7-9d89-6dd3e62f8811" changed="not-changed">
<enum>(i)</enum>
<text>notify the State agency of such change; and</text> </clause> <clause id="id0912197a-16ff-469e-8054-d9679dc60d5d" changed="not-changed"> <enum>(ii)</enum> <text>provide the assurances described in subparagraph (A)(ii) with respect to such change.</text>
</clause>
</subparagraph>
</paragraph>
</subsection>
<after-quoted-block>;</after-quoted-block>
</quoted-block>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="iddba0890f-7031-421d-b9d2-550de9454511" changed="not-changed">
<enum>(3)</enum>
<text>by striking subsection (b) and inserting the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="iddb750ef3-4bbe-4842-9488-41cc05668e07" changed="not-changed"> <subsection commented="no" display-inline="no-display-inline" id="id89c1d1ae-ee8d-426b-99cc-fbca1bb98265" changed="not-changed"> <enum>(b)</enum> <header>Ensuring appropriate use of funds</header> <text>An agreement—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idb2550709-8407-4e44-94fe-bc3afd0190de" changed="not-changed">
<enum>(1)</enum>
<text>described in subsection (a)(1) may not—</text> <subparagraph id="id8a24d2d1-18c5-486c-a50b-243a42682113" changed="not-changed"> <enum>(A)</enum> <text>be made without the prior approval of the State agency (or, in the case of a grantee under title VI, without the prior recommendation of the Director of the Office for American Indian, Alaskan Native, and Native Hawaiian Aging and the prior approval of the Assistant Secretary), after timely submission of all relevant documents related to the agreement including information on all costs incurred; or</text>
</subparagraph>
<subparagraph id="ide77b8407e1444ad89a172a465b026b2f">
<enum>(B)</enum>
<text>directly or indirectly provide for, or have the effect of, paying, reimbursing, subsidizing, or otherwise compensating an individual or entity in an amount that exceeds the fair market value of the services subject to such agreement; and </text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="ida2af7149-06dd-4cd1-b2af-192d2fb441fa" changed="not-changed">
<enum>(2)</enum>
<text>described in subsection (a) may not—</text> <subparagraph id="id5c4199f6-d30e-4fec-a1d2-bb319526fcbc" changed="not-changed"> <enum>(A)</enum> <text>result in the displacement of services otherwise available to an older individual with greatest social need, an older individual with greatest economic need, or an older individual who is at risk for institutional placement; or</text>
</subparagraph>
<subparagraph id="idfc67b65e-1246-43e3-a550-2035c69b9e3c" changed="not-changed">
<enum>(B)</enum>
<text>in any other way compromise, undermine, or be inconsistent with the objective of serving the needs of older individuals, as determined by the Assistant Secretary.</text>
</subparagraph>
</paragraph>
</subsection>
<after-quoted-block>;</after-quoted-block>
</quoted-block>
</paragraph>
<paragraph id="idd9faf2dad4ae4c51bccc0076c1c22998">
<enum>(4)</enum>
<text>by striking subsection (c) and inserting the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id3F2DD78E573F496A96957A3E05238B12"> <subsection id="id7741e78c28234944abee16ef6378a3b1" commented="no"> <enum>(c)</enum> <header>Monitoring and reporting</header> <text>To ensure that any agreement described in subsection (a)(1) complies with the requirements of this section and other applicable provisions of this Act, the Assistant Secretary shall develop and implement uniform monitoring procedures and reporting requirements consistent with the provisions of subparagraphs (A) through (E) of section 306(a)(13) in consultation with the State agencies and area agencies on aging. The Assistant Secretary shall conduct a review on the impact of such agreements on the provision of services under this Act, including the number of agreements per State, summaries of such agreements, and the impact of such agreements on access to services consistent with the goals of this Act. The Assistant Secretary shall annually prepare and submit to 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 Workforce of the House of Representatives the findings of such review.</text>
</subsection>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id8a483ddf-9cdc-4424-b971-13cf87277130" changed="not-changed">
<enum>(5)</enum>
<text>by striking subsection (e) and inserting the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id90e3b4a4-bd30-46d3-8c80-d1a738f2623c" changed="not-changed"> <subsection id="id922b7579-ac65-4f3a-b484-7ef92d1a7155" changed="not-changed"> <enum>(e)</enum> <header>Requesting additional information for certain non-OAA agreements</header> <paragraph commented="no" display-inline="no-display-inline" id="ide8fbf7e5-b352-4015-86c9-f50afed852af" changed="not-changed"> <enum>(1)</enum> <header display-inline="yes-display-inline">In general</header> <text>In the case of an agreement described in subsection (a)(2), if the State agency has a reasonable belief that an agreement may violate the assurances provided under subsection (a)(2)(A)(ii), the State agency may request additional information from the recipient of funds under this Act that is a party to such agreement, which may include a request for a copy of such agreement. Such recipient shall make a good faith effort to address such request for additional information, except that such recipient shall not provide agreements or other data that are restricted under the terms of a non-disclosure agreement signed by such recipient. If such recipient declines to provide a copy of an agreement to a State agency, such recipient shall provide a justification to the State agency within 30 days of receiving such request. </text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id23b8649a-497d-4ff4-b7fe-790e5c7d002a" changed="not-changed">
<enum>(2)</enum>
<header>Confidentiality</header>
<text>A State agency shall keep confidential, as required by applicable Federal and State law, all information received under this subsection that is—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id445d3cb3-49a2-4f87-b8b0-d80809c0f58f" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">a trade secret;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="ide940fe7f-40ab-4343-b464-b2522b709233" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">commercial or financial information; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id33d9d15a-f394-4ee3-ab6b-ce6d6de63ad6" changed="not-changed">
<enum>(C)</enum>
<text display-inline="yes-display-inline">information obtained from an individual that is privileged and confidential.</text>
</subparagraph>
</paragraph>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id5ddfc09dae5d4086b1272a8c08e69527" changed="not-changed">
<enum>(f)</enum>
<header>Definitions</header>
<text display-inline="yes-display-inline">In this section:</text> <paragraph commented="no" display-inline="no-display-inline" id="idbba6807fb7e8454bbe16228bec4dfe66" changed="not-changed"> <enum>(1)</enum> <header>Cost</header> <text display-inline="yes-display-inline">The term <term>cost</term> means an expense, including an administrative expense, incurred by a recipient in developing or carrying out an agreement described in subsection (a), whether the recipient contributed funds, staff time, or other plant, equipment, or services to meet the expense.</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="iddeddff6141a4443eab1ca7a019464818" changed="not-changed">
<enum>(2)</enum>
<header>Recipient</header>
<text display-inline="yes-display-inline">The term <term>recipient</term> means an area agency on aging in a State with multiple planning and service areas.</text>
</paragraph>
</subsection>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id4d22af4c-8a89-40b9-bb43-395d75b3e2c6" changed="not-changed">
<enum>(b)</enum>
<header>Area plans</header>
<text>Section 306 (<external-xref legal-doc="usc" parsable-cite="usc/42/3026">42 U.S.C. 3026</external-xref>) is amended—</text> <paragraph commented="no" display-inline="no-display-inline" id="id375808ba-a9ac-47ca-ac18-717fc02d3480" changed="not-changed"> <enum>(1)</enum> <text display-inline="yes-display-inline">in subsection (a)(13)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id769e1b9d-f9e0-4ec9-8349-2658af4806e0" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">in subparagraph (B)(i), by striking <quote>any service to older individuals</quote> and inserting <quote>any service under this Act to older individuals or caregivers</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id64430846-ac83-475c-b5cd-822b3f8b5800" changed="not-changed">
<enum>(B)</enum>
<text>in subparagraph (E), by inserting <quote>or caregivers under this Act</quote> after <quote>older individuals</quote>; and</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idc6db495a-c3eb-47a6-89d4-217738fc1525" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (g), by inserting <quote>, except as provided under section 212(a)(2),</quote> after <quote>Nothing in this Act</quote>.</text>
</paragraph>
</subsection>
</section>
<section id="id4b8874f0-2bd9-4fcc-a23f-aec05053ff94" changed="not-changed">
<enum>107.</enum>
<header>Guidance on reallocation of funding between area agencies on aging</header>
<subsection id="idd4c8a0d6f21c490897354c80c8f3531d">
<enum>(a)</enum>
<header>In general</header>
<text>Not later than 1 year after the date of enactment of this Act, the Assistant Secretary shall disseminate one-time guidance to State agencies (as defined in section 102 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002</external-xref>)) and area agencies on aging on circumstances under which funds appropriated pursuant to part B and subparts 1 and 2 of part C of title III of the Older Americans Act (<external-xref legal-doc="usc" parsable-cite="usc/42/3030d">42 U.S.C. 3030d et seq.</external-xref>, <external-xref legal-doc="usc" parsable-cite="usc/42/3030e">42 U.S.C. 3030e et seq.</external-xref>, <external-xref legal-doc="usc" parsable-cite="usc/42/3030f">42 U.S.C. 3030f et seq.</external-xref>) may be appropriate to reallocate between area agencies on aging within a single State, with the approval of the State agency and the concurrence of any involved area agencies on aging, within a budget year.</text>
</subsection>
<subsection id="id609c758b5293446a8a4b58ffd104df3a">
<enum>(b)</enum>
<header>Considerations</header>
<text>In disseminating the guidance under subsection (a), the Assistant Secretary may consider circumstances that affect the expenditure of the funds described in such subsection.</text>
</subsection>
</section>
<section id="id72faad59-0aa1-4d79-a657-d634396844c1" changed="not-changed">
<enum>108.</enum>
<header>Right to first refusal</header>
<text display-inline="no-display-inline">Section 305(b)(5)(B) (<external-xref legal-doc="usc" parsable-cite="usc/42/3025">42 U.S.C. 3025(b)(5)(B)</external-xref>) is amended to read as follows:</text>
<quoted-block id="id6a3d89f6-efc1-4ca9-a3ed-da404ecb41b1" display-inline="no-display-inline" style="OLC" changed="not-changed">
<subparagraph id="id09fa2dae-5686-48c5-82c6-0b277dac3898" indent="up2" changed="not-changed">
<enum>(B)</enum>
<text>Whenever a State agency designates a new area agency on aging after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, the State agency shall give the right to first refusal to a unit of general purpose local government if—</text>
<clause id="id22fbae1d-302b-4120-a05e-96451a77c264" changed="not-changed">
<enum>(i)</enum>
<text>such unit can meet the requirements of subsection (c);</text> </clause> <clause id="id127ba231-ace6-4490-9d11-5ff8d8a91a85" changed="not-changed"> <enum>(ii)</enum> <subclause commented="no" display-inline="yes-display-inline" id="id5f458f75-1a3e-41ef-ba5f-43667ef09491" changed="not-changed"> <enum>(I)</enum> <text>such unit has demonstrated experience administering services for older individuals; or</text>
</subclause>
<subclause id="id61339c7f-172d-40c8-9bd4-ab06fb11498f" indent="up1" changed="not-changed">
<enum>(II)</enum>
<text>the State agency determines that there is not another entity eligible under subsection (c)(1) within the planning and service area with such demonstrated experience; and</text>
</subclause>
</clause>
<clause id="id60ecc28b-8254-4732-89eb-de1b217d0ca1" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(iii)</enum>
<text>the boundaries of such unit and the boundaries of the planning and service area are reasonably contiguous.</text>
</clause>
</subparagraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id1ffe43ae-95cf-4f7b-985f-f08ac549dedf" changed="not-changed">
<enum>109.</enum>
<header>Area agency on aging capabilities</header>
<subsection commented="no" display-inline="no-display-inline" id="id98cd5244-fed4-4fc0-bdb8-1e17a99cff1e" changed="not-changed">
<enum>(a)</enum>
<header display-inline="yes-display-inline">Organization</header>
<text display-inline="yes-display-inline">Section 305(c) (<external-xref legal-doc="usc" parsable-cite="usc/42/3025">42 U.S.C. 3025(c)</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id9796761a-5686-4224-8919-37b36da786ae" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively, and moving such subparagraphs 2 ems to the right;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idefe3488c-03fc-4ed6-a5b2-29f2bb636047" changed="not-changed">
<enum>(2)</enum>
<text>by striking <quote>shall be</quote> and inserting the following: “shall—</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id7adfb2fd-6275-49e7-8121-1846116de091" changed="not-changed">
<paragraph commented="no" display-inline="no-display-inline" id="id8b9ef869-370b-431b-8a21-0ac18b74957d" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">be—</text> </paragraph> <after-quoted-block>;</after-quoted-block> </quoted-block> </paragraph> <paragraph id="id5dfbe0d5-5ed3-4427-b374-e36e61361732" changed="not-changed"> <enum>(3)</enum> <text>in subparagraph (E), as so redesignated—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id81b604ce-9732-40e3-8586-a885a45a4b86" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">by striking <quote>(b)(5)</quote> and inserting <quote>(b)(5)(A)</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id05a136b8-4502-424a-9739-d5b0b6b9575e" changed="not-changed">
<enum>(B)</enum>
<text>by inserting <quote>and</quote> after the semicolon; and</text> </subparagraph> </paragraph> <paragraph commented="no" display-inline="no-display-inline" id="idb6e87632-06a2-4306-9f4a-cf4d2a3b1dae" changed="not-changed"> <enum>(4)</enum> <text>by striking <quote>and shall provide assurance,</quote> and all that follows through <quote>the area plan.</quote> and inserting the following:</text>
<quoted-block id="id1C8BCFDD4C2C4BE68EE6D8FC8A12D047" display-inline="no-display-inline" style="OLC">
<paragraph id="id272f6ceb-7e69-46e5-a28d-86a362edee8a" changed="not-changed" commented="no">
<enum>(2)</enum>
<text>provide assurance, determined adequate by the State agency, that the area agency on aging will have the ability, and maintain the capabilities necessary, to develop an area plan as required under section 306(a), and carry out, directly or through contractual or other arrangements, and oversee activities in accordance with—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idafdb0cb8-82c4-4d48-be8b-accf0944a1a1" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">the plan within the planning and service area;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id0528439e-e3eb-41af-ae4b-2b007735c21b" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">any other relevant requirements of this Act;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id4263bf5b-03bf-4a3a-a636-495bb3195bc0" changed="not-changed">
<enum>(C)</enum>
<text display-inline="yes-display-inline">other applicable Federal and State laws; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id29be6272-6f9e-4d4d-829d-681b9b72c953" changed="not-changed">
<enum>(D)</enum>
<text display-inline="yes-display-inline">other terms and conditions of awards received under this Act.</text>
</subparagraph>
</paragraph>
<quoted-block-continuation-text commented="no" quoted-block-continuation-text-level="subsection"> In designating an
area agency on aging within the planning and service area or within
any unit of general purpose local government designated as a
planning and service area, the State shall give preference to an
established office on aging, unless the State agency finds that no
such office within the planning and service area will have the
capacity to carry out the area
plan.</quoted-block-continuation-text>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id101b2c84-8cc2-412c-81d3-cd56d1c4bcee" changed="not-changed">
<enum>(b)</enum>
<header>Plans</header>
<text display-inline="yes-display-inline">Section 306(f)(1) (<external-xref legal-doc="usc" parsable-cite="usc/42/3026">42 U.S.C. 3026(f)(1)</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id6e2b6da8-c13a-4b01-8bff-4301e83c3f4a" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">by inserting <quote>the assurances required under section 305(c)(2),</quote> after <quote>of this section,</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id736bf7cb-3a36-4a34-bffb-a458a7e19f1e" changed="not-changed">
<enum>(2)</enum>
<text>by striking the period at the end and inserting <quote>, and if the State agency determines, in the discretion of the State agency, that an area agency on aging failed in 2 successive years to comply with the requirements under this title, then the State agency may require the area agency on aging to submit a plan for a 1-year period that meets such requirements, for subsequent years until the State agency determines that the area agency on aging is in compliance with such requirements.</quote>.</text>
</paragraph>
</subsection>
</section>
<section commented="no" display-inline="no-display-inline" id="id6ff1b249-87b3-47f9-9aff-a5a9377e2ae1" changed="not-changed">
<enum>110.</enum>
<header>Supporting older individuals with disabilities through improved
coordination</header>
<subsection id="id627b5d5f-bab7-4cf1-b817-53089475718f" changed="not-changed">
<enum>(a)</enum>
<header>Area plans</header>
<text display-inline="yes-display-inline">Section 306(a)(5) (<external-xref legal-doc="usc" parsable-cite="usc/42/3026">42 U.S.C. 3026(a)(5)</external-xref>) is amended by striking <quote>with agencies that develop or provide services for individuals with disabilities</quote> and inserting <quote>with entities that develop or provide services for individuals with disabilities, which may include centers for independent living, relevant service providers, and other community-based organizations, as appropriate</quote>.</text>
</subsection>
<subsection id="id23a07d8c-9fc4-45c1-837e-cd1e424a0a0f" changed="not-changed">
<enum>(b)</enum>
<header>Supporting older individuals with disabilities through improved
coordination</header>
<paragraph id="idd4565b23-a8f4-4c6c-b48e-672cc6356b46" changed="not-changed">
<enum>(1)</enum>
<header>In general</header>
<text>The Administrator of the Administration for Community Living of the Department of Health and Human Services (referred to in this section as the <quote>Administrator</quote>) shall identify—</text>
<subparagraph id="idb5132237-7fa7-4077-9358-8bdfc26b861d" changed="not-changed">
<enum>(A)</enum>
<text>opportunities to improve coordination between the aging and disability networks, which may include the formation of partnerships to serve individuals eligible for programs under the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001 et seq.</external-xref>);</text>
</subparagraph>
<subparagraph id="id2cb935e4-f918-4836-836e-176e95836f87" changed="not-changed">
<enum>(B)</enum>
<text>lessons learned from disability networks, including centers for independent living, State developmental disabilities councils, university centers for excellence in developmental disabilities education, research, and service, and State protection and advocacy agencies that could improve operations and service delivery within the aging network; and</text>
</subparagraph>
<subparagraph id="id8a336a28-0934-4188-84fe-940eeff3af7e" changed="not-changed">
<enum>(C)</enum>
<text>any technical assistance needs related to subparagraphs (A) and (B).</text>
</subparagraph>
</paragraph>
<paragraph id="id518bd962-6c42-4db5-978a-323ef38036e5" changed="not-changed">
<enum>(2)</enum>
<header>Guidance</header>
<text>Not later than 2 years after the date of enactment of this Act, the Administrator shall issue guidance to State agencies and area agencies on aging on strategies to leverage disability networks, including centers for independent living, State developmental disabilities councils, university centers for excellence in developmental disabilities, education, research, and service, and State protection and advocacy agencies, as appropriate, to strengthen the provision of services under the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001 et seq.</external-xref>).</text>
</paragraph>
<paragraph id="idb6bd1390-5594-4c73-8203-d84b76e298cd" changed="not-changed">
<enum>(3)</enum>
<header>Technical assistance</header>
<text>The Administrator shall coordinate across the Administration for Community Living to address any technical assistance needs identified under paragraph (1)(C) in a manner that does not unnecessarily duplicate other technical assistance activities carried out prior to the date of enactment of this Act.</text>
</paragraph>
</subsection>
<subsection id="id1f3b2c2ffc1545a78cce8b2a23a3650b">
<enum>(c)</enum>
<header>Definitions</header>
<text>Section 102 (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002</external-xref>) is amended—</text> <paragraph id="id46e055e5e29542e4ba1356a6db7cebe9"> <enum>(1)</enum> <text>in paragraph (4), by striking <quote>(as defined in section 3 of the Americans with Disabilities Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12102">42 U.S.C. 12102</external-xref>))</quote>;</text>
</paragraph>
<paragraph id="idf4784ff83cff4a71876cdacfdaf95ee2">
<enum>(2)</enum>
<text>in paragraph (13), by striking <quote>The term</quote> and all that follows through <quote>adjustment.</quote> and inserting <quote>The term <term>disability</term> has the meaning given such term in section 3 of the Americans with Disabilities Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12102">42 U.S.C. 12102</external-xref>).</quote>; and</text>
</paragraph>
<paragraph id="id90c1ca31c0c04320895049f1d5f73969">
<enum>(3)</enum>
<text>in paragraph (49)(B), by striking <quote>of the major life activities specified in subparagraphs (A) through (G) of paragraph (8)</quote> and inserting <quote>major life activities specified in section 3(2) of the Americans with Disabilities Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12102">42 U.S.C. 12102(2)</external-xref>).</quote>.</text>
</paragraph>
</subsection>
</section>
<section id="id67b51bac-4b86-4ae7-8325-0526e126a589" changed="not-changed">
<enum>111.</enum>
<header>Business acumen, fiscal training, and technical assistance</header>
<text display-inline="no-display-inline">Section 307(a) (<external-xref legal-doc="usc" parsable-cite="usc/42/3027">42 U.S.C. 3027(a)</external-xref>) is amended by adding at the end the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id226765eafc7a44bfa18e164f4282282d">
<paragraph id="idd1c5df3fa1b1467c968f36f7d8ea72c3">
<enum>(31)</enum>
<text>The plan shall provide assurances that the State agency, to the extent feasible and when applicable and appropriate, provides technical assistance for area agencies on aging related to the development of business acumen, sound fiscal practices, capacity building, organizational development, innovation, and other methods of growing and sustaining the capacity of the aging network to carry out activities funded under this Act to serve older individuals and caregivers most effectively.</text>
</paragraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id3a426fd6-5861-4dae-adf8-0590074af3d2" commented="no" changed="not-changed">
<enum>112.</enum>
<header>Enhancing access to assistive technology</header>
<text display-inline="no-display-inline">Section 307(a) (<external-xref legal-doc="usc" parsable-cite="usc/42/3027">42 U.S.C. 3027(a)</external-xref>), as amended by section 111 of this Act, is further amended by adding at the end the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="ida6284a5f-00e3-4101-a3ec-af53d1141c32" changed="not-changed">
<paragraph commented="no" display-inline="no-display-inline" id="id124f1e79-f8b0-4bba-bcbe-e26e5ff0d430" changed="not-changed">
<enum>(32)</enum>
<text display-inline="yes-display-inline">The plan shall provide assurances that the State will coordinate services, to the extent feasible, with lead agencies designated to carry out State assistive technology programs under the Assistive Technology Act of 1998 (<external-xref legal-doc="usc" parsable-cite="usc/29/3001">29 U.S.C. 3001 et seq.</external-xref>) and with area agencies on aging to assist eligible older individuals, including older individuals with disabilities, in accessing and acquiring assistive technology.</text>
</paragraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id6e61ccf1-16b3-4df9-88e6-d8f157ed817c" commented="no" changed="not-changed">
<enum>113.</enum>
<header>White House Conference on Aging</header>
<text display-inline="no-display-inline">The Older Americans Act Amendments of 1987 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001</external-xref> note; <external-xref legal-doc="public-law" parsable-cite="pl/100/175">Public Law 100–175</external-xref>) is amended by striking title II and inserting the following:</text>
<quoted-block id="id4baf9821-bc5d-4a10-8005-af3f4fa63d41" display-inline="no-display-inline" style="OLC" changed="not-changed">
<title id="idf5108d7c-2c1b-452d-bf06-3ff21a67b7bf" style="OLC" changed="not-changed">
<enum>II</enum>
<header>White House Conference on Aging</header>
<section id="id2fdb6e2d-65ca-4337-b72f-96d3f83a11d0" changed="not-changed">
<enum>201.</enum>
<header>Authorization of the Conference</header>
<subsection id="idd51e1d39-4cb3-4dc5-8bf9-b830a2af5776" changed="not-changed">
<enum>(a)</enum>
<header>Authority To call conference</header>
<text>Not earlier than January 21, 2025 and not later than December 31, 2025, the President shall convene the White House Conference on Aging in order to fulfill the purpose set forth in subsection (c) and to make fundamental policy recommendations regarding programs that are important to older individuals and to the families and communities of such individuals.</text>
</subsection>
<subsection id="id6107dfca-7eda-41ef-bc25-093f96c400f9" changed="not-changed">
<enum>(b)</enum>
<header>Planning and direction</header>
<text>The Conference described in subsection (a) shall be planned and conducted under the direction of the Secretary, in cooperation with the Assistant Secretary for Aging, the Director of the National Institute on Aging, the Administrator of the Centers for Medicare & Medicaid Services, the Social Security Administrator, and the heads of such other Federal agencies serving older individuals as are appropriate. Planning and conducting the Conference includes the assignment of personnel.</text>
</subsection>
<subsection id="id9c740f69-9a99-4df9-acb5-e6f39a7e4bcd" changed="not-changed">
<enum>(c)</enum>
<header>Purpose</header>
<text>The purpose of the Conference described in subsection (a) shall be to gather individuals representing the spectrum of thought and experience in the field of aging to—</text>
<paragraph id="id345d301f-6be5-47d1-aa38-d25fac21d1b0" changed="not-changed">
<enum>(1)</enum>
<text>evaluate the manner in which the objectives of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001 et seq.</external-xref>) can be met by using the resources and talents of older individuals, of families and communities of such individuals, and of individuals from the public and private sectors;</text>
</paragraph>
<paragraph id="id24eba609-1c46-4fc2-98fa-3a3189c58b5f" changed="not-changed">
<enum>(2)</enum>
<text>evaluate the manner in which Federal policies, programs, and activities meet and respond to the needs of older individuals, including an examination of innovative and fiscally responsible strategies relating to retirement security, caregiving, nutrition and supportive services, health care, elder justice, and long-term services and supports;</text>
</paragraph>
<paragraph id="idfac9d9de4ec74dcc899a616dffe55201">
<enum>(3)</enum>
<text>be informed by the work and recommendations of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, evaluate the recommendations of the Committee, and, as appropriate, suggest implementation strategies for such recommendations; and</text>
</paragraph>
<paragraph id="id5f57a617-a07d-4508-a7e1-30fb9abdc21a" changed="not-changed">
<enum>(4)</enum>
<text>develop recommendations to guide the President, Congress, and Federal agencies in improving Federal programs that serve older individuals, which may relate to the prevention and mitigation of disease, injury, abuse, social isolation, loneliness, and economic insecurity, including food insecurity, and promotion of healthy aging in place.</text>
</paragraph>
</subsection>
<subsection id="idc1c6dd94-823d-4bbf-b380-21372cc61a2d" changed="not-changed">
<enum>(d)</enum>
<header>Conference participants and delegates</header>
<paragraph id="idad21a4b9-92c1-4158-ad6d-7969f1c38fa7" changed="not-changed">
<enum>(1)</enum>
<header>Participants</header>
<text>In order to carry out the purposes of this section, the Conference shall bring together—</text>
<subparagraph id="id2faace49-e439-4ecb-be67-6245729ee09e" changed="not-changed">
<enum>(A)</enum>
<text>representatives of Federal, State, Tribal, and local governments;</text>
</subparagraph>
<subparagraph id="id89c70d2a-e1f9-46f1-aeb8-f0831a3dda09" changed="not-changed">
<enum>(B)</enum>
<text>professionals and volunteers who are working in the field of aging; and</text>
</subparagraph>
<subparagraph id="ida18b9943-55e9-47ad-9e1e-61f92c03010f" changed="not-changed">
<enum>(C)</enum>
<text>representatives of the general public, particularly older individuals.</text>
</subparagraph>
</paragraph>
<paragraph id="idf94d439f-ef76-4961-9bf5-94478497fd51" changed="not-changed">
<enum>(2)</enum>
<header>Selection of delegates</header>
<text>The delegates shall be selected without regard to political affiliation or past partisan activity and shall, to the best of the appointing authority's ability, be representative of the spectrum of thought in the field of aging. Delegates shall include older individuals, individuals who are professionals in the field of aging, individuals who are community leaders, minority individuals, individuals from rural areas, low-income individuals, and representatives of Federal, State, Tribal, and local governments.</text>
</paragraph>
</subsection>
</section>
<section id="idb12297f4-7fd9-4923-aecf-06614960f0db" changed="not-changed">
<enum>202.</enum>
<header>Conference administration</header>
<subsection id="id854ca72c-6b49-4680-a260-2b880b1c3892" changed="not-changed">
<enum>(a)</enum>
<header>Administration</header>
<text>In administering this section, the Secretary shall—</text> <paragraph id="id91cb3d6f-3ca5-4d07-b160-cce012b7239c" changed="not-changed"> <enum>(1)</enum> <text>consult with relevant State, Tribal, and local officials, stakeholders, and subject matter experts in planning the Conference;</text>
</paragraph>
<paragraph id="id4f2fbd2e-59ad-40d5-9bdb-f05d55d4f204" changed="not-changed">
<enum>(2)</enum>
<text>request the cooperation and assistance of the heads of such other Federal departments and agencies, including such officials of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, as may be appropriate in the carrying out of this section;</text>
</paragraph>
<paragraph id="ide5ed86bf-0fd1-4d33-99d0-87b3faf89455" changed="not-changed">
<enum>(3)</enum>
<text>make available for public comment a proposed agenda for the Conference, which will reflect to the greatest extent possible the major issues facing older individuals, consistent with the provisions of section 201(c);</text>
</paragraph>
<paragraph id="ida3e50d90-d45c-4805-8615-a2fe217db587" changed="not-changed">
<enum>(4)</enum>
<text>prepare and make available such background materials for the use of delegates to the Conference as the Secretary deems necessary; and</text>
</paragraph>
<paragraph id="id868567cf-c09c-42cf-a4bf-1b7c8adad7e1" changed="not-changed">
<enum>(5)</enum>
<text>engage such additional personnel as may be necessary to carry out the provisions of this section without regard to provisions of title 5, United States Code, governing appointments in the competitive service, and without regard to chapter 51 and subchapter III of chapter 53 of such title, relating to classification and General Schedule pay rates.</text>
</paragraph>
</subsection>
<subsection id="id5099bc38-a834-469b-bcf4-f66c54b679c0" changed="not-changed">
<enum>(b)</enum>
<header>Duties</header>
<text>The Secretary shall, in carrying out the Secretary's responsibilities and functions under this section, and as part of the White House Conference on Aging, ensure that—</text>
<paragraph id="id84ea36da-76de-42d8-8deb-673f4b986449" changed="not-changed">
<enum>(1)</enum>
<text>the agenda prepared under subsection (a)(3) for the Conference is published in the Federal Register not later than 30 days after such agenda is approved by the Secretary; </text>
</paragraph>
<paragraph id="idbf5e1681-2867-44af-937f-f2ab06645c48" changed="not-changed">
<enum>(2)</enum>
<text>the personnel engaged under subsection (a)(5) shall be fairly balanced in terms of points of views represented and shall be appointed without regard to political affiliation or previous partisan activities; </text>
</paragraph>
<paragraph id="idf754cfb7-5cab-4340-b443-0cd0b2951685" changed="not-changed">
<enum>(3)</enum>
<text>the recommendations of the Conference are not inappropriately influenced by any appointing authority or by any special interest, but will instead be the result of the independent judgment of the Conference; and</text>
</paragraph>
<paragraph id="id4fc78859-f0b6-4c22-a2d2-b2f9e3563dfb" changed="not-changed">
<enum>(4)</enum>
<text>current and adequate statistical data, including decennial census data, and other information on the well-being of older individuals in the United States, are readily available, in advance of the Conference, to the delegates of the Conference, together with such information as may be necessary to evaluate Federal programs and policies relating to aging. In carrying out this subparagraph, the Secretary is authorized to make grants to, and enter into cooperative agreements with, public agencies and nonprofit private organizations.</text>
</paragraph>
</subsection>
<subsection id="id8bf48267-ec1e-4fb4-bacb-820a22f48021" changed="not-changed">
<enum>(c)</enum>
<header>Gifts</header>
<text>The Secretary may accept, on behalf of the United States, gifts (in cash or in kind, including voluntary and uncompensated services) that shall be available to carry out this title. Gifts of cash shall be available in addition to amounts appropriated to carry out this title. Gifts may be earmarked by the donor for a specific purpose.</text>
</subsection>
<subsection id="id620778bd-0d33-4aaf-9a91-670719d7c24e" changed="not-changed">
<enum>(d)</enum>
<header>Records</header>
<text>The Secretary shall maintain records regarding—</text> <paragraph id="id82f4c20c-de21-4000-9717-1d43f9cae73d" changed="not-changed"> <enum>(1)</enum> <text>the sources, amounts, and uses of gifts accepted under subsection (c); and</text>
</paragraph>
<paragraph id="id56866ecb-39b0-43ad-9866-4dc1ce710c77" changed="not-changed">
<enum>(2)</enum>
<text>the identity of each person receiving assistance to carry out this title, and the amount of such assistance received by each such person.</text>
</paragraph>
</subsection>
</section>
<section id="id121b8a1a-6b34-45d2-82f2-33a3c508f053" changed="not-changed">
<enum>203.</enum>
<header>Report of the Conference</header>
<subsection id="id4159dbbf-5292-4e6c-9cad-2cd909ad1d2a" changed="not-changed">
<enum>(a)</enum>
<header>Preliminary report</header>
<text>Not later than 100 days after the date on which the Conference adjourns, the Secretary shall publish and deliver to the States a preliminary report on the Conference. Comments on the preliminary report of the Conference shall be accepted by the Secretary.</text>
</subsection>
<subsection id="id334b76a4-ac92-4c9b-824a-38063d541662" changed="not-changed">
<enum>(b)</enum>
<header>Final report</header>
<text>Not later than 180 days after the date on which the Conference adjourns, the Secretary shall publish and transmit to the President and to Congress recommendations resulting from the Conference and suggestions for any administrative action and legislation necessary to implement the recommendations contained within the report.</text>
</subsection>
</section>
<section id="idcce5bfd7-5119-4405-9eac-5190ea2730af" changed="not-changed">
<enum>204.</enum>
<header>Definitions</header>
<text display-inline="no-display-inline">In this title:</text> <paragraph id="idde84ac62-4387-4a7e-87f2-198623a42080" changed="not-changed"> <enum>(1)</enum> <header>Conference</header> <text>The term <term>Conference</term> means the White House Conference on Aging.</text>
</paragraph>
<paragraph id="id52d11e41-423c-41ce-8374-b0e4c3b484dd" changed="not-changed">
<enum>(2)</enum>
<header>Secretary</header>
<text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text>
</paragraph>
<paragraph id="id642e42b4-67aa-4a90-9a9a-5635ab02348b" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(3)</enum>
<header>State</header>
<text>The term <term>State</term> means any of the several States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, American Samoa, the Virgin Islands of the United States, the Trust Territory of the Pacific Islands, or the Commonwealth of the Northern Mariana Islands.</text>
</paragraph>
</section>
.
114.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
(1)
in section 201(d)(3)(J) (42 U.S.C. 3011(d)(3)(J)), by striking Speaker of the House of Representatives and the President pro tempore of the Senate
and inserting Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives
;
(2)
in section 202(b)(8)(E) (42 U.S.C. 3012(b)(8)(E)), by striking preventative health benefits under the provisions of, and amendments made by, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
and inserting preventive health benefits under such program
;
(3)
in section 203(c)(7) (42 U.S.C. 3013(c)(7))— (A) in the matter preceding subparagraph (A), by striking the Committee on Education and Labor of the House of Representatives
and inserting the Committee on Education and Workforce of the House of Representatives
; and
(B)
in subparagraph (C), by striking chairman
and inserting chairperson
;
(4)
in section 339 (42 U.S.C. 3030g–21), by striking this chapter
each place it appears and inserting this part
; and
(5)
in section 432(b)(1) (42 U.S.C. 3033a(b)(1)), by striking Speaker of the House of Representatives and the President pro tempore of the Senate
and inserting Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives
.
<enum>II</enum>
<header>Improving Health Outcomes and Encouraging Independence for Older
Individuals</header>
<section id="id936b530c-fe90-45cc-9e4e-9f969424dc5b" changed="not-changed">
<enum>201.</enum>
<header>Disease prevention and health promotion services</header>
<text display-inline="no-display-inline">Section 102(14) (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002(14)</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id7389c710-7ce7-4a17-8290-600686e9cde3" changed="not-changed">
<enum>(1)</enum>
<text>in subparagraph (B), by inserting <quote>heart rate, respiratory function,</quote> after <quote>hearing,</quote>;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id9733462c-191c-401a-bc8b-6618f098170a" changed="not-changed">
<enum>(2)</enum>
<text>in subparagraph (K), by inserting <quote>providing</quote> before <quote>information</quote>;</text>
</paragraph>
<paragraph id="id2ddda872-e9e4-4406-b887-84e8e562e262" changed="not-changed">
<enum>(3)</enum>
<text>by redesignating subparagraphs (L), (M), (N), and (O), as subparagraphs (M), (N), (O), and (P), respectively;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="ided723328-7243-482f-8521-a472626a8f00" changed="not-changed">
<enum>(4)</enum>
<text>by inserting after subparagraph (K) the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="idab8092c5-e323-4d53-b30b-1461f2e3b535" changed="not-changed"> <subparagraph id="idd30a16ee-c3d8-494c-bb75-0bb8254cbaf7" changed="not-changed"> <enum>(L)</enum> <text>providing information concerning testing, diagnosis, and treatment of infectious diseases, taking into consideration infectious diseases for which older individuals are at increased risk of infection or serious health outcomes;</text>
</subparagraph>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</paragraph>
<paragraph id="id64643cee-91bb-4b2f-9bfe-91f6391e94ae" commented="no" changed="not-changed">
<enum>(5)</enum>
<text>in subparagraph (P), as so redesignated, by striking <quote>subparagraphs (A) through (N)</quote> and inserting <quote>subparagraphs (A) through (O)</quote>.</text>
</paragraph>
</section>
<section commented="no" display-inline="no-display-inline" id="id272d9ca8-8f72-4ea0-a4ef-ae94d9ea870e" changed="not-changed">
<enum>202.</enum>
<header>Improving health outcomes</header>
<subsection id="id595790cc-68e8-463d-bc30-8e532068c162" changed="not-changed">
<enum>(a)</enum>
<header>Research and evaluation activities</header>
<text>Section 201 (<external-xref legal-doc="usc" parsable-cite="usc/42/3011">42 U.S.C. 3011</external-xref>) is amended—</text> <paragraph commented="no" display-inline="no-display-inline" id="id3c9fa727-6842-4de0-a1d5-7921fec114a7" changed="not-changed"> <enum>(1)</enum> <text>in subsection (c)(3)(B), by striking <quote>in behalf</quote> and inserting <quote>on behalf</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id300112c8-b74e-4392-bb94-bc897ccbca79" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (g)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="idebbdd68b-bee8-4de2-98c6-364f487fafbf" changed="not-changed"> <enum>(A)</enum> <text>in paragraph (3)(A)(ii), by inserting <quote>reduction of health care expenditures,</quote> after <quote>quality of life,</quote>; and</text>
</subparagraph>
<subparagraph id="id850766a4-c196-4450-9a19-dd1d4ec62811" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(B)</enum>
<text>in paragraph (7), by inserting <quote>and recommendations relating to further research, evaluation, and demonstration projects conducted under this section</quote> after <quote>title IV</quote>.</text>
</subparagraph>
</paragraph>
</subsection>
<subsection id="id20963823-a183-4a27-ad70-bc04866415b6" changed="not-changed">
<enum>(b)</enum>
<header>Falls prevention programs</header>
<text display-inline="yes-display-inline">Section 411(a)(15) (<external-xref legal-doc="usc" parsable-cite="usc/42/3032">42 U.S.C. 3032(a)(15)</external-xref>) is amended to read as follows:</text>
<quoted-block id="id63118d2a-01ac-4ac2-87ff-75ce54dba2ea" display-inline="no-display-inline" style="OLC" changed="not-changed">
<paragraph id="id11a978c2-fd95-4203-9717-f77535055e04" changed="not-changed">
<enum>(15)</enum>
<text>bringing to scale and sustaining evidence-based falls prevention programs to reduce the number of falls, fear of falling, and fall-related injuries affecting older individuals, including older individuals with disabilities, which shall—</text>
<subparagraph id="ide120e888-9cc0-46b8-94d8-70c9ee56ec83" changed="not-changed">
<enum>(A)</enum>
<text>provide training and technical assistance to the aging network; and</text>
</subparagraph>
<subparagraph id="id298787ac-9e4b-4655-a222-7bb46f5e9236" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(B)</enum>
<text>share best practices with the aging network, including the Aging and Disability Resource Centers;</text>
</subparagraph>
</paragraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</subsection>
<subsection id="id5e1cb0ef-4a45-42bf-9e0c-a66042802e66" changed="not-changed">
<enum>(c)</enum>
<header>Interagency Coordinating Committee on Healthy Aging and Age-Friendly
Communities</header>
<text display-inline="yes-display-inline">Section 203(c) (<external-xref legal-doc="usc" parsable-cite="usc/42/3013">42 U.S.C. 3013(c)</external-xref>) is amended—</text>
<paragraph id="ida7b43709-8966-408c-8898-ef59152388d3" changed="not-changed">
<enum>(1)</enum>
<text>in paragraph (6)(B)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id2d0c192d-ce41-4f7a-8fd9-abfef9c9b8d6" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">in clause (ii), by striking <quote>and</quote> after the semicolon;</text>
</subparagraph>
<subparagraph id="id8cfa3103-cf59-4764-bb82-92948171b57c" changed="not-changed">
<enum>(B)</enum>
<text>in clause (iii), by inserting <quote>and</quote> after the semicolon; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id1a787309-a976-49c5-84b3-990b34aaffea" changed="not-changed">
<enum>(C)</enum>
<text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id52ba0a1a-d424-430a-bbe1-70a3b4230c69" changed="not-changed"> <clause id="ida5eefc36-51e8-470b-88b2-0d8fdcfbe62b" indent="up1" changed="not-changed"> <enum>(iv)</enum> <text>strategies to address social isolation, including by promoting strong and stable connections across different generations in a family and in the community;</text>
</clause>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idde356c6f-b9fc-41ae-9f90-665c2369dfca" changed="not-changed">
<enum>(2)</enum>
<text>in paragraph (7), as amended by section 114(3)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id5c2f95f8-9b96-41c8-a05d-65a3ad1774f5" changed="not-changed"> <enum>(A)</enum> <text>in subparagraph (B), by striking <quote>and</quote> at the end;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="ide8b31604-fa7f-4b93-a631-a2da252adc17" changed="not-changed">
<enum>(B)</enum>
<text>by redesignating subparagraph (C) as subparagraph (D); and</text> </subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="id222ae0d6-4a13-4ce5-b03b-ebd21c9d86d3" changed="not-changed"> <enum>(C)</enum> <text>by inserting after subparagraph (B) the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id3a4d81a8-c169-4b78-8a64-c114abf49eab" changed="not-changed">
<subparagraph id="idb915bd31-1008-48b2-89d0-2b25a254c0e8" changed="not-changed">
<enum>(C)</enum>
<text>contains an assessment of the effectiveness of relevant Federal efforts and programs, including implementation of best practices described in paragraph (6)(B); and</text>
</subparagraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</subparagraph>
</paragraph>
</subsection>
</section>
<section changed="not-changed" commented="no" display-inline="no-display-inline" id="id60db37390a384db39ef5cbe0f68e4381">
<enum>203.</enum>
<header>Technical assistance on evidence-based programs</header>
<subsection id="id08474f7644ae4054b5ef7ecfcd272621">
<enum>(a)</enum>
<header>Technical assistance</header>
<text>The Assistant Secretary, at the request of a State agency (as defined in section 102 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002</external-xref>)) or area agencies on aging, may provide technical assistance on the requirements of evidence-based programs under the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001 et seq.</external-xref>).</text>
</subsection>
<subsection id="id99d15777ef0a4b0d9705a65d7f5a9453">
<enum>(b)</enum>
<header>Consideration</header>
<text>The Assistant Secretary may consider whether there are evidence-informed practices, based on the best available science, that may improve health outcomes.</text>
</subsection>
</section>
<section id="idaa57d0c1-35b1-4215-bd03-f109ba500309" changed="not-changed">
<enum>204.</enum>
<header>Enhancing multipurpose senior centers</header>
<subsection id="id1ec8f74eaae7404c957981ccff5c414a">
<enum>(a)</enum>
<header>In general</header>
<text>Section 202(a)(30) (<external-xref legal-doc="usc" parsable-cite="usc/42/3012">42 U.S.C. 3012(a)(30)</external-xref>) is amended by inserting <quote>, access to services provided at multipurpose senior centers, and (where appropriate) the establishment and maintenance of multipurpose senior centers</quote> before the semicolon at the end.</text>
</subsection>
<subsection id="id9b429e70-91f6-4330-92fc-4d71bb495e94" changed="not-changed">
<enum>(b)</enum>
<header>Area agency on aging plans</header>
<text>Section 306(a)(2)(A) (<external-xref legal-doc="usc" parsable-cite="usc/42/3026">42 U.S.C. 3026(a)(2)(A)</external-xref>) is amended by inserting <quote>, including those services provided at multipurpose senior centers, where appropriate</quote> before the semicolon at the end.</text>
</subsection>
<subsection id="id7dd6248c-ec02-4f0e-8e3f-d18ad56f1638" changed="not-changed">
<enum>(c)</enum>
<header>State plans</header>
<text>Section 307(a)(2)(A) (<external-xref legal-doc="usc" parsable-cite="usc/42/3027">42 U.S.C. 3027(a)(2)(A)</external-xref>) is amended by inserting <quote>and, to the extent feasible, make such evaluation public</quote> before the semicolon at the end.</text>
</subsection>
</section>
<section id="ide86e779d-7f2f-431d-bd4b-15d0928baa14" changed="not-changed">
<enum>205.</enum>
<header>Addressing home modifications</header>
<subsection id="idfa1a3707-f651-4a70-8e97-96f93f12d159" changed="not-changed">
<enum>(a)</enum>
<header>Indoor air quality</header>
<text display-inline="yes-display-inline">Section 361(c) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030m">42 U.S.C. 3030m(c)</external-xref>) is amended by striking <quote>buildings</quote> and all that follows and inserting <quote>buildings and residences where older individuals congregate or live</quote>.</text>
</subsection>
<subsection id="ide4a776fb6a3747919824db5a60bc46df">
<enum>(b)</enum>
<header>Weatherization</header>
<text>Section 321(a)(4) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030d">42 U.S.C. 3030d(a)(4)</external-xref>) is amended by striking subparagraph (A) and inserting <quote>(A) to assist older individuals in obtaining and maintaining adequate housing, including residential repair and renovation projects, and (if assistance for weatherization projects does not unnecessarily duplicate other Federal assistance available) weatherization projects, designed to enable older individuals to maintain their homes in conformity with minimum housing and (as applicable and appropriate) other relevant standards, in order to support such older individuals in aging in place and maintaining their health;</quote>.</text>
</subsection>
</section>
<section id="idf0ca10d0e17945e0ace2a5884b3e19ff" changed="not-changed">
<enum>206.</enum>
<header>National resource center for engaging older adults</header>
<text display-inline="no-display-inline">Section 411(a)(18) (<external-xref legal-doc="usc" parsable-cite="usc/42/3032">42 U.S.C. 3032(a)(18)</external-xref>) is amended by inserting <quote>, such as providing appropriate training, resources, and best practices to the aging network</quote> after <quote>older individuals</quote>.</text>
</section>
<section id="idca759d8c-7c02-4dc4-9e45-c85a215b0814" changed="not-changed">
<enum>207.</enum>
<header>Multigenerational and civic engagement activities</header>
<text display-inline="no-display-inline">Section 417 (<external-xref legal-doc="usc" parsable-cite="usc/42/3032f">42 U.S.C. 3032f</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id3c3af3fc-82f3-442b-8620-cfc0bc819ede" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (a)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id413c34f5-301b-41b4-a6c0-21a72f8bc707" changed="not-changed"> <enum>(A)</enum> <text>in the matter preceding paragraph (1), by striking <quote>projects,</quote> and all that follows through <quote>to—</quote> and inserting the following: <quote>projects to serve individuals in younger generations and older individuals by developing, carrying out, and promoting participation in multigenerational activities to—</quote>;</text>
</subparagraph>
<subparagraph changed="not-changed" commented="no" display-inline="no-display-inline" id="id96975425925c4e468153d233da9cc44b">
<enum>(B)</enum>
<text>in paragraph (2), by adding <quote>and</quote> at the end;</text> </subparagraph> <subparagraph id="id21e6fe295ce14a14bf5b178ba597f83a" commented="no"> <enum>(C)</enum> <text>in paragraph (3), by striking <quote>opportunities for older individuals to become a mentor to individuals in younger generations; and</quote> and inserting “opportunities—</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id021cd692f5294f098442335e049b3876">
<subparagraph id="idbd6fb620053a445e9f07023ad28d79f9">
<enum>(A)</enum>
<text>for older individuals to become mentors to individuals in younger generations; and</text>
</subparagraph>
<subparagraph id="ida1ec9cb001ec48beb38958f038b61f41">
<enum>(B)</enum>
<text>at facilities that serve older individuals or individuals in younger generations, at which multigenerational activities might occur.</text>
</subparagraph>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</subparagraph>
<subparagraph id="id40543ed2f0d745c782be3f89ae06229b">
<enum>(D)</enum>
<text>by striking paragraph (4);</text> </subparagraph> </paragraph> <paragraph commented="no" display-inline="no-display-inline" id="id52f56df9-56d7-4a56-ac7b-313fb77ec86f" changed="not-changed"> <enum>(2)</enum> <text>in subsection (c)(2), by striking <quote>(4)</quote> and inserting <quote>(3)</quote>;</text>
</paragraph>
<paragraph id="id82c46e2e-6a0b-40d4-915f-3d3509b45419" changed="not-changed">
<enum>(3)</enum>
<text>in subsection (d)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id206174ee-e361-4710-9602-bbb36b3eef23" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">by striking paragraph (1); and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id867a67e8-2af1-41d9-a1f5-f0a80db7cd5f" changed="not-changed">
<enum>(B)</enum>
<text>by redesignating paragraphs (2) through (5) as paragraphs (1) through (4), respectively;</text>
</subparagraph>
</paragraph>
<paragraph id="id36e3ff6029514c27b2d6a4eac3b9c238">
<enum>(4)</enum>
<text>in subsection (g)—</text> <subparagraph id="id5ad20b307f6849d583bfbad7ab985216"> <enum>(A)</enum> <text>in paragraph (1), in the matter preceding subparagraph (A), by striking <quote>of enactment of the Supporting Older Americans Act of 2020,</quote> and inserting <quote>on which the first grant is awarded under this section following the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>,</quote>; and</text>
</subparagraph>
<subparagraph id="id8223dde6ff0048c198a1946602b470d3">
<enum>(B)</enum>
<text>in paragraph (2), in the matter preceding subparagraph (A), by striking <quote>the Speaker of the House of Representatives and the President pro tempore of the Senate</quote> and inserting <quote>the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives</quote>; and</text>
</subparagraph>
</paragraph>
<paragraph id="id536bf9bc-fbe4-4e1e-8cd0-2f0cd98af790" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(5)</enum>
<text>in subsection (h)(1), by striking <quote>or a family support program.</quote> and inserting <quote>or a family support program, or a program at a multipurpose senior center, long-term care facility, or any other residential facility for older individuals.</quote>.</text>
</paragraph>
</section>
<section id="id3aba83b8-82e1-46eb-b7c7-879fbe56aff6" changed="not-changed">
<enum>208.</enum>
<header>Report relating to health outcomes for older individuals living with or near
family members</header>
<subsection id="idd9cdb21f-c8ba-4639-8e6a-a843fe2b38d0" changed="not-changed">
<enum>(a)</enum>
<header>In general</header>
<text>The Secretary shall prepare a report that assesses—</text> <paragraph id="id75556097-dccc-4881-81af-f0e291ed545c" changed="not-changed"> <enum>(1)</enum> <text>the health outcomes for older individuals who live with, on the same property as, or otherwise in the community in close geographic proximity, relative to the area, to family members; and</text>
</paragraph>
<paragraph id="id4efa92bc-0017-4c08-988b-778cdcac0cc2" changed="not-changed">
<enum>(2)</enum>
<text>the degree to which programs under the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001 et seq.</external-xref>) promote living in the settings described in paragraph (1), as appropriate.</text>
</paragraph>
</subsection>
<subsection id="id6ccba0b3-8be7-400d-bebe-b4a8ce8f98c9" changed="not-changed">
<enum>(b)</enum>
<header>Inclusion</header>
<text>The report described under subsection (a) shall include—</text> <paragraph id="idfcef90f0-3aac-4f26-a034-42529e71c8cf" changed="not-changed"> <enum>(1)</enum> <text>an assessment of physical and mental health outcomes of older individuals who live in the settings described in subsection (a)(1) in comparison to physical and mental health outcomes of older individuals who do not live in such settings;</text>
</paragraph>
<paragraph id="id5bc2ec03-fbe9-4f59-aa2c-b9dd106d8f47" changed="not-changed">
<enum>(2)</enum>
<text>an assessment of the extent to which living in such settings mitigates social isolation and loneliness in older individuals; and</text>
</paragraph>
<paragraph id="id51b0f731-f059-4a8a-9688-b2b4c7caebd8" changed="not-changed">
<enum>(3)</enum>
<text>a description of the different types of such settings and whether, and to what extent, findings under paragraphs (1) and (2) vary across such different types.</text>
</paragraph>
</subsection>
<subsection id="idae08ad44-ed59-4936-95bf-4eaef7602aa2" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(c)</enum>
<header>Submission</header>
<text>Not later than 2 years after the date of enactment of this Act, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives the report required by subsection (a).</text>
</subsection>
</section>
<section id="idc2575a8d-fa66-44ee-8c1a-1bd4085771a6" changed="not-changed">
<enum>209.</enum>
<header>Improving broadband coordination and reducing social isolation</header>
<subsection id="ide6d2d2fe-6276-46bb-8fd9-ed4ba4a8a5a5" changed="not-changed">
<enum>(a)</enum>
<header>In general</header>
<text>The Assistant Secretary shall, as appropriate, coordinate with the Assistant Secretary of Commerce for Communications and Information of the National Telecommunications and Information Administration to ensure that the aging network (as defined in section 102 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002</external-xref>)) and other relevant stakeholders are aware of, and, subject to applicable eligibility criteria, have access to, Federal programs relating to digital literacy and the adoption of broadband that may support healthy aging and aging in place for older individuals.</text>
</subsection>
<subsection id="id865f0d37-affe-4c88-bf82-c4bb8dfa2a62" changed="not-changed" commented="no" display-inline="no-display-inline">
<enum>(b)</enum>
<header>Report</header>
<text>Not later than 90 days after the date of enactment of this Act, the Assistant Secretary shall prepare, and submit to the Committee on Health, Education, Labor, and Pensions, the Special Committee on Aging, and the Committee on Commerce, Science, and Transportation of the Senate and the Committee on Education and Workforce of the House of Representatives, a report regarding any coordination efforts carried out pursuant to subsection (a).</text>
</subsection>
</section>
<enum>III</enum>
<header>Enhancing Innovation and Flexibility in Nutrition Services</header>
<section id="id6de27688-0e00-46cd-82c5-b344b7d82385" changed="not-changed">
<enum>301.</enum>
<header>Medically tailored meals</header>
<subsection id="idc4c1766c-4b8d-4d24-ae78-a5d457a17ff5" changed="not-changed">
<enum>(a)</enum>
<header>Definitions</header>
<text display-inline="yes-display-inline">Section 102(14) (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002(14)</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="ida4e566f4-26f9-49ca-ab2a-3cc337c0671b" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">in subparagraph (C), by inserting <quote>, which may include counseling related to the provision of medically tailored meals,</quote> after <quote>counseling</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id96edbefc-f6f3-42ac-943d-dd0345d24682" changed="not-changed">
<enum>(2)</enum>
<text>in subparagraph (D), by inserting <quote>(including from medically tailored meals)</quote> after <quote>improved nutrition</quote>.</text>
</paragraph>
</subsection>
<subsection id="id6976aab2-62f4-430c-83b7-ee9cd068748c" changed="not-changed">
<enum>(b)</enum>
<header>Administration of nutrition services</header>
<text display-inline="yes-display-inline">Section 205(a)(2)(A) (<external-xref legal-doc="usc" parsable-cite="usc/42/3016">42 U.S.C. 3016(a)(2)(A)</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idb6fae73f-edcd-4b7d-b306-3aec951f7382" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">in clause (vi), by inserting <quote>, including through the use of innovative approaches</quote> after <quote>systems</quote>; and</text>
</paragraph>
<paragraph id="id2c124fa6-28cb-4cec-bae3-9c95b05db277" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(2)</enum>
<text>in clause (viii), by inserting <quote>and innovative interventions</quote> after <quote>including strategies</quote>.</text>
</paragraph>
</subsection>
<subsection id="id17cc43a4-e2b7-4601-aa97-84acb71a2efa" changed="not-changed">
<enum>(c)</enum>
<header>Nutrition education</header>
<text display-inline="yes-display-inline">Section 214(2)(C) (<external-xref legal-doc="usc" parsable-cite="usc/42/3020e">42 U.S.C. 3020e(2)(C)</external-xref>) is amended by inserting <quote>, including interventions,</quote> after <quote>other activities</quote>.</text>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id12fe0e2f-9a6c-4bbf-81b6-dab404640a43" changed="not-changed">
<enum>(d)</enum>
<header>Nutrition services purposes</header>
<text>Section 330(3) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030d-21">42 U.S.C. 3030d–21(3)</external-xref>) is amended by inserting <quote>, tailored to their individual medical and nutritional needs to the extent feasible,</quote> after <quote>services</quote>.</text>
</subsection>
</section>
<section commented="no" display-inline="no-display-inline" id="idf4040ffd-2a3e-4fb0-8e41-dd5a9d89e7f2" changed="not-changed">
<enum>302.</enum>
<header>Grab-and-go meals</header>
<text display-inline="no-display-inline">Section 308(b)(4) (<external-xref legal-doc="usc" parsable-cite="usc/42/3028">42 U.S.C. 3028(b)(4)</external-xref>) is amended by adding at the end the following:</text>
<quoted-block id="idafc41ecb-c779-456b-ad9e-d571dc208ef0" display-inline="no-display-inline" style="OLC" changed="not-changed">
<subparagraph commented="no" display-inline="no-display-inline" id="ida9af67a5-feef-4b96-af9a-551e476931dc" indent="up2" changed="not-changed">
<enum>(E)</enum>
<text>A State may elect in its plan under section 307 to allow use of not more than 25 percent of the funds received by such State under subpart 1 of part C, calculated after any transfers under subparagraphs (A) and (B) are completed, to make meals available at congregate meal sites or other community locations for consumption by older individuals outside such sites and locations, such as carry-out or similar meals. A State electing to allow use of funds under the preceding sentence shall—</text>
<clause commented="no" display-inline="no-display-inline" id="idf6f9352a-7c8e-446a-9ad3-8e1bb7821c5b" changed="not-changed">
<enum>(i)</enum>
<text display-inline="yes-display-inline">ensure that such allowable use complements the delivery of services through the congregate meals program under section 331; and</text>
</clause>
<clause id="id0dedc8d7-7157-49f7-827d-356832db557b" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(ii)</enum>
<text display-inline="yes-display-inline">notify the Assistant Secretary of such election, including a description of the amount and percentage of funds received by such State under subpart 1 of part C to be used for such purposes.</text>
</clause>
</subparagraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id6063ad51-bc7f-4b08-bf8c-a31ed0fd6eec" changed="not-changed">
<enum>303.</enum>
<header>GAO study on Nutrition Services Incentive Program</header>
<subsection commented="no" display-inline="no-display-inline" id="id9f2c486a-455a-48f9-aeba-2058136972d5" changed="not-changed">
<enum>(a)</enum>
<header display-inline="yes-display-inline">In general</header>
<text>The Comptroller General of the United States shall conduct a study to evaluate the Nutrition Services Incentive Program under section 311 (<external-xref legal-doc="usc" parsable-cite="usc/42/3030a">42 U.S.C. 3030a</external-xref>) (referred to in this section as the <term>Program</term>).</text>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id9b6765cc-a23f-47d5-a189-91a29c79aed4" changed="not-changed">
<enum>(b)</enum>
<header>Inclusions</header>
<text display-inline="yes-display-inline">The study under this section—</text> <paragraph commented="no" display-inline="no-display-inline" id="id5fee5532-de14-48fa-89e8-a8adfa4df370" changed="not-changed"> <enum>(1)</enum> <text display-inline="yes-display-inline">shall—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id659df21a-49e3-4d6b-8ee4-33d4609520bd" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">include an assessment of how States and Tribal organizations use funding provided under the Program, including the degree to which States and Tribal organizations use such funding to procure food products from local or regional producers for meals supported under the Program; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idb22b5cfe-e49a-4113-87f9-34c788bb6338" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">identify any challenges or barriers to increasing the use of local and regional producers under the Program; and</text>
</subparagraph>
</paragraph>
<paragraph id="idb67bbd91-25cf-4a4e-88a7-566557a8c0cc" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(2)</enum>
<text display-inline="yes-display-inline">may make recommendations related to improving the effectiveness of the Program, including with respect to the use of local and regional producers.</text>
</paragraph>
</subsection>
<subsection id="id4cda133694e54be8b9b2ed58725db274" changed="not-changed">
<enum>(c)</enum>
<header>Report to Congress</header>
<text>Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives a report on the results of the study under this section.</text>
</subsection>
</section>
<section id="id3edcd2cb-4698-4e77-8283-f80af9b3ac1a" changed="not-changed">
<enum>304.</enum>
<header>Innovations in nutrition programs and services</header>
<text display-inline="no-display-inline">Subpart 3 of part C of title III (<external-xref legal-doc="usc" parsable-cite="usc/42/3030g-21">42 U.S.C. 3030g–21 et seq.</external-xref>) is amended by adding at the end the following:</text>
<quoted-block id="id1070734d-b15d-4d25-add1-30b38e8f889c" display-inline="no-display-inline" style="OLC" changed="not-changed">
<section id="iddbb87626-02fd-4b16-af4c-b545b3b7dca4" changed="not-changed">
<enum>340.</enum>
<header>Innovations in nutrition programs and services</header>
<subsection id="id24284191225b4dcab61e2a13c9247df4">
<enum>(a)</enum>
<header>Demonstration To reduce hunger, food insecurity, and
malnutrition</header>
<paragraph id="id282c1883916a476f9442f9c51d3de9f5">
<enum>(1)</enum>
<header>In general</header>
<text>From funds available under paragraph (5), the Assistant Secretary shall make grants, on a competitive basis, to eligible entities, to achieve the purposes of section 330(1) by developing, testing, implementing, and evaluating innovative local or regional approaches to improve the quality, effectiveness, efficiency, and outcomes of nutrition projects and services described in sections 311, 331, and 336.</text>
</paragraph>
<paragraph id="idf62dc0fb946a4b5094bc01090bb7dc8b">
<enum>(2)</enum>
<header>Eligibility</header>
<text>In order to be eligible for a grant under paragraph (1), an entity shall—</text>
<subparagraph id="idcd92ef26a4a14f029fe24545e615bf66">
<enum>(A)</enum>
<text>be—</text> <clause id="id0c4f93d22a7f470882bbb193fde36f2f"> <enum>(i)</enum> <text>a State agency, an area agency on aging, an Indian Tribe, a Tribal organization, or another public or nonprofit private entity, including a nutrition service provider, a multipurpose senior center, a health care entity, or an institution of higher education; or</text>
</clause>
<clause id="idb17aaf9249dc483a910e29d655b5951f">
<enum>(ii)</enum>
<text>a partnership between any entities described in clause (i); and</text>
</clause>
</subparagraph>
<subparagraph id="id04bd8953757640468b05db0598c7a005">
<enum>(B)</enum>
<text>submit an application at such time and in such manner as the Assistant Secretary may require, including—</text>
<clause id="id2c10ff4d10b84fcd96207367caad86ea">
<enum>(i)</enum>
<text>a description of an innovative approach referred to in paragraph (1) that the entity proposes to implement under the grant;</text>
</clause>
<clause id="idcb41b56719f64848906287b8a92ddea9">
<enum>(ii)</enum>
<text>a plan for evaluating the effectiveness, including cost-effectiveness, of the innovative approach proposed; and</text>
</clause>
<clause id="idc59e3470ea1144efb83c10b2bc5afc4d">
<enum>(iii)</enum>
<text>a plan for the publication of the results of such evaluation.</text>
</clause>
</subparagraph>
</paragraph>
<paragraph id="id3f58bf14fe114cddae856f0a375bc764">
<enum>(3)</enum>
<header>Priority</header>
<text>In selecting eligible entities for grants under this subsection, the Assistant Secretary shall give priority to eligible entities proposing to carry out a grant in 1 or more rural areas.</text>
</paragraph>
<paragraph id="idb178ad158647410f9e21d9f5a2a81992">
<enum>(4)</enum>
<header>Report</header>
<text>Not later than 1 year after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, and annually thereafter, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act.</text>
</paragraph>
<paragraph id="ide993a02e25424566a9805b5e256b30b1">
<enum>(5)</enum>
<header>Reservation</header>
<text>From the total of the amounts made available for a fiscal year under paragraphs (1) and (2) of section 303(b) and in section 311(e), the Assistant Secretary shall reserve an amount equal to not more than 1 percent to carry out activities described in paragraph (1) of this subsection.</text>
</paragraph>
</subsection>
<subsection id="id7b23b11114d24166a98679cf163c27aa">
<enum>(b)</enum>
<header>Innovative approaches To reduce hunger, food insecurity, and
malnutrition</header>
<paragraph id="id87b430689ecf40799ced1df4aa5b4144">
<enum>(1)</enum>
<header>In general</header>
<text>Subject to paragraph (6), in carrying out nutrition projects established under this Act, a State agency or title VI grantee may implement innovative approaches, including any applicable approaches implemented previously by the Assistant Secretary or pursuant to subsection (a), that are demonstrated to be effective, to achieve the purposes described in section 330(1) by improving—</text>
<subparagraph id="id19def3eb6c904a559b9d2e507e08393b">
<enum>(A)</enum>
<text>the quality, composition, preparation, modality, delivery, or location of meals provided to older individuals under this Act; or</text>
</subparagraph>
<subparagraph id="id876f7c59023d4e3c93f0c652d1eabace">
<enum>(B)</enum>
<text>the efficiency and effectiveness of distributing, delivering, or otherwise making meals available to older individuals under this Act.</text>
</subparagraph>
</paragraph>
<paragraph id="id8e4696a125cc4215aef485d1f07dbeb9">
<enum>(2)</enum>
<header>Waiver</header>
<text display-inline="yes-display-inline">At the request of a State agency implementing an approach under paragraph (1), the Assistant Secretary may waive any requirements of subpart 1 or 2 with respect to such State agency if such requirements impede the ability of such State agency to successfully implement such an approach.</text>
</paragraph>
<paragraph id="ide1b9591293b34c7fb3239121a695cc0b">
<enum>(3)</enum>
<header>Flexibility</header>
<text>The Secretary shall provide maximum flexibility to a title VI grantee implementing an approach under paragraph (1) in the same manner as the Secretary provides maximum flexibility in accordance with section 614(c)(3).</text>
</paragraph>
<paragraph id="id34fa52581202413584f4d4b411466e90">
<enum>(4)</enum>
<header>Sunset</header>
<text>The authority to carry out activities described in paragraph (1) shall expire on October 1, 2030.</text>
</paragraph>
<paragraph id="id4c06022e2f11482eb511f33e3a1fc0cf">
<enum>(5)</enum>
<header>Report</header>
<text>Not later than September 30, 2029, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out by State agencies or title VI grantees under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act.</text>
</paragraph>
<paragraph id="id9b98914d1a2743318d3f9c86bc748024">
<enum>(6)</enum>
<header>Use of allotment</header>
<text>If the amount appropriated to carry out section 311 for a fiscal year exceeds the amount appropriated to carry out section 311 for the prior fiscal year or fiscal year 2024, whichever is greater, a State agency and title VI grantee in receipt of an allotment under section 311(b) may elect to use the difference between the allotment received for the fiscal year and the allotment received for the prior fiscal year or fiscal year 2024, whichever is greater, for activities described in paragraph (1).</text>
</paragraph>
<paragraph id="id7d9a7f29d2eb4bbfb7153fd01cf29f10">
<enum>(7)</enum>
<header>Rule of construction</header>
<text>Nothing in this subsection shall be construed as limiting or prohibiting the requirements described in section 339 from applying to nutrition projects utilizing an innovative approach under this subsection.</text>
</paragraph>
</subsection>
</section>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<enum>IV</enum>
<header>Supporting Family Caregivers</header>
<section id="ide7ba21b5-5b4a-4153-9822-695c97607652" changed="not-changed">
<enum>401.</enum>
<header>Improving the National Family Caregiver Support Program</header>
<subsection id="id35996b06-855c-4af9-9ec5-7d189c1c06c0" changed="not-changed">
<enum>(a)</enum>
<header>State requirements for State and community programs on aging
grants</header>
<text display-inline="yes-display-inline">Section 305(a)(3)(E) (<external-xref legal-doc="usc" parsable-cite="usc/42/3025">42 U.S.C. 3025(a)(3)(E)</external-xref>) is amended—</text>
<paragraph id="id25feab8a-e0d7-43f6-bf97-a54132bbcbcf" changed="not-changed">
<enum>(1)</enum>
<text>in clause (i), by striking <quote>and</quote> at the end;</text> </paragraph> <paragraph id="id6fc8b5db-b90e-4f85-a763-f79abc5f118a" changed="not-changed"> <enum>(2)</enum> <text>in clause (ii), by striking the period at the end and inserting <quote>; and</quote>; and</text>
</paragraph>
<paragraph id="id4c949da2-95dc-4cf4-849d-ba50476befce" changed="not-changed">
<enum>(3)</enum>
<text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="idbb75e19d-4f48-428f-84de-d1a28e8ba020" changed="not-changed"> <clause id="id0ffb5450-f900-4490-9d4a-40ac88cc50a1" changed="not-changed"> <enum>(iii)</enum> <text>available supports for family caregivers and older relative caregivers (as defined in section 372(a)).</text>
</clause>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</subsection>
<subsection id="ida787ce4e-cafb-431a-8678-a10bb860d6e4" changed="not-changed">
<enum>(b)</enum>
<header>Area plan requirements</header>
<text display-inline="yes-display-inline">Section 306(a)(7)(D) (<external-xref legal-doc="usc" parsable-cite="usc/42/3026">42 U.S.C. 3026(a)(7)(D)</external-xref>) is amended—</text>
<paragraph id="id429f59a8-7822-4343-8543-c11f9c2ebec7" changed="not-changed">
<enum>(1)</enum>
<text>in clause (i), by striking <quote>and</quote> at the end;</text> </paragraph> <paragraph id="id9121f719-a586-48d6-9fea-bfd551de3c58" changed="not-changed"> <enum>(2)</enum> <text>in clause (ii), by adding <quote>and</quote> after the semicolon; and</text>
</paragraph>
<paragraph id="id6eeea700-a2a7-4c85-8204-6cda12a27f1c" changed="not-changed">
<enum>(3)</enum>
<text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="idc232ee98-7813-4dc5-97c8-7fb866797932" changed="not-changed"> <clause id="idc931563c-e3a1-4c9a-af8f-1f7633488eb5" commented="no" display-inline="no-display-inline" changed="not-changed"> <enum>(iii)</enum> <text display-inline="yes-display-inline">available supports for family caregivers and older relative caregivers (as defined in section 372(a));</text>
</clause>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</subsection>
<subsection id="id534762d7-f66f-4488-9d22-70311d37d652" changed="not-changed">
<enum>(c)</enum>
<header>Definitions relating to the National Family Caregiver Support
Program</header>
<paragraph commented="no" display-inline="no-display-inline" id="id6721757f-4693-4b4c-9c71-a1183097f187" changed="not-changed">
<enum>(1)</enum>
<header display-inline="yes-display-inline">In general</header>
<text display-inline="yes-display-inline">Section 372(a) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s">42 U.S.C. 3030s(a)</external-xref>) is amended—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="idddeeded5-2b2a-4387-b1ad-e8bf015a3811" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">in paragraph (1)—</text> <clause commented="no" display-inline="no-display-inline" id="id0beab0fc-60ba-48fb-bd28-4db31798a363" changed="not-changed"> <enum>(i)</enum> <text display-inline="yes-display-inline">in the first sentence, by striking <quote>The term</quote> and inserting the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idc3b130d5-b87e-4a4f-9f00-07a1e3b34ecb" changed="not-changed">
<subparagraph commented="no" display-inline="no-display-inline" id="id2b3507e2-4dbc-426c-9622-7aa294a55457" changed="not-changed">
<enum>(A)</enum>
<header>In general</header>
<text>The term</text> </subparagraph> <after-quoted-block>; and</after-quoted-block> </quoted-block> </clause> <clause commented="no" display-inline="no-display-inline" id="iddbcdea2e-4cdf-415b-aa87-4f1bdf82bc2a" changed="not-changed"> <enum>(ii)</enum> <text>in subparagraph (A) (as so designated), in the second sentence—</text>
<subclause commented="no" display-inline="no-display-inline" id="ida410d880-c39f-4665-ab20-6db5171799ab" changed="not-changed">
<enum>(I)</enum>
<text>by striking the period at the end and inserting <quote>; and</quote>;</text>
</subclause>
<subclause id="idf3ac120d-2f74-4be5-aa72-41ea6a05aa99" changed="not-changed">
<enum>(II)</enum>
<text>by striking <quote>Such assessment shall be administered through</quote> and inserting the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idba05282d-6d3d-4c08-aa89-fcca8e69859f" changed="not-changed">
<subparagraph id="id46bd68c0-22ea-4552-b631-d390e24e5dac" changed="not-changed">
<enum>(B)</enum>
<header>Administration of assessments</header>
<text>A caregiver assessment under subparagraph (A) shall—</text>
<clause commented="no" display-inline="no-display-inline" id="id6dcf0566-4e20-42ea-b338-b714e4940e56" changed="not-changed">
<enum>(i)</enum>
<text>be administered through</text> </clause> </subparagraph> <after-quoted-block>; and</after-quoted-block> </quoted-block> </subclause> <subclause id="idc284201d-20b3-4ffa-975e-d27f15602651" changed="not-changed"> <enum>(III)</enum> <text>by adding at the end the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id74b9508d-6c0e-4e9a-8c96-8b3287ecb8b8" changed="not-changed">
<clause id="idf3c0e803-8e85-471d-875e-be617911e369" changed="not-changed">
<enum>(ii)</enum>
<text>take into account—</text> <subclause commented="no" display-inline="no-display-inline" id="id4b2111dc-32fd-46c5-a780-99ffec36f7a9" changed="not-changed"> <enum>(I)</enum> <text>linguistic and cultural differences;</text>
</subclause>
<subclause id="id4593d6a4-c9e8-4b39-8806-9c112f81f186" changed="not-changed">
<enum>(II)</enum>
<text>the ease for the caregiver to access information, supports, or services, and the timeliness of access to such information, supports, or services;</text>
</subclause>
<subclause id="id7eec4c5a-6ce9-4c34-b5c4-ec1488c29b32" changed="not-changed">
<enum>(III)</enum>
<text>barriers to accessing information, supports, or services;</text>
</subclause>
<subclause id="id80b80073-a367-442f-884f-565cb01b227b" changed="not-changed">
<enum>(IV)</enum>
<text>the availability of information, supports, or services in accessible formats; and</text>
</subclause>
<subclause id="id888481dc-3240-4eac-aad2-ce8d0acaf5a8" changed="not-changed">
<enum>(V)</enum>
<text>the quality of information, supports, or services received, and the degree to which it is helpful to the caregiver.</text>
</subclause>
</clause>
<after-quoted-block>; </after-quoted-block>
</quoted-block>
</subclause>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id8c62d615-083e-4fd6-ae12-ef8e972f79a5" changed="not-changed">
<enum>(B)</enum>
<text>by striking paragraph (2) and inserting the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="idd8f8b7ae-ec76-4222-bb6b-b3204037a988" changed="not-changed"> <paragraph commented="no" display-inline="no-display-inline" id="id4bbafd8e-459a-494b-9037-d3ea80c5a767" changed="not-changed"> <enum>(2)</enum> <header>Child or youth</header> <text display-inline="yes-display-inline">The term <term>child or youth</term> means an individual who is not more than—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id4ed7e9dd-3879-4c66-9154-274446c03711" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">18 years of age; or</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idfd51e742-6b8f-4f04-aea0-91efdd28c44a" changed="not-changed">
<enum>(B)</enum>
<text>22 years of age, in the case of an individual who is enrolled in any form of schooling (including on a part-time basis), including—</text>
<clause id="id9b5fbeb3-fe58-444c-9aa9-cbe6cb8cd953" changed="not-changed">
<enum>(i)</enum>
<text>in high school or secondary school (as such terms are defined in section 8101 of the Elementary and Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7801">20 U.S.C. 7801</external-xref>)); or</text>
</clause>
<clause id="idbcd52cac-4f30-4cd9-9af8-406568059977" changed="not-changed">
<enum>(ii)</enum>
<text>in an institution of higher education (as defined in section 102 of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1002">20 U.S.C. 1002</external-xref>)).</text>
</clause>
</subparagraph>
</paragraph>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="ide359ec63-4480-43f4-b9d8-53c8250f244a" changed="not-changed">
<enum>(C)</enum>
<text>in paragraph (4)(B)—</text> <clause commented="no" display-inline="no-display-inline" changed="not-changed" id="iddd396c002a164711bacd272035821c69"> <enum>(i)</enum> <text display-inline="yes-display-inline">in clause (i), by inserting <quote>adult</quote> after <quote>or other</quote>; and</text>
</clause>
<clause changed="not-changed" commented="no" display-inline="no-display-inline" id="id7d6f176d9e7e4d7a83500f305d98ae57">
<enum>(ii)</enum>
<text>by amending clause (iii) to read as follows:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="idD433C77E09224DC1B78452EB62B749CA"> <clause id="id81b1a1aae4a34700af7387408514ea23" commented="no"> <enum>(iii)</enum> <subclause commented="no" display-inline="yes-display-inline" id="ide5a1cdcf7761416cbc2d82fc4acf0ad1"> <enum>(I)</enum> <text>has a legal relationship to the child or youth, such as legal custody, adoption, or guardianship, or is raising the child or youth informally; and</text>
</subclause>
<subclause indent="up1" commented="no" display-inline="no-display-inline" id="idf88c4e68d04748489ca252d26ccac244">
<enum>(II)</enum>
<text>in the case of a child or youth described in paragraph (2)(B) who is 18 years of age or older, had established such a legal relationship, or began raising such child or youth informally, prior to the child or youth reaching the age of 18; and</text>
</subclause>
</clause>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</clause>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idb9bcb214-9c7b-4fc7-9e1e-ce52bd0bc409" changed="not-changed">
<enum>(2)</enum>
<header>Conforming amendments</header>
<text>Part E of title III (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s">42 U.S.C. 3030s et seq.</external-xref>) is amended—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id2ae5ad32-9cf5-4fa2-932a-c94c8fca55ef" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">by inserting <quote>or youth</quote> after <quote>child</quote> each place it appears (other than in sections 372(a)(2) (as amended by paragraph (1)(B)) and 372(a)(4)(B)(iii) (as amended by paragraph (1)(C)(ii))); and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idbc263793-ebe6-4d25-a983-70760e3ba457" changed="not-changed">
<enum>(B)</enum>
<text>in section 373(c)(2)(B) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s-1">42 U.S.C. 3030s–1(c)(2)(B)</external-xref>), by inserting <quote>or youth</quote> after <quote>children</quote>.</text>
</subparagraph>
</paragraph>
</subsection>
<subsection id="id19017a6c-c6c8-40e0-aaf2-403334bf2d18" changed="not-changed">
<enum>(d)</enum>
<header>Program authorized</header>
<text display-inline="yes-display-inline">Section 373 (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s-1">42 U.S.C. 3030s–1</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id7223074d-79f6-4e86-825f-92a45733dfbc" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (b)(3)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id41a810d1-2bdd-41c0-9812-a36fe66ec377" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">by inserting <quote>which may include trauma-informed services, peer supports,</quote> after <quote>individual counseling,</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id061811a2-ef8c-4e62-9590-66ac0975e4ce" changed="not-changed">
<enum>(B)</enum>
<text>by inserting <quote>elder abuse prevention,</quote> after <quote>nutrition,</quote>;</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idb109fc17-2110-43d4-b985-2f2c83a61770" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (c)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id83bf07ee-513a-4081-b8ef-cd99bf2bb50f" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">in the subsection heading, by striking <quote><header-in-text style="OLC" level="subsection">priority</header-in-text></quote> and inserting <quote><header-in-text style="OLC" level="subsection">priority; consideration</header-in-text></quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id89af7e8d-9498-4d16-9612-10fff0086823" changed="not-changed">
<enum>(B)</enum>
<text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id160ceb73-a43e-4ab0-9bd7-5d041451eb54" changed="not-changed"> <paragraph id="id7d80a9af-1b44-4f77-b71f-f470dbfeb02d" changed="not-changed"> <enum>(3)</enum> <header>Consideration</header> <text>In providing services under this part, the State shall consider—</text>
<subparagraph id="id62978582-7174-4647-bf3d-cc5b687854bd" changed="not-changed">
<enum>(A)</enum>
<text>that older relative caregivers caring for multiple children or youth may need greater resources and supports; and</text>
</subparagraph>
<subparagraph id="idf574a9ef-89a0-49f6-9c59-5fa1fed3376b" commented="no" changed="not-changed">
<enum>(B)</enum>
<text>the circumstances and unique needs of different types of caregivers, including the needs of children or youth and their older relative caregivers whose families have been affected by substance use disorder, including opioid use disorder.</text>
</subparagraph>
</paragraph>
<after-quoted-block>;</after-quoted-block>
</quoted-block>
</subparagraph>
</paragraph>
<paragraph id="id1c427e0b-4667-478f-8fcb-134e9182a10b" changed="not-changed">
<enum>(3)</enum>
<text>in subsection (e)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id613a8815-7243-4ce7-8e50-4d84bc30d224" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">in the matter preceding paragraph (1), by striking <quote>Not later than</quote> and all that follows through <quote>the Assistant Secretary shall</quote> and inserting <quote>The Assistant Secretary shall, on a regular basis</quote>;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id35e19eb0-9d28-45eb-baa5-081dd9117343" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">in paragraph (1)—</text> <clause commented="no" display-inline="no-display-inline" id="id0d8a0b36-7abb-4ab7-9320-b436d5f94199" changed="not-changed"> <enum>(i)</enum> <text display-inline="yes-display-inline">in subparagraph (B), by striking <quote>and</quote> at the end;</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="id2ab4cb4d-27e5-4a58-977b-bad8e971ffb4" changed="not-changed">
<enum>(ii)</enum>
<text>by redesignating subparagraph (C) as subparagraph (D); and</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="id144a2977-4fc6-4a75-944d-412c6d6737a6" changed="not-changed">
<enum>(iii)</enum>
<text>by inserting after subparagraph (B) the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="idcc42e3c3-bfdb-4744-a83b-ae77eb01f54b" changed="not-changed"> <subparagraph id="id37439410-f1fc-4441-ab36-758c95e823d1" changed="not-changed"> <enum>(C)</enum> <text>the use of caregiver assessments; and</text>
</subparagraph>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idff447fa0-8717-430d-b62d-c2e7b774b790" changed="not-changed">
<enum>(C)</enum>
<text>in paragraph (2), by striking <quote>make available</quote> and inserting <quote>prepare, publish, and disseminate</quote>;</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="ide2ac6f3c-6b23-4053-a0bd-11ed2ada1ffc" changed="not-changed">
<enum>(4)</enum>
<text>in subsection (i)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="idc030ded2-73ee-4540-922c-26f466687570" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">in paragraph (1), by inserting <quote>, which may include the improvement of the quality and consistency of caregiver assessments and access to other information, supports, or services</quote> after <quote>section 631</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id19d7e499-0960-46d9-bd33-630ae388b168" changed="not-changed">
<enum>(B)</enum>
<text>in paragraph (2), by inserting <quote>(including outcome measures)</quote> after <quote>program evaluation</quote>; and</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id4e754b82-4a32-479b-9382-af80a1cb7e9c" changed="not-changed">
<enum>(5)</enum>
<text>in subsection (j)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id62a0de6e-e7e4-47d2-955e-548b0924d561" changed="not-changed"> <enum>(A)</enum> <text>in the matter preceding paragraph (1), by striking <quote>Not later than</quote> and all that follows through <quote>shall provide technical assistance</quote> and inserting <quote>Beginning not later than 1 year after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, the Assistant Secretary, in consultation with stakeholders with appropriate expertise and, as appropriate, informed by the most recent strategy developed under the RAISE Family Caregivers Act (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s">42 U.S.C. 3030s</external-xref> note) and the most recent report developed under the Supporting Grandparents Raising Grandchildren Act (<external-xref legal-doc="public-law" parsable-cite="pl/115/196">Public Law 115–196</external-xref>; 132 Stat. 1511), shall provide ongoing technical assistance</quote>;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id5744c27f-7b82-4ba7-968a-b6dc4ad10b39" changed="not-changed">
<enum>(B)</enum>
<text>in paragraph (2), by striking <quote>and</quote> at the end;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id0e7230fb-1714-4838-a72e-1474c39f3598" changed="not-changed">
<enum>(C)</enum>
<text>by redesignating paragraph (3) as paragraph (4); and</text> </subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="idf6b5017b-5326-4928-90f6-88407a107f7e" changed="not-changed"> <enum>(D)</enum> <text>by inserting after paragraph (2) the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="ide1be1556-ff7c-498b-b64b-01cf517ea02f" changed="not-changed">
<paragraph id="idf93b2dae-827d-47d3-9771-0cd942767222" changed="not-changed">
<enum>(3)</enum>
<text>the quality and consistency of caregiver assessments used across States; and</text>
</paragraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</subparagraph>
</paragraph>
</subsection>
</section>
<section commented="no" display-inline="no-display-inline" id="id81fc5c86-fcdd-45d7-93a2-d1e5065493ff" changed="not-changed">
<enum>402.</enum>
<header>Emphasizing respite care</header>
<text display-inline="no-display-inline">Section 321(a)(19) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030d">42 U.S.C. 3030d(a)(19)</external-xref>) is amended to read as follows:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idf1a91472-f790-44db-b3cc-b9a39fed7e0a" changed="not-changed">
<paragraph commented="no" display-inline="no-display-inline" id="id04976436-06d6-474b-ae6b-e8917ea4a314" changed="not-changed">
<enum>(19)</enum>
<text display-inline="yes-display-inline">services, which may include respite care through various models, designed to support family members and other persons providing voluntary care to older individuals that need long-term care services, which may include older individuals with cognitive impairments such as Alzheimer’s disease and related disorders with neurological and organic brain dysfunction;</text>
</paragraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id209fab06-b368-45ef-ad5f-db25b32f0a85" changed="not-changed">
<enum>403.</enum>
<header>Clarifying supportive services</header>
<text display-inline="no-display-inline">Section 321(a)(18) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030d">42 U.S.C. 3030d(a)(18)</external-xref>) is amended by striking <quote>mentally impaired older individuals</quote> and inserting <quote>older individuals with cognitive, physical, or mental impairments</quote>.</text>
</section>
<section id="ida460d660-bfcf-4f3e-b33a-51665f5ec315" changed="not-changed">
<enum>404.</enum>
<header>Direct care workforce resource center</header>
<text display-inline="no-display-inline">Section 411(a)(13) (<external-xref legal-doc="usc" parsable-cite="usc/42/3032">42 U.S.C. 3032(a)(13)</external-xref>) is amended—</text>
<paragraph changed="not-changed" commented="no" display-inline="no-display-inline" id="iddad0fc9b170b4e21b65829e15dd5b6f7">
<enum>(1)</enum>
<text>in subparagraph (B), by adding <quote>and</quote> at the end;</text> </paragraph> <paragraph commented="no" display-inline="no-display-inline" id="idd395d510ea06489f98f1e31a26761842"> <enum>(2)</enum> <text>by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and adjusting the margins accordingly;</text>
</paragraph>
<paragraph id="id48d1fbe74bde4172a019cd79d077e8ae">
<enum>(3)</enum>
<text>in the matter preceding clause (i) (as so redesignated)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id1f8d379cc1814ea2a7a0fb12034e9691"> <enum>(A)</enum> <text display-inline="yes-display-inline">by inserting <quote>and, as appropriate, the heads of other relevant Federal departments and agencies</quote> after <quote>Labor</quote>; and</text>
</subparagraph>
<subparagraph id="id75025c9862a14a79a155c6519d57345f">
<enum>(B)</enum>
<text>by striking <quote>workers, and the soliciting,</quote> and inserting the following: “workers, including—</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idB1DC0997EA9A4B5A9DBDF201D3B7371E">
<subparagraph commented="no" display-inline="no-display-inline" id="idc549777a3f19401c9490f97a3fcf7e0b">
<enum>(A)</enum>
<text display-inline="yes-display-inline">the soliciting,</text> </subparagraph> <after-quoted-block>; and</after-quoted-block> </quoted-block> </subparagraph> </paragraph> <paragraph id="id3a316fad0a824c25a57f3854788cc018"> <enum>(4)</enum> <text>by adding at the end the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idD1F438D336A3418492A4D9F8CF39B593">
<subparagraph id="id68f70e57-3de4-4836-bd86-8450047b1cb7" changed="not-changed">
<enum>(B)</enum>
<text>the establishment and operation of a national resource center that supports the growth and professionalization of the direct care workforce necessary to meet the needs of older individuals and individuals with disabilities, and, in a manner that does not unnecessarily duplicate the activities of other resource centers supported by the Assistant Secretary, that addresses training and other educational needs of family caregivers, which activities of the center may include—</text>
<clause id="ide05fa282b7a846cc81ba3d60494a7a68">
<enum>(i)</enum>
<text>the provision of training and technical assistance, including through the development and dissemination of educational materials, to States, long-term services and supports providers, direct care workers, and family caregivers; and</text>
</clause>
<clause id="id49b0ac45339f44998bfe0d2934ec5a2d">
<enum>(ii)</enum>
<text>promoting existing, and supporting the demonstration of new, strategies for the recruitment, retention, career development, or advancement of direct care workers 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;</text>
</clause>
</subparagraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</section>
<section id="id00c52615-658e-49eb-b7fb-6e6c00ac76a6" changed="not-changed">
<enum>405.</enum>
<header>Supporting Grandparents Raising Grandchildren Act</header>
<subsection id="id11e7ca50-8e3a-4b60-9b73-b0253e633bb1" changed="not-changed">
<enum>(a)</enum>
<header>Findings</header>
<text>The Supporting Grandparents Raising Grandchildren Act (<external-xref legal-doc="public-law" parsable-cite="pl/115/196">Public Law 115–196</external-xref>; 132 Stat. 1511) is amended by striking section 2.</text>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="ide147c8ed-1940-48fd-b5f9-edbdfc778f8e" changed="not-changed">
<enum>(b)</enum>
<header>Definitions</header>
<text>The Supporting Grandparents Raising Grandchildren Act is amended by redesignating section 4 as section 2 and moving the section so as to follow section 1.</text>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id2a7789fb-5f99-44f2-9aa7-054fad17ebaf" changed="not-changed">
<enum>(c)</enum>
<header>Advisory council</header>
<text>Section 3 of the Supporting Grandparents Raising Grandchildren Act is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id1ec731be-e613-49cd-a333-21ab1c02e8ca" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (b)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id7aebe0be-a1f4-46de-bd8a-b37cd96c385e" changed="not-changed"> <enum>(A)</enum> <text>in paragraph (1)—</text>
<clause commented="no" display-inline="no-display-inline" id="id3bafc543-e063-4543-84aa-17f39fbdd7d2" changed="not-changed">
<enum>(i)</enum>
<text>by redesignating subparagraphs (G) through (I) as subparagraphs (H) through (J);</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="id6671f83f-2b7b-49e7-824c-7e541cdcc81e" changed="not-changed">
<enum>(ii)</enum>
<text>by inserting after subparagraph (F) the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="idecde5483-a409-4476-b2c2-8a2fe64fcae5" changed="not-changed"> <subparagraph commented="no" display-inline="no-display-inline" id="id61ae96f9-17d0-42b0-ace1-9ae18222caad" changed="not-changed"> <enum>(G)</enum> <text>The Assistant Secretary for Health.</text>
</subparagraph>
<after-quoted-block>;</after-quoted-block>
</quoted-block>
</clause>
<clause commented="no" display-inline="no-display-inline" id="iddd1f3959-20ff-4d7b-98f7-5bf2b3d928ad" changed="not-changed">
<enum>(iii)</enum>
<text>in subparagraph (I), as so redesignated, by striking <quote>of children</quote>; and</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="idd72b9c7d-574c-4d98-bda9-6b4e5a00c2ce" changed="not-changed">
<enum>(iv)</enum>
<text>in subparagraph (J), as so redesignated, by striking <quote>relatives</quote> and inserting <quote>relative caregivers</quote>; and</text>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id4840cf76-557f-47f2-ade9-8c2fdf65c242" changed="not-changed">
<enum>(B)</enum>
<text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id6e1f86e7-d6e4-40e9-9593-c7cbae0606a1" changed="not-changed"> <paragraph commented="no" display-inline="no-display-inline" id="id1eec7a8f-6f12-4979-a1f3-c5a204d1b330" changed="not-changed"> <enum>(3)</enum> <header>Limitation on non-Federal members</header> <text>Not more than 10 members of the Advisory Council may be individuals who are not Federal officers or employees.</text>
</paragraph>
<after-quoted-block>;</after-quoted-block>
</quoted-block>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id708c9358-52e5-4ac2-82af-769b00addc1b" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (c)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="idb006cb70-027c-4f8c-bd4f-def9587e7517" changed="not-changed"> <enum>(A)</enum> <text>in paragraph (1)—</text>
<clause commented="no" display-inline="no-display-inline" id="id21264e8b-f3f8-45e9-b05b-a13e12193690" changed="not-changed">
<enum>(i)</enum>
<text>in subparagraph (A)—</text> <subclause commented="no" display-inline="no-display-inline" id="idd5c3184a-a34e-465f-bfa5-026649177c00" changed="not-changed"> <enum>(I)</enum> <text>in the matter preceding clause (i), by striking <quote>relatives</quote> and inserting <quote>relative caregivers</quote>; and</text>
</subclause>
<subclause commented="no" display-inline="no-display-inline" id="idd081af7c-189d-48a9-8379-9733e4051324" changed="not-changed">
<enum>(II)</enum>
<text>in clause (i)—</text> <item commented="no" display-inline="no-display-inline" id="id97e71693-3088-464e-b683-4852fcfd551d" changed="not-changed"> <enum>(aa)</enum> <text display-inline="yes-display-inline">by striking <quote>the health,</quote> and inserting <quote>the near- and long-term health, including mental health,</quote>; and</text>
</item>
<item commented="no" display-inline="no-display-inline" id="id023fecfe-0abd-40d2-bf15-8f74b35c9222" changed="not-changed">
<enum>(bb)</enum>
<text>by striking <quote>care; and</quote> and inserting <quote>care, including any needs related to the circumstances that caused such children to be raised by a grandparent or older relative caregiver; and</quote>; and</text>
</item>
</subclause>
</clause>
<clause commented="no" display-inline="no-display-inline" id="idb053890c-0f3e-47c3-a08e-83666ae9c148" changed="not-changed">
<enum>(ii)</enum>
<text>in subparagraph (B)—</text> <subclause commented="no" display-inline="no-display-inline" id="id1d7df02d-669b-4837-9e92-fc8053af4dbf" changed="not-changed"> <enum>(I)</enum> <text display-inline="yes-display-inline">by striking <quote>(B)</quote> and all that follows through <quote>In</quote> and inserting the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="ida1d74ae5-90f7-40c1-b516-3382e34faf84" changed="not-changed">
<subparagraph commented="no" display-inline="no-display-inline" id="id56dffe22-61a4-41f6-bc20-650f9ec03989" changed="not-changed">
<enum>(B)</enum>
<header>Considerations</header>
<text>In</text> </subparagraph> <after-quoted-block>; and</after-quoted-block> </quoted-block> </subclause> <subclause commented="no" display-inline="no-display-inline" id="id29e1e4cd-39ea-406b-addc-b799c012cfcd" changed="not-changed"> <enum>(II)</enum> <text>by striking <quote>needs of those affected by the opioid crisis</quote> and inserting <quote>needs and challenges of individuals affected by substance use disorder, including opioid use disorder, or, as applicable and appropriate, needs and challenges of individuals related to other circumstances, which may include public health emergencies</quote>;</text>
</subclause>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idcd0b60e0-31db-4f00-9a04-e8fc234641a0" changed="not-changed">
<enum>(B)</enum>
<text>in paragraph (2)—</text> <clause id="id7c6dbfa8-9d94-45f4-b014-525a4b80b3bb" changed="not-changed"> <enum>(i)</enum> <text>in subparagraph (A), in the matter preceding clause (i), by striking <quote>enactment of this Act</quote> and inserting <quote>enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title></quote>; and</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="idd7b213f3-7122-43d0-aa79-4dd47c09dff5" changed="not-changed">
<enum>(ii)</enum>
<text>in subparagraph (B)—</text> <subclause commented="no" display-inline="no-display-inline" id="id6897ed1b-e9a8-4841-83e5-1fa640a38b98" changed="not-changed"> <enum>(I)</enum> <text>in clause (i)—</text>
<item commented="no" display-inline="no-display-inline" id="id2217e455-ac48-483d-98ad-3ab6593062e5" changed="not-changed">
<enum>(aa)</enum>
<text>by striking <quote>relatives</quote> and inserting <quote>relative caregivers</quote>; and</text>
</item>
<item commented="no" display-inline="no-display-inline" id="idb36f3e7c-0dc5-4dd0-8ace-2752370a0f48" changed="not-changed">
<enum>(bb)</enum>
<text display-inline="yes-display-inline">by striking <quote>needs of children</quote> and all that follows through <quote>epidemic;</quote> and inserting <quote>needs of children and their older relative caregivers who have been affected by substance use disorder, including opioid use disorder;</quote>;</text>
</item>
</subclause>
<subclause commented="no" display-inline="no-display-inline" id="idb85223e4-7f4a-4137-ab01-02b9e8ea1e48" changed="not-changed">
<enum>(II)</enum>
<text>in clause (ii), by striking <quote>and</quote> at the end;</text> </subclause> <subclause commented="no" display-inline="no-display-inline" id="id4991b3f2-6336-453b-bc69-880741b1fabb" changed="not-changed"> <enum>(III)</enum> <text>by redesignating clause (iii) as clause (iv); and</text>
</subclause>
<subclause commented="no" display-inline="no-display-inline" id="id963f9a91-61a0-4599-b94e-b38a50f54f13" changed="not-changed">
<enum>(IV)</enum>
<text>by inserting after clause (ii) the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id78c4046c-dc62-4347-973e-27b01f80c9ad" changed="not-changed"> <clause id="idc7875139-3955-4de0-97d1-c1849eab9d6d" changed="not-changed"> <enum>(iii)</enum> <text>a description of any activities of the Department of Health and Human Services to evaluate the effectiveness of supportive services in addressing the needs of children and their older relative caregivers, including those who have been affected by substance use disorder, including opioid use disorder, and any related findings; and</text>
</clause>
<after-quoted-block>; </after-quoted-block>
</quoted-block>
</subclause>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id930dc142-94f1-40b7-92f2-7ff70c89bdda" changed="not-changed">
<enum>(C)</enum>
<text>in paragraph (3)—</text> <clause commented="no" display-inline="no-display-inline" id="id6cd9746b-01c2-4440-9878-fc8895ebf8e0" changed="not-changed"> <enum>(i)</enum> <text>in the matter preceding subparagraph (A)—</text>
<subclause commented="no" display-inline="no-display-inline" id="idf1544e18-e5ef-44c9-8ea4-e2f78d034823" changed="not-changed">
<enum>(I)</enum>
<text>by striking <quote>(3)</quote> and all that follows through <quote>Not</quote> and inserting the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idacdd3e54-77af-4553-b357-394e70ae1f15" changed="not-changed">
<paragraph commented="no" display-inline="no-display-inline" id="id4eae417c-0de8-4936-b802-0b07a5e46190" changed="not-changed">
<enum>(3)</enum>
<header>Follow-up reports</header>
<text>Not</text> </paragraph> <after-quoted-block>;</after-quoted-block> </quoted-block> </subclause> <subclause id="idccbe828b-20f1-4873-9160-bd8637075293" changed="not-changed"> <enum>(II)</enum> <text>by striking <quote>2 years</quote> and inserting <quote>180 days</quote>; and</text>
</subclause>
<subclause commented="no" display-inline="no-display-inline" id="idb1155f1b-5269-4404-ab6e-3b5b751db010" changed="not-changed">
<enum>(III)</enum>
<text>by inserting after <quote>submitted,</quote> the following: <quote>and every 2 years thereafter until the Advisory Council terminates under subsection (f),</quote>; and</text>
</subclause>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idac66951b-00dd-4f46-8420-9ccd99b1f350" changed="not-changed">
<enum>(D)</enum>
<text>in paragraph (4) by striking <quote>relatives</quote> each place it appears and inserting <quote>relative caregivers</quote>;</text>
</subparagraph>
</paragraph>
<paragraph id="id637f7693-1899-4225-89fc-141b168df070" changed="not-changed">
<enum>(3)</enum>
<text>in subsection (d), by striking <quote>the Federal Advisory Committee Act (5 U.S.C. App.).</quote> and inserting <quote>chapter 10 of title 5, United States Code.</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id5a52b273-0f15-4d5f-b9db-13eeeec8d623" changed="not-changed">
<enum>(4)</enum>
<text>in subsection (f), by striking <quote>terminate</quote> and all that follows through <quote>Act.</quote> and inserting <quote>terminate on September 30, 2030.</quote>.</text>
</paragraph>
</subsection>
</section>
<section id="id2fc79dda-312a-4ec0-8c98-a2a585c63721" changed="not-changed">
<enum>406.</enum>
<header>RAISE Family Caregivers Act</header>
<subsection commented="no" display-inline="no-display-inline" id="idec1d8f0c-23b2-4ded-aaae-0356191eaaef" changed="not-changed">
<enum>(a)</enum>
<header display-inline="yes-display-inline">Strategy</header>
<text>Section 3 of the RAISE Family Caregivers Act (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s">42 U.S.C. 3030s</external-xref> note) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idc5999bb2-df23-4d45-810b-1992759ba870" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">in subsection (c)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id915db242-273f-40ef-9323-9faad8e1a672" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">in the matter preceding paragraph (1), by inserting <quote>(or the Secretary's designee)</quote> after <quote>The Secretary</quote>; and</text>
</subparagraph>
<subparagraph id="id247e4d73-c6ec-4872-bf7e-2588aa7ab374" changed="not-changed">
<enum>(B)</enum>
<text>in paragraph (1), by inserting <quote>and made publicly available by the Secretary,</quote> after <quote>caregiver programs,</quote>; and</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id6c78cad7-58f7-4a64-ada2-3fc9867e0b58" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (d)(2), by inserting <quote>in</quote> after <quote>caregiver programs</quote>.</text>
</paragraph>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="idecb0f1d4-2213-4025-af3f-7c65d8f2eb21" changed="not-changed">
<enum>(b)</enum>
<header display-inline="yes-display-inline">Council</header>
<text>Section 4(e) of that Act (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s">42 U.S.C. 3030s</external-xref> note) is amended by striking <quote>The Federal Advisory Committee Act (5 U.S.C. App.)</quote> and inserting <quote>Chapter 10 of title 5, United States Code,</quote>.</text>
</subsection>
<subsection id="id704e5791-584d-44a3-ac17-a058c1de56c3" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(c)</enum>
<header display-inline="yes-display-inline">Sunset extension</header>
<text display-inline="yes-display-inline">Section 6 of that Act (<external-xref legal-doc="usc" parsable-cite="usc/42/3030s">42 U.S.C. 3030s</external-xref> note) is amended by striking <quote>terminate</quote> and all that follows through <quote>Act.</quote> and inserting <quote>terminate on September 30, 2030.</quote>.</text>
</subsection>
</section>
<enum>V</enum>
<header>Community Service Senior Opportunities Act</header>
<section id="idfbbaa0a5-f8de-4714-94e1-777a618ebb2f" changed="not-changed">
<enum>501.</enum>
<header>Improving the Community Service Employment Program</header>
<subsection id="id378158d8-4c39-4cc1-b191-3d99ab116841" changed="not-changed">
<enum>(a)</enum>
<header>Program</header>
<text display-inline="yes-display-inline">Section 502(b)(1) (<external-xref legal-doc="usc" parsable-cite="usc/42/3056">42 U.S.C. 3056(b)(1)</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id1c2f2faf-f52d-4aa3-a8db-d174361649b9" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">in subparagraph (C)(ii), by striking <quote>section 513(a)(2)(E)</quote> and inserting <quote>section 513(a)(2)(F)</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idfc996b5e-8a0f-4df2-88e8-c363895d9d0b" changed="not-changed">
<enum>(2)</enum>
<text>in subparagraph (E), by inserting <quote>older individuals,</quote> after <quote>youth,</quote>.</text>
</paragraph>
</subsection>
<subsection id="id6416f9c4-088d-4b0e-aafe-c4f380243780" changed="not-changed">
<enum>(b)</enum>
<header>Performance</header>
<text>Section 513 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056k">42 U.S.C. 3056k</external-xref>) is amended—</text> <paragraph commented="no" display-inline="no-display-inline" id="id582c1ff3-ff57-4131-b926-c700aa43114b" changed="not-changed"> <enum>(1)</enum> <text display-inline="yes-display-inline">in subsection (a)(2)—</text>
<subparagraph id="id1621f1b3b9954e9b8fe5ee57feac1d15">
<enum>(A)</enum>
<text>in subparagraph (D)(iii), by inserting <quote>, including toward the long-term performance goals determined by the Department of Labor under the Government Performance and Results Act of 1993 (<external-xref legal-doc="public-law" parsable-cite="pl/103/62">Public Law 103–62</external-xref>; 107 Stat. 285) and the amendments made by such Act,</quote> after <quote>core measures</quote>;</text>
</subparagraph>
<subparagraph id="id519b5228c7074fd58758b3ad355975f7">
<enum>(B)</enum>
<text>by redesignating subparagraph (E) as subparagraph (F); and</text> </subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="id7840ea1a-3ef2-44c8-8a84-05014779ac3b" changed="not-changed"> <enum>(C)</enum> <text>by inserting after subparagraph (D) the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idf569f3ff-0443-4349-9fa7-131c2bea0d11" changed="not-changed">
<subparagraph id="id7bc4196d-46de-4609-b4e7-ba1502bcb331" changed="not-changed">
<enum>(E)</enum>
<header>Biennial report</header>
<text>Not later than 2 years after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, and every 2 years thereafter during the period of the program described in section 502(a)(1), the Secretary shall prepare, make publicly available, and submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives a report regarding the methodology used to arrive at the expected levels of performance described in subparagraph (B) for each grantee, including the particular statistical model used and other factors taken into account, as described in subparagraph (D).</text>
</subparagraph>
<after-quoted-block>; </after-quoted-block>
</quoted-block>
</subparagraph>
</paragraph>
<paragraph changed="not-changed" commented="no" display-inline="no-display-inline" id="id482588445c6942e79c0efe2639304260">
<enum>(2)</enum>
<text>in subsection (b)(1)(C), by striking <quote>fourth quarter after exit from the project</quote> and inserting <quote>second quarter after exit from the project and remain in unsubsidized employment during the fourth quarter after exit from the project</quote>;</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id51c39648-b86f-4a53-9e88-02297354aac7" changed="not-changed">
<enum>(3)</enum>
<text>in subsection (c) and paragraphs (1)(A), (2)(A), and (3)(A) of subsection (d), by striking <quote>subsection (a)(2)(E)</quote> and inserting <quote>subsection (a)(2)(F)</quote>; and</text>
</paragraph>
<paragraph id="ide8ff72f9-c85c-45f2-8fd2-b61bc4456489" changed="not-changed">
<enum>(4)</enum>
<text>in subsection (d)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="iddd7c3580-6fbb-45bd-95f7-02892f2a8ef4" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">in paragraph (2)(B)(iii), by adding at the end the following: <quote>For grants awarded on or after the date that is 2 years after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, any grantee who has failed to meet the expected levels of performance for the 2 consecutive years prior to the subsequent grant competition under section 514 shall not be allowed to compete in the subsequent grant competition under section 514 following the second consecutive year of failure but may compete in the next such grant competition after that subsequent competition.</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id06f92b8f-8f33-4a4c-b633-05fcea53fde1" changed="not-changed">
<enum>(B)</enum>
<text>in paragraph (3)(B)(iii), by adding at the end the following: <quote>For grants awarded on or after the date that is 2 years after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, if the Secretary determines that the State fails to meet the expected levels of performance described in subparagraph (A) for 2 consecutive program years, the Secretary shall provide for the conduct by the State of a competition to award the funds allotted to the State under section 506(e) for the first full program year following the Secretary’s determination.</quote>.</text>
</subparagraph>
</paragraph>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id34f0ef0f-dde2-408d-ad48-033314a42148" changed="not-changed">
<enum>(c)</enum>
<header>Definitions and rule</header>
<paragraph commented="no" display-inline="no-display-inline" changed="not-changed" id="id16756ff41cfb434f8b5cb6fddfa4710a">
<enum>(1)</enum>
<header>Definitions</header>
<text display-inline="yes-display-inline">Section 518(a)(1)(A) (<external-xref legal-doc="usc" parsable-cite="usc/42/3056p">42 U.S.C. 3056p(a)(1)(A)</external-xref>) is amended to read as follows:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idca81e158-1460-42b4-ac24-6da2dcc56758" changed="not-changed">
<subparagraph commented="no" display-inline="no-display-inline" id="id79c02a8e-e79c-4d94-923c-db9150849eba" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">social, health, welfare, and educational services (including literacy tutoring and services provided by the aging network), legal and other counseling services and assistance (including tax counseling and assistance and financial counseling), and library, recreational, and other similar services;</text>
</subparagraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
<paragraph id="id8906ebffe62e4073b5b1989850a180e5" commented="no">
<enum>(2)</enum>
<header>Rule</header>
<text>Section 518(b)(2)(F) (<external-xref legal-doc="usc" parsable-cite="usc/42/3056p">42 U.S.C. 3056p(b)(2)(F)</external-xref>) is amended to read as follows:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id0D4D859E6978422C953852F7C1CBF869">
<subparagraph id="idb43fe8292e074eb690673b7bf5e58007" commented="no" indent="up1">
<enum>(F)</enum>
<text>has failed to find employment after receiving any combination of training services or the following career services provided under title I of the Workforce Innovation and Opportunity Act (<external-xref legal-doc="usc" parsable-cite="usc/29/3111">29 U.S.C. 3111 et seq.</external-xref>)—</text>
<clause id="id589ff20ef8e445e2b87575fd67460de2" commented="no">
<enum>(i)</enum>
<text>initial or comprehensive skills assessment;</text> </clause> <clause id="id9783e13bcbfd4bf8bd8eeefce8759d18" commented="no"> <enum>(ii)</enum> <text>labor exchange services;</text>
</clause>
<clause id="id8216ecf1abd14a499f0f9f1a9b21da19" commented="no">
<enum>(iii)</enum>
<text>provision of workforce and labor market information or job search assistance;</text>
</clause>
<clause id="id708c35f1aa214c98a6d3737eaf278caf" commented="no">
<enum>(iv)</enum>
<text>development of an individual employment plan;</text> </clause> <clause id="id53e98803afa745198bba2d3888cbbb13" commented="no"> <enum>(v)</enum> <text>group or individual counseling;</text>
</clause>
<clause id="id2333c34e7cdd4247a76e4f93c7b4d797" commented="no">
<enum>(vi)</enum>
<text>career planning;</text> </clause> <clause id="id4726924c573147eda53660bc8661ccb8" commented="no"> <enum>(vii)</enum> <text>internship, work experience, workforce preparation activities, or prevocational services;</text>
</clause>
<clause id="id14ae96e4d22f434ba6bec142135b29f7" commented="no">
<enum>(viii)</enum>
<text>English language acquisition and integrated education and training; or</text>
</clause>
<clause id="id3e24402a64bc4788917a9c14f55a25e4" commented="no">
<enum>(ix)</enum>
<text>followup services;</text> </clause> </subparagraph> <after-quoted-block>.</after-quoted-block> </quoted-block> </paragraph> </subsection> </section> <section id="idd0f54ff6-8ce2-4b65-9b5e-b890490f0656" changed="not-changed"> <enum>502.</enum> <header>GAO report on alignment within the Community Service Employment Program</header> <subsection id="id3d752bc9-70ed-4ae9-b008-bab0ecab5948" changed="not-changed"> <enum>(a)</enum> <header>Review</header> <text>Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall complete a review in which the Comptroller General—</text>
<paragraph id="id03f662f4-8b7b-4ae2-a2f5-b82c25909579" changed="not-changed">
<enum>(1)</enum>
<text>evaluates—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id1472000f-29e8-4b5e-b6b4-24b53da2a32e" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">the distinct differences and similarities between the older American community service employment program as authorized under title V of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056">42 U.S.C. 3056 et seq.</external-xref>) and the programs carried out under title I of the Workforce Innovation and Opportunity Act (<external-xref legal-doc="usc" parsable-cite="usc/29/3111">29 U.S.C. 3111 et seq.</external-xref>); and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id08201075-b5d2-4cbf-a2a2-a3cc41880dc4" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">how the programs described in subparagraph (A) serve older individuals in seeking and obtaining community service employment;</text>
</subparagraph>
</paragraph>
<paragraph id="idd2e0976ef56443e28c82b74b05d07e0a">
<enum>(2)</enum>
<text>analyzes the expected levels of performance described in section 513(a) of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056k">42 U.S.C. 3056k(a)</external-xref>), the efficacy and impacts of the indicators of performance described in section 513(b) of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056k">42 U.S.C. 3056k(b)</external-xref>), and corrective measures described in section 513(d) of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056k">42 U.S.C. 3056k(d)</external-xref>) for the older American community service employment program, compared with the expected levels of performance, efficacy and impacts of the indicators of performance, and corrective measures described in section 116 of the Workforce Innovation and Opportunity Act (<external-xref legal-doc="usc" parsable-cite="usc/29/3141">29 U.S.C. 3141</external-xref>) for programs authorized under title I of such Act, including the efficacy of the indicators of performance described in section 513(b) of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056k">42 U.S.C. 3056k(b)</external-xref>) for individuals described in subsection (a)(3)(B)(ii) or subsection (b) of section 518 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056p">42 U.S.C. 3056p</external-xref>);</text>
</paragraph>
<paragraph id="idb779ebccda934a4abdcb9b6f77a3081c">
<enum>(3)</enum>
<text>develops recommendations for any alternative measures that may better measure the efficacy of the older American community service employment program as authorized under title V of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056">42 U.S.C. 3056 et seq.</external-xref>) for individuals described in subsection (a)(3)(B)(ii) or subsection (b) of section 518 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056p">42 U.S.C. 3056p</external-xref>) to achieve the objectives described in section 101 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001</external-xref>); and</text>
</paragraph>
<paragraph id="id91e52ad0fa1a4495bc87ef68b1e73ada">
<enum>(4)</enum>
<text>evaluates how the Department of Labor coordinates delivery of services with State and national grantees under title V of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056">42 U.S.C. 3056 et seq.</external-xref>) and with States and local workforce development areas under title I of the Workforce Innovation and Opportunity Act (<external-xref legal-doc="usc" parsable-cite="usc/29/3111">29 U.S.C. 3111 et seq.</external-xref>) to serve older individuals.</text>
</paragraph>
</subsection>
<subsection id="id69d240647785461ab58617a6ddc786c7">
<enum>(b)</enum>
<header>Report to congress</header>
<text>Not later than 180 days after the review required under this section is completed, the Comptroller General shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives a report on the results of such review.</text>
</subsection>
</section>
<enum>VI</enum>
<header>Improving Services for Native Elders</header>
<section id="id82fd0caa-2f03-4ce2-b257-1d5fe9da8863" changed="not-changed">
<enum>601.</enum>
<header>Older Americans Tribal Advisory Committee</header>
<text display-inline="no-display-inline">Section 201(c) (<external-xref legal-doc="usc" parsable-cite="usc/42/3011">42 U.S.C. 3011(c)</external-xref>) is amended by adding at the end the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="id3d6e2306-938d-48bd-bc80-fa834ac86dc8" changed="not-changed">
<paragraph id="id89668412-b2c6-41a8-a1cc-92157871c612" changed="not-changed">
<enum>(4)</enum>
<subparagraph commented="no" display-inline="yes-display-inline"
id="idc7e95658-5dcb-4777-bd7f-34bbf384080a" changed="not-changed">
<enum>(A)</enum>
<text>In addition to other methods of government-to-government consultation between the Administration and Indian Tribes and conferring with organizations representing Native Hawaiians, the Assistant Secretary shall establish an advisory committee, to be known as the <quote>Older Americans Tribal Advisory Committee</quote> (referred to in this paragraph as the <quote>Committee</quote>) to provide advice and guidance to the Assistant Secretary on matters relating to the needs of older individuals who are Native Americans and implementation of related programs and activities under this Act.</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline"
id="id659599a9-8edd-444a-8606-c5dffaf2031d" indent="up1"
changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">The Committee shall be composed of 11 voting, non-Federal members, including—</text>
<clause commented="no" display-inline="no-display-inline"
id="id268443cc-7326-4ca5-a114-7d396ecacbf7" changed="not-changed">
<enum>(i)</enum>
<text display-inline="yes-display-inline">geographically diverse individuals with expertise on the range of issues affecting Indian Tribes, organizations representing Native Hawaiians, and older individuals who are Native Americans;</text>
</clause>
<clause commented="no" display-inline="no-display-inline"
id="idafff87c2-e0fa-4019-8add-71c3b0a785e9" changed="not-changed">
<enum>(ii)</enum>
<text display-inline="yes-display-inline">not less than 1 member who is an Alaska Native; and</text>
</clause>
<clause commented="no" display-inline="no-display-inline"
id="idde2033b8-67c4-4fdb-ab1e-9388a7ca358b" changed="not-changed">
<enum>(iii)</enum>
<text display-inline="yes-display-inline">not less than 1 member who is a Native Hawaiian.</text>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" indent="up1"
id="id6fcad37a-609b-42ee-aa1a-51bd7eb92cfe" changed="not-changed">
<enum>(C)</enum>
<text display-inline="yes-display-inline">The Committee shall include non-voting, ex officio representatives of relevant Federal departments and agencies, including—</text>
<clause commented="no" display-inline="no-display-inline"
id="id80e30837-a4f4-4c24-a27b-51f916382160" changed="not-changed">
<enum>(i)</enum>
<text display-inline="yes-display-inline">the Administration;</text> </clause> <clause commented="no" display-inline="no-display-inline" id="ida510a888-6cde-4044-bf18-56111162bb81" changed="not-changed"> <enum>(ii)</enum> <text display-inline="yes-display-inline">the Indian Health Service;</text>
</clause>
<clause commented="no" display-inline="no-display-inline"
id="idc5507048-c765-4bd0-8e02-72170dc66279" changed="not-changed">
<enum>(iii)</enum>
<text display-inline="yes-display-inline">the Centers for Medicare & Medicaid Services;</text>
</clause>
<clause commented="no" display-inline="no-display-inline"
id="idedb046bb-a37b-4cc6-8402-5298df7402ae" changed="not-changed">
<enum>(iv)</enum>
<text display-inline="yes-display-inline">the Department of the Interior;</text>
</clause>
<clause commented="no" display-inline="no-display-inline"
id="id39dbe768-6ad6-4c59-950c-837a81945113" changed="not-changed">
<enum>(v)</enum>
<text display-inline="yes-display-inline">the Department of Labor; and</text>
</clause>
<clause commented="no" display-inline="no-display-inline"
id="idd7b76061-a266-4283-8183-b62e9394721b" changed="not-changed">
<enum>(vi)</enum>
<text display-inline="yes-display-inline">any other agency or office with subject matter expertise that the Assistant Secretary determines appropriate.</text>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" indent="up1"
id="idc8e8b4ba-6784-4689-a091-3c29923ef418" changed="not-changed">
<enum>(D)</enum>
<text display-inline="yes-display-inline">The Committee shall meet in person not less frequently than twice each year.</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" indent="up1"
id="idea0edcf5-038f-409b-a3af-8b5b602db8f0" changed="not-changed">
<enum>(E)</enum>
<text display-inline="yes-display-inline">The Committee shall coordinate, as appropriate, with the Secretary’s Tribal Advisory Committee of the Department of Health and Human Services.</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" indent="up1"
id="id09fd1576-2fa0-48e6-ad24-86f3d2844e78" changed="not-changed">
<enum>(F)</enum>
<clause commented="no" display-inline="yes-display-inline"
id="id19bb1159-4854-4780-b460-192a11385f22" changed="not-changed">
<enum>(i)</enum>
<text display-inline="yes-display-inline">Not less frequently than once each year, the Committee shall submit to the Assistant Secretary and make publicly available a report that describes—</text>
<subclause commented="no" display-inline="no-display-inline"
indent="up1" id="id0e9159cb-d72a-4801-8d8b-49e9603d192c"
changed="not-changed">
<enum>(I)</enum>
<text display-inline="yes-display-inline">the activities of the Committee during the previous year; and</text>
</subclause>
<subclause commented="no" display-inline="no-display-inline"
indent="up1" id="idd82d036b-7df7-4a44-965f-f478b2ddfee0"
changed="not-changed">
<enum>(II)</enum>
<text display-inline="yes-display-inline">recommendations for administrative action, including the identification of any statutory barriers to carrying out such recommendations, for the following year.</text>
</subclause>
</clause>
<clause commented="no" display-inline="no-display-inline" indent="up1"
id="id64277d76-835b-4917-8c7d-d899ec25ade6" changed="not-changed">
<enum>(ii)</enum>
<text display-inline="yes-display-inline">Not later than 60 days after the date on which the Assistant Secretary receives a report under clause (i), the Assistant Secretary shall submit to the Committee a written response to such report.</text>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" indent="up2"
id="id3e7b5a76-7cd7-4b43-9c4d-a05167db98d4" changed="not-changed">
<enum>(G)</enum>
<text display-inline="yes-display-inline"><external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/5/10">Chapter 10</external-xref> of title 5, United States Code, shall not apply to the Committee.</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" indent="up2"
id="id48aca012-3f5c-48c7-938a-7d0c96e7cf50" changed="not-changed">
<enum>(H)</enum>
<text display-inline="yes-display-inline">In establishing, developing procedures for, and operating the Committee, the Assistant Secretary shall—</text>
<clause commented="no" display-inline="no-display-inline"
id="idc18f2455-df71-4d2a-b4cb-e0577ee512c7" changed="not-changed">
<enum>(i)</enum>
<text display-inline="yes-display-inline">consult with Indian Tribes and confer with organizations representing Native Hawaiians; and</text>
</clause>
<clause commented="no" display-inline="no-display-inline"
id="idae32a731-b6e3-4f09-9b13-4809c5f41945" changed="not-changed">
<enum>(ii)</enum>
<text display-inline="yes-display-inline">take into consideration best practices of other Tribal advisory committees operated by the Department of Health and Human Services before the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>.</text>
</clause>
</subparagraph>
</paragraph>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id672b6f88-9643-41c9-9562-8e8d17a1152a" changed="not-changed">
<enum>602.</enum>
<header>Supportive services; set aside</header>
<subsection commented="no" display-inline="no-display-inline" id="iddb636050-dc35-4c21-a8b8-a327b08f6045" changed="not-changed">
<enum>(a)</enum>
<header display-inline="yes-display-inline">Supportive services</header>
<text display-inline="yes-display-inline">Section 636 (<external-xref legal-doc="usc" parsable-cite="usc/42/3057k-21">42 U.S.C. 3057k–21</external-xref>) is amended—</text>
<paragraph id="id24570cd1-98cb-41ef-8f56-8be9a3774f51" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (a), by striking <quote>may</quote> and inserting <quote>shall, as practicable,</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id7d4f0f3a-fdec-4e97-85f6-a9ecfad612f9" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (b)(2), by striking <quote>in-home assistance</quote> and inserting <quote>in-home services</quote>.</text>
</paragraph>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id91ab5352-578c-4a83-a844-b30ebb4d0149" changed="not-changed">
<enum>(b)</enum>
<header>Funding set aside</header>
<text>Section 644 (<external-xref legal-doc="usc" parsable-cite="usc/42/3057o">42 U.S.C. 3057o</external-xref>) is amended—</text> <paragraph commented="no" display-inline="no-display-inline" id="id3f2b776f-c774-4f3a-b80c-55dc8d17a29e" changed="not-changed"> <enum>(1)</enum> <text>by striking <quote>Of</quote> and inserting the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idDC7D1095CF4A4BACA483AAC21A842D34" changed="not-changed">
<subsection commented="no" display-inline="no-display-inline" id="id8f83b8813bbf4ffea10aaadf3dfeaa93" changed="not-changed">
<enum>(a)</enum>
<header>In general</header>
<text display-inline="yes-display-inline">Of</text> </subsection> <after-quoted-block>; and</after-quoted-block> </quoted-block> </paragraph> <paragraph commented="no" display-inline="no-display-inline" id="idbb10b22c-7d70-416a-9d2c-42114d08f538" changed="not-changed"> <enum>(2)</enum> <text>by adding at the end the following:</text>
<quoted-block id="idbb973d58-3fbc-487e-88c6-bcca71ee3d30" display-inline="no-display-inline" style="OLC" changed="not-changed">
<subsection id="ide79d0baa-8738-4bc5-a52e-0dcf4c2e29f4" changed="not-changed">
<enum>(b)</enum>
<header>Report</header>
<text>Not later than 1 year after the date of enactment of the <short-title>Older Americans Act Reauthorization Act of 2025</short-title>, the Assistant Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives, a report on the use of funds under part D. Such report shall include—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id9f2bb4fb-bada-4ae9-bacc-47a49bb17457" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">the total amount of funds made available under subsection (a) to carry out part D for each fiscal year; </text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="idb8f2d18e-a992-4079-ba45-23ad7c1d32d8" changed="not-changed">
<enum>(2)</enum>
<text display-inline="yes-display-inline">a list of award recipients under part D; and </text>
</paragraph>
<paragraph id="id6273fd38-3783-48a1-82c2-c417da89f497" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(3)</enum>
<text display-inline="yes-display-inline">a summary of supportive services for healthy aging and independence provided under part D.</text>
</paragraph>
</subsection>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</subsection>
</section>
<section id="idffac661d-c41e-46e5-9967-aaf18453f6b1" changed="not-changed">
<enum>603.</enum>
<header>GAO report on Tribal services</header>
<text display-inline="no-display-inline">Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall submit to Congress a report that—</text>
<paragraph id="id0b3eb23a-77d7-479d-9f8c-8483498884a7" changed="not-changed">
<enum>(1)</enum>
<text>evaluates and identifies barriers to Indian Tribes (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>)) and organizations serving Native Hawaiians accessing programs under title VI of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3057">42 U.S.C. 3057 et seq.</external-xref>), and coordination of such programs under such title VI with programs funded under titles III and IV of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/3021">42 U.S.C. 3021 et seq.</external-xref>, <external-xref legal-doc="usc" parsable-cite="usc/42/3031">42 U.S.C. 3031 et seq.</external-xref>), including by—</text>
<subparagraph id="id90ce6265-b7e6-4767-b407-4a0905c21a92" changed="not-changed">
<enum>(A)</enum>
<text>estimating the number of Native Americans unserved by programs under such title VI;</text>
</subparagraph>
<subparagraph id="id9cd99bca-9388-41aa-a695-f00b9367cb39" changed="not-changed">
<enum>(B)</enum>
<text>identifying States and area agencies on aging making grants to Indian Tribes under such title III; and</text>
</subparagraph>
<subparagraph id="id97527708-ed94-466b-b0b4-69dea894f7a8" changed="not-changed">
<enum>(C)</enum>
<text>providing estimates of funding necessary to support programs under such title VI for all Tribal organizations (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>)) and organizations serving Native Hawaiians that are not eligible under such title VI (as in effect on the date of enactment of this Act); and</text>
</subparagraph>
</paragraph>
<paragraph id="idbc7b5245-d70f-459c-9e03-2a01ac31fec4" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(2)</enum>
<text>details how grantees under title V of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3056">42 U.S.C. 3056 et seq.</external-xref>) are serving older individuals who are Native Americans with funds received under such title V, including by evaluating how the Secretary of Labor coordinates with State and national grantees under such title V to serve older individuals who are Native Americans.</text>
</paragraph>
</section>
<section commented="no" display-inline="no-display-inline" id="idf1d05613723945cc9ab2e7d60f612718" changed="not-changed">
<enum>604.</enum>
<header>Technical amendments</header>
<text display-inline="no-display-inline">The Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001 et seq.</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id2ed75f9afde24e02a72bbe49be7c826c" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">in section 102 (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002</external-xref>)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="id0f7b083741eb4f1fa000b81e46ab68e0" changed="not-changed">
<enum>(A)</enum>
<text display-inline="yes-display-inline">in paragraph (27), by striking <quote>the term <term>Indian tribe</term> means any tribe</quote> and inserting <quote>the term <term>Indian Tribe</term> means any Tribe</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idd786a577b2f148619583b2a12bc5d788" changed="not-changed">
<enum>(B)</enum>
<text>in paragraph (56), by striking <quote>the term <term>tribal organization</term> means</quote> and inserting <quote>the term <term>Tribal organization</term> means</quote>;</text>
</subparagraph>
</paragraph>
<paragraph id="id8182e481fd794b388d6fa03b5209da9b" commented="no">
<enum>(2)</enum>
<text>in section 418(a)(2)(6) (<external-xref legal-doc="usc" parsable-cite="usc/42/3032g">42 U.S.C. 3032g(a)(2)(6)</external-xref>), by striking <quote>Speaker of the House of Representatives and the President pro tempore of the Senate</quote> and inserting <quote>Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives</quote>;</text>
</paragraph>
<paragraph id="ided23448d644442faaaafe2e48fb5f109" changed="not-changed">
<enum>(3)</enum>
<text>in section 612(c) (<external-xref legal-doc="usc" parsable-cite="usc/42/3057c">42 U.S.C. 3057c(c)</external-xref>)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="idd7909622c07f4e91b4c0e72821969ddd" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">by striking <quote>terms <term>Indian tribe</term> and <term>tribal organization</term> have</quote> and inserting <quote>terms <term>Indian Tribe</term> and <term>Tribal organization</term> have</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id44460936078346fdb35abc7a0f4e3bd0" changed="not-changed">
<enum>(B)</enum>
<text>by striking <quote>(<external-xref legal-doc="usc" parsable-cite="usc/25/450b">25 U.S.C. 450b</external-xref>)</quote> and inserting <quote>(<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>)</quote>; and</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id9a20a37707294413862f31ed1b620fd5" changed="not-changed">
<enum>(4)</enum>
<text>by striking <quote>tribe</quote>, <quote>tribes</quote>, and <quote>tribal</quote> each place such terms appear and inserting <quote>Tribe</quote>, <quote>Tribes</quote>, and <quote>Tribal</quote>, respectively.</text>
</paragraph>
</section>
<enum>VII</enum>
<header>Strengthening the Long-Term Care Ombudsman Programs and Elder Abuse
Prevention</header>
<section id="id7c97361c-3e5c-4e9c-ac79-19fabf7bd5af" changed="not-changed">
<enum>701.</enum>
<header>Director of the Office of Long-Term Care Ombudsman Programs</header>
<text display-inline="no-display-inline">Section 201(d)(2)(A) (<external-xref legal-doc="usc" parsable-cite="usc/42/3011">42 U.S.C. 3011(d)(2)(A)</external-xref>) is amended, in the second sentence, by inserting <quote>serve on a full-time basis and</quote> after <quote>shall</quote>.</text>
</section>
<section commented="no" display-inline="no-display-inline" section-type="subsequent-section" id="idc22eb4c0-028b-4775-99d0-b4185ca2045b" changed="not-changed">
<enum>702.</enum>
<header>Legal assistance training resources relating to elder abuse
prevention</header>
<text display-inline="no-display-inline">Section 201(e)(2)(A) (<external-xref legal-doc="usc" parsable-cite="usc/42/3011">42 U.S.C. 3011(e)(2)(A)</external-xref>) is amended by striking clause (v) and inserting the following:</text>
<quoted-block style="OLC" display-inline="no-display-inline" id="idfbbff8eb-ec76-40ef-ad1c-93b64894c090" changed="not-changed">
<clause id="idcb7e5320-6fde-4478-a337-9451fb312d99" changed="not-changed">
<enum>(v)</enum>
<text>establishing an information clearinghouse to collect, maintain, and disseminate information concerning best practices and resources for training, technical assistance, and other activities, which may include training resources for paralegals or law students who are under the direct supervision of an attorney, to assist State Long-Term Care Ombudsman programs, adult protective services programs, and other legal services relating to defense of guardianship, promotion of self-determination, and the matters described in clause (ii)(I), and to assist States and communities to carry out evidence-based programs to prevent and address elder abuse, neglect, and exploitation;</text>
</clause>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</section>
<section id="id7ca00bc2-6bd6-4b6f-9662-fb5b4bc4a8eb" changed="not-changed">
<enum>703.</enum>
<header>Improving training of volunteers under the State Long-Term Care Ombudsman
Program</header>
<text display-inline="no-display-inline">Section 712 (<external-xref legal-doc="usc" parsable-cite="usc/42/3058g">42 U.S.C. 3058g</external-xref>) is amended—</text>
<paragraph id="idf44dcaa7-3dd6-4593-8431-c8d38b8a336a" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (h)(5)—</text> <subparagraph id="id2261de05-9181-4966-8e59-5bd6e02d3bf5" changed="not-changed"> <enum>(A)</enum> <text>in the matter preceding subparagraph (A)—</text>
<clause commented="no" display-inline="no-display-inline" id="ida33927cd-2c21-4c0c-b838-cf53f559b88d" changed="not-changed">
<enum>(i)</enum>
<text>by striking <quote>the representatives</quote> and inserting <quote>each type of representative</quote>; and</text>
</clause>
<clause commented="no" display-inline="no-display-inline" id="id4d07eb59-3f76-4500-98fd-5acd2b7f5131" changed="not-changed">
<enum>(ii)</enum>
<text>by inserting <quote>types of</quote> before <quote>unpaid volunteers</quote>;</text>
</clause>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="ide99207d3-6d7c-486b-943f-7972f19f807d" changed="not-changed">
<enum>(B)</enum>
<text>in subparagraph (A), by inserting <quote>for each such type of representative</quote> before the semicolon at the end;</text>
</subparagraph>
<subparagraph id="id227edd5b-6151-414d-837b-787e2d67979e" changed="not-changed">
<enum>(C)</enum>
<text>in subparagraph (B)(iii), by striking <quote>and</quote> at the end;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id7cf6ec7d-1de7-425b-8bfc-48ee473fd1fb" changed="not-changed">
<enum>(D)</enum>
<text>in subparagraph (C), by adding <quote>and</quote> at the end; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idbca0f339-f324-4f38-bcc3-0e54295e7637" changed="not-changed">
<enum>(E)</enum>
<text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id5fb8f05b-3766-46b3-b0ed-d931422e5fcd" changed="not-changed"> <subparagraph id="ida6a830b0-e096-40dd-868e-7b3121cbaa12" changed="not-changed"> <enum>(D)</enum> <text>with respect to representatives of the Office who are unpaid volunteers, take into consideration the degree to which each such type of unpaid volunteer performs activities requiring specialized training, with a goal of reducing unnecessary training requirements for prospective unpaid volunteers;</text>
</subparagraph>
<after-quoted-block>; and</after-quoted-block>
</quoted-block>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id23f6cd75-d3e1-47f1-abf9-2866c77ab03a" changed="not-changed">
<enum>(2)</enum>
<text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="id5c094c94-4d84-408a-a259-9a099fe194fd" changed="not-changed"> <subsection id="idb36189f4-ad6c-4e41-8fe8-002b9c0d92be" changed="not-changed"> <enum>(k)</enum> <header>Training requirements for unpaid volunteers</header> <paragraph commented="no" display-inline="no-display-inline" id="idb67a7b20-279d-4710-88cd-648ab1b48ace" changed="not-changed"> <enum>(1)</enum> <header>In general</header> <text display-inline="yes-display-inline">In providing the model standards described in subsection (h)(5), the Director of the Office of Long-Term Care Ombudsman Programs shall review and, as necessary, update such model standards on a regular basis to tailor such model standards to the individualized training needs of each type of representative of the Office, including each type of unpaid volunteer.</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id245cb7dc-1fc0-4f1a-9127-8124e4b35f79" changed="not-changed">
<enum>(2)</enum>
<header>Considerations</header>
<text display-inline="yes-display-inline">In carrying out paragraph (1), the Director of the Office of Long-Term Care Ombudsman Programs shall take into consideration the degree to which each type of representative of the Office performs activities that require specialized training, with a goal of reducing unnecessary training requirements for unpaid volunteers.</text>
</paragraph>
</subsection>
<after-quoted-block>.</after-quoted-block>
</quoted-block>
</paragraph>
</section>
<section id="id702ae130-f1c1-468a-920d-e5048efdc21d" changed="not-changed">
<enum>704.</enum>
<header>Reporting on State Long-Term Care Ombudsman Programs</header>
<text display-inline="no-display-inline">Chapter 2 of subtitle A of title VII (<external-xref legal-doc="usc" parsable-cite="usc/42/3058f">42 U.S.C. 3058f et seq.</external-xref>) is amended by adding at the end the following:</text>
<quoted-block id="id648fd652-cd83-4260-a652-4b5ad3efdfa6" display-inline="no-display-inline" style="OLC" changed="not-changed">
<section commented="no" display-inline="no-display-inline" section-type="subsequent-section" id="idfcbe437d-33e6-4e46-9f5b-6d242ad32418" changed="not-changed">
<enum>714.</enum>
<header display-inline="yes-display-inline">Reports to Congress</header>
<text display-inline="no-display-inline">Each year, the Assistant Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives, and make publicly available, a report that—</text>
<paragraph id="id977e95a1-63ad-419b-8ced-48432ea91664" changed="not-changed">
<enum>(1)</enum>
<text>aggregates all reports submitted under section 712(h) for such year; and</text>
</paragraph>
<paragraph id="id0cfeb95b-6d0d-47eb-9d69-9e65eda07754" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(2)</enum>
<text>provides a summary of the findings of such reports.</text> </paragraph> </section> <after-quoted-block>.</after-quoted-block> </quoted-block> </section> <section id="id422165e1-bb59-4554-be7a-392bab7939dd" changed="not-changed"> <enum>705.</enum> <header>Study on State Long-Term Care Ombudsman Programs</header> <subsection id="id5e128b42-9395-4d61-b517-f65658c5f2a5" changed="not-changed"> <enum>(a)</enum> <header>In general</header> <text>The Assistant Secretary shall seek to enter into a contract with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the <quote>National Academies</quote>) to conduct a study on the State Long-Term Care Ombudsman programs carried out under the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3001">42 U.S.C. 3001 et seq.</external-xref>), including an assessment of the effectiveness of such programs and any related challenges and recommendations. The study shall include an assessment of the current (as of the date on which the contract is entered into) recommended staff-to-bed ratio for such programs, as appropriate.</text>
</subsection>
<subsection id="id189ad465-47ca-4429-ab01-4955bf113845" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(b)</enum>
<header>Report</header>
<text>Not later than 18 months after the date on which a contract is entered into under subsection (a), the National Academies shall publicly issue a report on the findings of the study under this section.</text>
</subsection>
</section>
<enum>VIII</enum>
<header>Authorizations of appropriations</header>
<section id="idfb187298-0a4f-41c1-b8ce-5ea32dd61a81" changed="not-changed">
<enum>801.</enum>
<header>Administration on Aging</header>
<text display-inline="no-display-inline">Section 216 (<external-xref legal-doc="usc" parsable-cite="usc/42/3020f">42 U.S.C. 3020f</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id02354d52-eba1-4cd4-be4c-67b211a6a126" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (a), by striking <quote>$43,937,410</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$55,469,968 for fiscal year 2026, $58,034,197 for fiscal year 2027, $60,716,964 for fiscal year 2028, $63,523,747 for fiscal year 2029, and $66,460,281 for fiscal year 2030</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id0640e2ff-c07e-4fbe-9afe-a3aea7fee153" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (b)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="idf734bec9-f4ca-4a41-ae15-08e5b83e645d" changed="not-changed"> <enum>(A)</enum> <text display-inline="yes-display-inline">in paragraph (1), by striking <quote>$2,180,660</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$2,753,033 for fiscal year 2026, $2,880,298 for fiscal year 2027, $3,013,447 for fiscal year 2028, $3,152,751 for fiscal year 2029, and $3,298,494 for fiscal year 2030</quote>;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id42cc52ea-3ca4-4ce7-be3f-67537ce84e45" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">in paragraph (2), by striking <quote>$1,988,060</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$2,509,880 for fiscal year 2026, $2,625,905 for fiscal year 2027, $2,747,294 for fiscal year 2028, $2,874,294 for fiscal year 2029, and $3,007,165 for fiscal year 2030</quote>;</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id8cc1ebc9-0aee-4a9a-ae82-b6538ea612e7" changed="not-changed">
<enum>(C)</enum>
<text>in paragraph (3), by striking <quote>$1,371,740</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$1,731,790 for fiscal year 2026, $1,811,846 for fiscal year 2027, $1,895,603 for fiscal year 2028, $1,983,232 for fiscal year 2029, and $2,074,911 for fiscal year 2030</quote>; and</text>
</subparagraph>
<subparagraph id="id1ff0af95-063a-49e3-b437-6568ebfe9f30" changed="not-changed">
<enum>(D)</enum>
<text>in paragraph (4), by striking <quote>$8,687,330</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$10,967,554 for fiscal year 2026, $11,474,555 for fiscal year 2027, $12,004,993 for fiscal year 2028, $12,559,952 for fiscal year 2029, and $13,140,565 for fiscal year 2030</quote>.</text>
</subparagraph>
</paragraph>
</section>
<section id="id0aade1b8-014d-4c20-ad5e-2d61af4b91df" changed="not-changed">
<enum>802.</enum>
<header>Grants for State and community programs on aging</header>
<subsection commented="no" display-inline="no-display-inline" id="idd1398a6b-e624-4aa1-a0cb-21386f8f23e3" changed="not-changed">
<enum>(a)</enum>
<header display-inline="yes-display-inline">In general</header>
<text display-inline="yes-display-inline">Section 303 (<external-xref legal-doc="usc" parsable-cite="usc/42/3023">42 U.S.C. 3023</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id44fca6b8-d3b5-4438-8751-4ef9576232d0" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">in subsection (a)(1), by striking <quote>$412,029,180</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$520,177,347 for fiscal year 2026, $544,223,762 for fiscal year 2027, $569,381,780 for fiscal year 2028, $595,702,785 for fiscal year 2029, and $623,240,541 for fiscal year 2030</quote>;</text>
</paragraph>
<paragraph id="ida01a2aed-b341-4850-8a5a-b72849303649" changed="not-changed">
<enum>(2)</enum>
<text>in subsection (b)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="id43086bf6-88f9-4a5d-bfa1-313f1feaa890" changed="not-changed"> <enum>(A)</enum> <text>in paragraph (1), by striking <quote>$530,015,940</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$669,132,913 for fiscal year 2026, $700,065,148 for fiscal year 2027, $732,427,298 for fiscal year 2028, $766,285,465 for fiscal year 2029, and $801,708,804 for fiscal year 2030</quote>; and</text>
</subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idedf600bb-dd80-46f3-b0af-ca085248a4fd" changed="not-changed">
<enum>(B)</enum>
<text display-inline="yes-display-inline">in paragraph (2), by striking <quote>$268,935,940</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$339,525,428 for fiscal year 2026, $355,220,786 for fiscal year 2027, $371,641,698 for fiscal year 2028, $388,821,705 for fiscal year 2029, and $406,795,899 for fiscal year 2030</quote>;</text>
</subparagraph>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id5e58030b-ab23-4380-89de-fffded4ecb7a" changed="not-changed">
<enum>(3)</enum>
<text>in subsection (d), by striking <quote>$26,587,360</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$33,565,929 for fiscal year 2026, $35,117,593 for fiscal year 2027, $36,740,986 for fiscal year 2028, $38,439,424 for fiscal year 2029, and $40,216,376 for fiscal year 2030</quote>; and</text>
</paragraph>
<paragraph id="id1f05969c-f1a7-4748-b232-f6293235c643" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(4)</enum>
<text>in subsection (e), by striking <quote>$193,869,020</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$244,755,171 for fiscal year 2026, $256,069,552 for fiscal year 2027, $267,906,966 for fiscal year 2028, $280,291,593 for fiscal year 2029, and $293,248,728 for fiscal year 2030</quote>.</text>
</paragraph>
</subsection>
<subsection commented="no" display-inline="no-display-inline" id="id0445e1ee-d2a4-4498-b5c0-02845df226f2" changed="not-changed">
<enum>(b)</enum>
<header>Nutrition services incentive program</header>
<text>Section 311(e) (<external-xref legal-doc="usc" parsable-cite="usc/42/3030a">42 U.S.C. 3030a(e)</external-xref>) is amended by striking <quote>$171,273,830 </quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$216,229,264 for fiscal year 2026, $226,224,968 for fiscal year 2027, $236,682,747 for fiscal year 2028, $247,623,961 for fiscal year 2029, and $259,070,958 for fiscal year 2030</quote>.</text>
</subsection>
</section>
<section id="ida07d8fb2-ff37-47a1-a33a-b553a33f9382" changed="not-changed">
<enum>803.</enum>
<header>Activities for health, independence, and longevity</header>
<text display-inline="no-display-inline">Section 411(b) (<external-xref legal-doc="usc" parsable-cite="usc/42/3032">42 U.S.C. 3032(b)</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="idf53d2c49-1a13-4770-8c1c-ad3c55361fa3" changed="not-changed">
<enum>(1)</enum>
<text display-inline="yes-display-inline">in paragraph (1), by striking <quote>$14,514,550</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$18,324,285 for fiscal year 2026, $19,171,368 for fiscal year 2027, $20,057,609 for fiscal year 2028, $20,984,819 for fiscal year 2029, and $21,954,892 for fiscal year 2030</quote>; and</text>
</paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id032de137-d9d0-47c6-9c28-113edce4c414" changed="not-changed">
<enum>(2)</enum>
<text>in paragraph (2), by striking <quote>$15,613,440</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$19,711,608 for fiscal year 2026, $20,622,823 for fiscal year 2027, $21,576,161 for fiscal year 2028, $22,573,570 for fiscal year 2029, and $23,617,086 for fiscal year 2030</quote>.</text>
</paragraph>
</section>
<section id="id6f893288-b8b7-4066-b5dc-008288c6a75d" changed="not-changed">
<enum>804.</enum>
<header>Community Service Senior Opportunities Act</header>
<text display-inline="no-display-inline">Section 517(a) (<external-xref legal-doc="usc" parsable-cite="usc/42/3056o">42 U.S.C. 3056o(a)</external-xref>) is amended by striking <quote>$428,000,000</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$540,340,139 for fiscal year 2026, $565,318,627 for fiscal year 2027, $591,451,804 for fiscal year 2028, $618,793,048 for fiscal year 2029, and $647,398,205 for fiscal year 2030</quote>.</text>
</section>
<section id="id2afb2548-c2d6-407a-9e10-b91dc894e628" changed="not-changed">
<enum>805.</enum>
<header>Grants for Native Americans</header>
<text display-inline="no-display-inline">Section 643 (<external-xref legal-doc="usc" parsable-cite="usc/42/3057n">42 U.S.C. 3057n</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id24c8bc34-c376-4efe-a700-75b963d30911" changed="not-changed">
<enum>(1)</enum>
<text>in paragraph (1), by striking <quote>$37,102,560</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$47,028,435 for fiscal year 2026, $49,202,434 for fiscal year 2027, $51,476,932 for fiscal year 2028, $53,856,574 for fiscal year 2029, and $56,346,220 for fiscal year 2030</quote>; and</text>
</paragraph>
<paragraph id="idcac1e5e7-d3a8-47b4-8df4-aa4229142845" commented="no" display-inline="no-display-inline" changed="not-changed">
<enum>(2)</enum>
<text>in paragraph (2), by striking <quote>$10,759,920</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$13,584,151 for fiscal year 2026, $14,212,110 for fiscal year 2027, $14,869,098 for fiscal year 2028, $15,556,457 for fiscal year 2029, and $16,275,591 for fiscal year 2030</quote>.</text>
</paragraph>
</section>
<section id="idc06f6854-a59d-4179-b03e-2e2acc2c31e5" changed="not-changed">
<enum>806.</enum>
<header>Allotments for elder rights protection activities</header>
<text display-inline="no-display-inline">Section 702 (<external-xref legal-doc="usc" parsable-cite="usc/42/3058a">42 U.S.C. 3058a</external-xref>) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="id8322ba55-c9e8-4784-9b59-fb27f155167d" changed="not-changed">
<enum>(1)</enum>
<text>in subsection (a), by striking <quote>$18,066,950</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$22,809,108 for fiscal year 2026, $23,863,512 for fiscal year 2027, $24,966,659 for fiscal year 2028, $26,120,801 for fiscal year 2029, and $27,328,297 for fiscal year 2030</quote>; and</text>
</paragraph>
<paragraph id="id92f58bd2-4519-415a-a079-7308416be552" changed="not-changed" commented="no" display-inline="no-display-inline">
<enum>(2)</enum>
<text>in subsection (b), by striking <quote>$5,107,110</quote> and all that follows through <quote>fiscal year 2024</quote> and inserting <quote>$6,447,609 for fiscal year 2026, $6,745,665 for fiscal year 2027, $7,057,499 for fiscal year 2028, $7,383,748 for fiscal year 2029, and $7,725,079 for fiscal year 2030</quote>.</text>
</paragraph>
</section>