[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[S. 1203 Introduced in Senate (IS)]







106th CONGRESS
  1st Session
                                S. 1203

 To amend the Older Americans Act of 1965 to extend authorizations of 
appropriations for programs under the Act through fiscal year 2004, to 
  establish a National Family Caregiver Support Program, to modernize 
  aging programs and services, to address the need to engage in life 
                course planning, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 10, 1999

  Ms. Mikulski (for herself, Mr. Feingold, Mr. Dodd, Mrs. Murray, and 
  Mrs. Lincoln) (by request) introduced the following bill; which was 
 read twice and referred to the Committee on Health, Education, Labor, 
                              and Pensions

_______________________________________________________________________

                                 A BILL


 
 To amend the Older Americans Act of 1965 to extend authorizations of 
appropriations for programs under the Act through fiscal year 2004, to 
  establish a National Family Caregiver Support Program, to modernize 
  aging programs and services, to address the need to engage in life 
                course planning, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; REFERENCES IN ACT; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Older Americans 
Act Amendments of 1999''.
    (b) References.--Except where otherwise specifically provided, 
references in this Act shall be considered to be made to the Older 
Americans Act of 1965, or to a section or other provision thereof.
    (c) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; references in Act.
         TITLE I--AMENDMENTS TO THE OLDER AMERICANS ACT OF 1965

                    Part A--Administration on Aging

Sec. 101. National Eldercare Locator Service.
Sec. 102. Repeal of executed requirements.
Sec. 103. Development of performance outcome measures.
Sec. 104. Federal agency consultation.
Sec. 105. Acceptance of gifts for certain purposes.
Sec. 106. Authorization of appropriations.
             Part B--State and Community Programs on Aging

Sec. 111. Clarification concerning services to non-elderly.
Sec. 112. Reorganization and streamlining of area plan requirements.
Sec. 113. Coordination of services for individuals with disabilities 
                            under area plans.
Sec. 114. Eligibility of older Native Americans for services under area 
                            plans.
Sec. 115. Reorganization and streamlining of state plan requirements.
Sec. 116. Health care information systems.
Sec. 117. State option for cost sharing.
Sec. 118. State option concerning consumer-directed services.
Sec. 119. State-area agency service innovation development projects.
Sec. 120. Transfer of funds between programs.
Sec. 121. Availability of disaster relief funds to tribal 
                            organizations.
Sec. 122. Nutrition services incentive program.
Sec. 123. Waivers of certain requirements for State programs.
Sec. 124. Consolidation of authorities for supportive services and 
                            senior centers.
Sec. 125. Consolidation of authorities for nutrition services.
Sec. 126. National family caregiver support program.
Sec. 127. Authorization of appropriations.
     Part C--State and Local Innovations and Programs of National 
                              Significance

Sec. 141. Revision of title IV.
Sec. 142. Authorization of appropriations.
        Part D--Community Service Employment for Older Americans

Sec. 151. Purposes of projects.
Sec. 152. Program authorized.
Sec. 153. Administration.
Sec. 154. Equitable distribution of assistance.
Sec. 155. Authorization of appropriations.
Sec. 156. Workforce investment activities.
Sec. 157. Additional provisions.
                  Part E--Grants for Native Americans

Sec. 161. Limit of one grant per Native American organization.
Sec. 162. Expenditures for nutrition services.
Sec. 163. Authorization of appropriations.
               Part F--Vulnerable Elder Rights Protection

Sec. 171. Consolidated authorization of appropriations and related 
                            amendments.
Sec. 172. Life course planning program.
Sec. 173. Demonstration authority extended to life course planning.
Sec. 174. Amendment of inconsistent provisions concerning assistance 
                            program for insurance and public benefits.
                          Part G--Definitions

Sec. 181. Definitions.
                         Part H--Effective Date

Sec. 191. Effective date.
               TITLE II--WHITE HOUSE CONFERENCE ON AGING

Sec. 201. White House Conference authorized.
Sec. 202. Conference administration.
Sec. 203. Policy Committee; related committees.
Sec. 204. Report of the Conference.
Sec. 205. Definitions.
Sec. 206. Authorization of appropriations.

         TITLE I--AMENDMENTS TO THE OLDER AMERICANS ACT OF 1965

                    PART A--ADMINISTRATION ON AGING

SEC. 101. NATIONAL ELDERCARE LOCATOR SERVICE.

    Section 202(a)(24) (42 U.S.C. 3012(a)(24)) is amended to read as 
follows:
                    ``(24) develop and operate, either directly or 
                through contracts, grants, or cooperative agreements, a 
                National Eldercare Locator Service, providing 
                nationwide toll-free information and assistance 
                services to identify community resources for older 
                individuals;''.

SEC. 102. REPEAL OF EXECUTED REQUIREMENTS.

    (a) Study on Targeting of Funds.--Section 202(a) (42 U.S.C. 
3012(a)) is amended--
            (1) by striking paragraph (27); and
            (2) by redesignating paragraphs (28) through (30) as 
        paragraphs (27) through (29), respectively.
    (b) Evaluation of Nutrition Services.--Section 206 (42 U.S.C. 3017) 
is amended--
            (1) by striking subsection (g); and
            (2) by redesignating subsection (h) as subsection (g).

SEC. 103. DEVELOPMENT OF PERFORMANCE OUTCOME MEASURES.

    Section 202 (42 U.S.C. 3012) is amended by adding at the end the 
following new subsection:
    ``(f) Performance Outcome Measures.--
            ``(1) In general.--The Assistant Secretary, in accordance 
        with the process described in paragraph (2), shall develop in 
        collaboration with a representative group of State and area 
        agencies on aging, and publish by December 31, 2000, a set of 
        performance outcome measures to be used for planning, managing, 
        and evaluating activities performed and services provided under 
        the Act.
            ``(2) Development procedure.--The process for developing 
        the performance outcome measures described in paragraph (1) 
        shall include--
                    ``(A) a review of such measures currently in use by 
                State and area agencies on aging;
                    ``(B) development of a set of such measures that 
                provide information about the major activities 
                performed and services provided under this Act;
                    ``(C) pilot testing of the proposed set of such 
                measures, including an identification of resource, 
                infrastructure, and data collection issues at the State 
                and local levels; and
                    ``(D) evaluation of the pilot test and 
                recommendations for modification of the proposed 
                measures.''.

SEC. 104. FEDERAL AGENCY CONSULTATION.

    Section 203(b) (42 U.S.C. 3013(b)) is amended--
            (1) by striking ``and'' at the end of paragraph (17);
            (2) by striking the period at the end of paragraph (18) and 
        inserting ``; and''; and
            (3) by adding at the end the following new paragraph:
            ``(19) title I of the Workforce Investment Act of 1998.''.

SEC. 105. ACCEPTANCE OF GIFTS FOR CERTAIN PURPOSES.

    Section 215 (42 U.S.C. 3020f) is amended--
            (1) in the caption, by striking ``Appropriations'' and 
        inserting ``Appropriations; Gifts.''; and
            (2) by adding at the end the following new subsection:
    ``(c) Gifts.--
            ``(1) Authority to accept gifts.--The Assistant Secretary 
        may accept, on behalf of the United States, gifts (in cash or 
        in kind, including voluntary and uncompensated services), which 
        shall be available until expended for the purposes specified in 
paragraph (2). Gifts of cash shall be available in addition to amounts 
appropriated to carry out this Act.
            ``(2) Use of gifts.--Gifts accepted pursuant to paragraph 
        (1) may be used either directly, or for grants to or contracts 
        with public or non-profit private entities, for the following 
        activities under this title:
                    ``(A) The design and implementation of 
                demonstrations of innovative ideas and best practices 
                in programs and services for older individuals.
                    ``(B) The planning and conduct of conferences for 
                the purpose of exchange among concerned individuals and 
                public and private entities and organizations of 
                information relating to programs under this Act and 
                other programs and services for older individuals.
                    ``(C) The development, publication, and 
                dissemination of informational materials (in print, 
                visual, electronic, or other media) relating to the 
                programs and services under this Act and other matters 
                of concern to older individuals.
            ``(3) Ethics guidelines.--The Assistant Secretary shall 
        establish written guidelines setting forth the criteria to be 
        used in determining whether the acceptance of gifts or 
        donations pursuant to this paragraph would reflect unfavorably 
        upon the ability of the Administration on Aging, or the 
        Department of Health and Human Services, or any employee to 
        carry out its responsibilities or official duties in a fair and 
        objective manner, or would compromise the integrity or the 
        appearance of integrity of its programs or of any official 
        involved in those programs.''.

SEC. 106. AUTHORIZATIONS OF APPROPRIATIONS.

    (a) Federal Council on the Aging.--Section 204(g) (42 U.S.C. 
3015(g)) is amended by striking all that follows ``There are authorized 
to be appropriated'' and inserting ``such sums as may be necessary to 
carry out this section.''.
    (b) Administration on Aging.--Section 215 (42 U.S.C. 3020f) (as 
amended by section 102) is further amended--
            (1) by striking ``for the Administration'' and all that 
        follows and inserting the following:
``for the Administration--
            ``(1) $16,830,000 for fiscal year 2000; and
            ``(2) such sums as may be necessary for each of the four 
        succeeding fiscal years.'';
            (2) by striking subsection (b); and
            (3) by redesignating subsection (c) (as added by section 
        102) as subsection (b).

             PART B--STATE AND COMMUNITY PROGRAMS ON AGING

SEC. 111. CLARIFICATION CONCERNING SERVICES TO NON-ELDERLY.

    Section 301 (42 U.S.C. 3021) is amended by adding at the end the 
following new subsection:
    ``(d) Scope of Services; Use of Funds.--
            ``(1) Restricted use of resources under the act.--Federal 
        funds paid to States under this title, and cash and in-kind 
        contributions required by section 304(d) as the non-Federal 
        share of expenditures under this title, shall be used only for 
        activities and services to benefit older individuals and other 
        individuals as specifically provided in this title.
            ``(2) Restriction inapplicable to other resources.--Neither 
        paragraph (1) nor any other provision of this title shall be 
        construed to prohibit State or area agencies on aging from 
        engaging in activities or providing services to benefit 
        individuals not described in paragraph (1) using cash or in-
        kind resources from sources not described in paragraph (1).''.

SEC. 112. REORGANIZATION AND STREAMLINING OF AREA PLAN REQUIREMENTS.

    (a) Area Plan Requirements.--Section 306(a) (42 U.S.C. 3026(a)) is 
amended--
            (1) in the matter preceding paragraph (1), by striking 
        ``Each such plan shall--'' and inserting ``Each such plan shall 
        comply with the following requirements:'';
            (2) in paragraph (1), to read as follows:
            ``(1) Services provided.--The plan shall provide for the 
        furnishing, through a comprehensive and coordinated system, of 
        services the need for which has been determined pursuant to 
        paragraph (3), including--
                    ``(A) supportive services (including at least the 
                service specified in paragraph (2);
                    ``(B) nutrition services; and
                    ``(C) where appropriate, the establishment, 
                maintenance, or construction of multipurpose senior 
                centers.'';
            (3) in paragraph (2)--
                    (A) by inserting ``Priority services.--The plan 
                shall'' after ``(2)'';
                    (B) by striking ``section 307(a)(22)'' and 
                inserting ``section 307(a)(2)'';
                    (C) by striking ``and specify annually in such 
                plan, as submitted or as amended'' and inserting ``and 
                assurances that the area agency will report annually to 
                the State agency''; and
                    (D) by striking the semicolon at the end and 
                inserting a period;
            (4) by striking paragraphs (3) (designation of focal points 
        for service delivery in each community) and (4) (information 
        and assistance services);
            (5) by inserting after paragraph (2) the following new 
        paragraph:
            ``(3) Determination of needs.--The plan shall provide for 
        determining the extent of need for the services specified in 
        paragraphs (1) and (2) in the area taking into consideration, 
        among other things--
                    ``(A) the numbers of older individuals residing in 
                such area--
                            ``(i) who have low incomes;
                            ``(ii) who have greatest economic need 
                        (with particular attention to low-income 
                        minority individuals);
                            ``(iii) who have greatest social need (with 
                        particular attention to low-income minority 
                        individuals); or
                            ``(iv) who are Native Americans; and
                    ``(B) the effectiveness of use of resources 
                (including efforts of volunteers and voluntary 
                organizations) in meeting such need.'';
            (6) by redesignating paragraph (5) as paragraph (4), and 
        amending the paragraph--
                    (A) by inserting ``Objectives for services to older 
                individuals with greatest need.--The plan shall'' after 
                ``(4)''; and
                    (B) by striking the semicolon at the end and 
                inserting a period;
            (7) in paragraph (6)--
                    (A) by inserting ``Policy development.--The plan 
                shall--'' after ``(6)'';
                    (B) by striking subparagraphs (A) (evaluations and 
                public hearings) and (B) (technical assistance to 
                providers);
                    (C) by relocating and redesignating subparagraph 
                (D) as subparagraph (A);
                    (D) by relocating and redesignating subparagraph 
                (F) as subparagraph (B);
                    (E) by relocating and redesignating subparagraph 
                (M) as subparagraph (D);
                    (F) by striking the semicolon at the end of 
                subparagraph (D) (as so redesignated) and inserting a 
                period; and
                    (G) by striking subparagraphs (E) (arrangements 
                with specified organizations), (G) (methods for 
                determining priority services), (J) (identification of 
                protective service providers), (L) (coordination of 
                services for Alzheimer's patients), (O) (information on 
                higher education), (Q) (coordination with housing 
                providers), (R) (telephone listings of area agencies), 
                and (S) (coordination of transportation services);
            (8) by striking paragraphs (7) through (10) (assurances 
        that funds will be spent for the purposes awarded);
            (9) by striking subparagraphs (I) and (K) of paragraph (6) 
        (community-based long-term care services) and inserting after 
        paragraph (6) the following new paragraph:
            ``(7) Community-based long-term care services.--The plan 
        shall provide that the area agency will facilitate the 
        coordination of community-based, long-term care services 
        designed to enable older individuals to remain in their homes, 
        by means including--
                    ``(A) development of case management services as a 
                component of the long-term care services, consistent 
                with the requirements of paragraph (8);
                    ``(B) involvement of long-term care providers in 
                the coordination of such services; and
                    ``(C) increasing community awareness of and 
                involvement in addressing the needs of residents of 
                long-term care facilities.'';
            (10) by relocating and redesignating paragraph (20) as 
        paragraph (8), and amending such paragraph by inserting 
        ``Provision of case management services.--The plan shall'' 
        after ``(8)'';
            (11) by redesignating paragraph (11) as paragraph (9), and 
        amending such paragraph--
                    (A) by inserting ``Maintenance of effort for 
                ombudsman program.--The plan shall'' after ``(9)'';
                    (B) by striking ``section 307(a)(12)'' and 
                inserting ``section 307(a)(9)''; and
                    (C) by striking the semicolon at the end and 
                inserting a period;
            (12) by redesignating and relocating paragraph (6)(P) as 
        paragraph (10), and amending such paragraph--
                    (A) by inserting ``Grievance procedure.--The plan 
                shall'' after ``(10)''; and
                    (B) by striking the semicolon and inserting a 
                period;
            (13) by striking paragraphs (6)(N), (18), and (19), and 
        inserting after paragraph (10) the following paragraph:
            ``(11) Services to native americans.--The plan shall 
        provide the following assurances concerning services to older 
        Native Americans:
                    ``(A) If there is a significant population of older 
                individuals who are Native Americans in the area, the 
                area agency will pursue activities, including outreach, 
                to increase access of such individuals to programs and 
                benefits under this title.
                    ``(B) The area agency will, to the maximum extent 
                practicable, coordinate the services it provides under 
                this title with services provided under title VI.'';
            (14) by striking paragraph (12) (area option concerning 
        volunteer services coordinator);
            (15) by striking paragraphs (13) through (16) (description 
        of and assurances concerning activities of area agency);
            (16) by striking paragraph (17); and
            (17) by striking paragraph (6)(H), and inserting after 
        paragraph (11) the following new paragraph:
            ``(12) Coordination with programs of other agencies.--The 
        plan shall provide that the area agency on aging will establish 
        procedures for coordination with entities conducting other 
        Federal or Federally assisted programs for older individuals at 
        the local level, with particular emphasis on entities 
        conducting programs described in section 203(b) within the 
        area.''.
    (b) State Waivers.--Section 306(b) (42 U.S.C. 3026(b)) is amended--
            (1) by striking paragraph (2) (procedural requirements for 
        State agency waivers to area agencies); and
            (2) by striking ``(1)'' after ``(b)''.

SEC. 113. COORDINATION OF SERVICES FOR INDIVIDUALS WITH DISABILITIES 
              UNDER AREA PLANS.

    Section 306(a) (42 U.S.C. 3026(a)) (as amended by section 112 of 
this Act) is further amended by inserting after paragraph (4) the 
following new paragraph:
            ``(5) Coordination of services for individuals with 
        disabilities.--The plan shall provide assurances that the area 
        agency on aging will coordinate planning, identification, 
        assessment of needs, and services for older individuals with 
        disabilities, with particular attention to individuals with 
        severe disabilities, with agencies that develop or provide 
        services for individuals with disabilities.''.

SEC. 114. ELIGIBILITY OF OLDER INDIANS FOR SERVICES UNDER AREA PLANS.

    (a) Under Area Plans.--Section 306(a)(11) (42 U.S.C. 3026(a)(11)) 
(as added by section 112) is amended by adding at the end the following 
new subparagraph:
                    ``(C) Notwithstanding any provision of this Act 
                restricting eligibility for services to individuals 
                aged 60 or older, the area agency will make services 
                under the area plan available, to the same extent as 
                such services are available to older individuals within 
                the service area, to older Indians eligible for 
                services under an approved plan under title VI.''.
    (b) Under Grants for Indians.--Sections 602, 611, 613, and 614 (42 
U.S.C. 3057a. 3057b, 3057d, and 3057e, respectively) are each amended 
by striking ``individuals who are'' each place it appears.

SEC. 115. REORGANIZATION AND STREAMLINING OF STATE PLAN REQUIREMENTS.

    Section 307(a) (42 U.S.C. 3027(a)) is amended--
            (1) by striking paragraphs (1) and (2) and inserting the 
        following:
            ``(1) Area plans.--The plan shall--
                    ``(A) require each area agency designated under 
                section 305(a)(2)(A) to develop and submit to the State 
                agency for approval, in accordance with a uniform 
                format developed by the State agency, an area plan 
                meeting the requirements of section 306; and
                    ``(B) be based on such area plans.'';
            (2) by striking paragraphs (3)(A) (evaluation of need for 
        services), (9) (information and assistance services), and (22) 
        (funding shares for priority services), and amending paragraph 
        (2) to read as follows:
            ``(2) Determination of service needs.--The plan shall 
        provide that the State agency will--
                    ``(A) evaluate, using uniform procedures under 
                section 202(a)(29), the need for supportive services 
                (including legal assistance, information and 
                assistance, and transportation services), nutrition 
                services, and multipurpose senior centers within the 
                State;
                    ``(B) determine the extent to which existing public 
                or private programs and resources (including volunteers 
                and programs and services of voluntary organizations) 
                meet such need; and
                    ``(C) specify a minimum percentage of the funds 
                received by each area agency for part B to be expended 
                (unless waived by the State agency under section 
                306(b)) (42 U.S.C. 3026(b)) by such area agency to 
                provide each of the categories of services specified in 
                section 306(a)(2).'';
            (3) by striking paragraphs (3)(B) (maintaining rural 
        funding), (29) and (37) (rural services and costs thereof), and 
        (33) (intra-State funding formula), and adding after paragraph 
        (2) the following new paragraph:
            ``(3) Intra-state funding requirements.--The plan shall--
                    ``(A) include (and may not be approved unless the 
                Assistant Secretary approves) the statement and 
                demonstration required by paragraphs (2) and (4) of 
                section 305(d) (concerning intra-State distribution of 
                funds); and
                    ``(B) with respect to services to older individuals 
                residing in rural areas--
                            ``(i) provide assurances that the State 
                        agency will spend for each fiscal year, under 
                        this title and titles V and VII, not less than 
                        105 percent of the amount so expended for 
                        fiscal year 1978;
                            ``(ii) identify, for each fiscal year under 
                        the plan, the projected costs of providing such 
                        services (including the cost of providing 
                        access to such services); and
                            ``(iii) describe the methods used to meet 
                        the needs for the such services in the fiscal 
                        year preceding the first year to which such 
                        plan applies.'';
            (4) by striking paragraph (4) (methods of administration, 
        personnel standards);
            (5) by striking paragraph (8) (evaluations and hearings) 
        and inserting after paragraph (3) the following paragraph:
            ``(4) Evaluations.--The plan shall provide that the State 
        agency will conduct periodic evaluations of, and public 
        hearings on, activities and projects carried out in the State 
        under this title and title VII, including evaluations of the 
        effectiveness of outreach and provision of services to 
        individuals with greatest economic need, greatest social need, 
        or disabilities, with particular attention to low-income 
        minority individuals.'';
            (6) by striking paragraph (43) (grievance procedures) and 
        amending paragraph (5) (hearing for area agencies and 
        providers) to read as follows:
            ``(5) Hearings for area agencies and providers; grievance 
        procedures.--The plan shall provide that the State agency 
        will--
                    ``(A) afford an opportunity for a hearing upon 
                request, in accordance with published procedures, to 
                any area agency submitting a plan under this title, or 
                to any provider of (or applicant to provide) services 
                under such a plan; and
                    ``(B) issue guidelines applicable to grievance 
                procedures required by section 306(a)(10).'';
            (7) in paragraph (6), by inserting ``Reports.--'' after 
        ``(6)'';
            (8) in paragraph (7)--
                    (A) by inserting ``Fiscal controls.--'' after 
                ``(7)''; and
                    (B) by striking subparagraph (C);
            (9) by redesignating paragraph (10) as paragraph (8) and 
        amending such paragraph by inserting ``Restriction on direct 
        provision of services.--'' after ``(8)'';
            (10) by striking paragraph (11) (hiring preference for 
        older individuals and individuals trained in field of aging);
            (11)(A) by redesignating paragraph (12) as paragraph (9), 
        and amending such paragraph--
                    (i) by inserting ``Long-term care ombudsman 
                program.--'' after ``(9)''; and
                    (ii) by adding before the period ``, and will 
                expend for such purpose not less than the total amount 
                so expended by the State agency in fiscal year 1991''; 
                and
            (B) by striking paragraph (21);
            (12) by redesignating paragraph (13) as paragraph (10), and 
        amending such paragraph--
                    (A) by inserting ``Nutrition serv-
                ices.--'' after ``(10)'';
                    (B) by striking subparagraphs (B) (primary 
                consideration to congregate meals), (D) (accessibility 
                of congregate meal site), (E) (outreach), (H) 
                (grandfathered providers of home-delivered meals), and 
                (M) (nonfinancial eligibility criteria); and
                    (C)(i) by inserting ``and'' at the end of 
                subparagraph (K);
                    (ii) by striking ``; and'' at the end of 
                subparagraph (L) and inserting a period; and
                    (iii) by redesignating subparagraph (C) and the 
                remaining subparagraphs as subparagraphs (B) through 
                (H);
            (13) by striking paragraph (14) (restrictions on use of 
        funds under the Act for acquisition, alteration, or 
        construction of facilities);
            (14)(A) by redesignating paragraph (15) as paragraph (12), 
        and amending such paragraph--
                    (i) by inserting ``Legal assistance.--'' after 
                ``(12)''; and
                    (ii)(I) by striking ``and'' at the end of 
                subparagraph (D); and
                    (II) by striking the period at the end of 
                subparagraph (E) and inserting ``; and''; and
            (B)(i) by amending paragraph (18) by striking all that 
        precedes ``assign personnel'' and inserting ``the State will''; 
        and
            (ii) by relocating and redesignating such paragraph (18) as 
        paragraph (12)(F);
            (15) by redesignating paragraph (16) as paragraph (13), and 
        amending such paragraph by inserting ``Prevention of abuse.--'' 
        after ``(13)'';
            (16) by striking paragraph (17) (in-service personnel 
        training);
            (17) by striking paragraph (19) (guarantees that area 
        agencies may give grants or contracts to providers of education 
        and training services);
            (18) by redesignating paragraph (20) as paragraph (14), and 
        amending such paragraph by inserting ``Older individuals of 
        limited english-speaking ability.--'';
            (19) by redesignating paragraph (23) as paragraph (15), and 
        amending such paragraph by inserting ``Special needs 
        populations.--'' after ``(15)'';
            (20) by redesignating paragraph (24) as paragraph (16), and 
        amending such paragraph by inserting ``Outreach.--'' after 
        ``(16)'';
            (21) by redesignating paragraph (25) as paragraph (17), and 
        amending such paragraph by inserting ``Older individuals with 
        severe disabilities.--'' after ``(17)'';
            (22) by redesignating paragraph (26) as paragraph (18), and 
        amending such paragraph--
                    (A) by inserting ``Community-based services.--(A) 
                Long-term care serv-
                ices.--'' after ``(18)''; and
                    (B) by striking ``section 306(a)(6)(I)'' and 
                inserting ``section 306(a)(6)(D)'';
            (23) by relocating and redesignating paragraph (44) as 
        paragraph (18)(B);
            (24) by striking paragraph (27) (assurances concerning part 
        D in-home services program);
            (25) by striking paragraph (28) (assurances concerning part 
        E special needs program);
            (26) by redesignating paragraph (30) as paragraph (19), and 
        amending such paragraph by inserting ``Title vii program.--'' 
        after ``(19)'';
            (27) by striking paragraph (31) (State volunteer services 
        coordinator);
            (28) by redesignating paragraph (32) as paragraph (20), and 
        amending such paragraph by inserting ``Technical assistance to 
        providers.--'' after ``(20)'';
            (29)(A) by redesignating paragraph (34) as paragraph (21), 
        and amending such paragraph by inserting ``Older native 
        americans.--(A)'' after ``(21)''; and
            (B) by redesignating subparagraph (A) and (B) of paragraph 
        (35) as clauses (i) and (ii), and redesignating and relocating 
        such paragraph (35) as subparagraph (B) of paragraph (21);
            (30) by redesignating paragraph (36) as paragraph (22), and 
        amending such paragraph by inserting ``Case management 
        providers.--'' after ``(22)'';
            (31) by striking paragraphs (38) and (39) (assurances 
        concerning use of funds);
            (32) by striking paragraph (40) (assurances concerning part 
        G program for inhome caretakers);
            (33) by striking paragraph (41) (efforts to coordinate 
        services and provide multigenerational activities); and
            (34) by striking paragraph (42) (coordination of 
        transportation services);

SEC. 116. HEALTH CARE INFORMATION SYSTEMS.

    Section 307(a) (42 U.S.C. 3027(a)) (as previously amended) is 
amended by inserting after paragraph (10) the following new paragraph:
            ``(11) Health care information, counseling, advocacy, and 
        coordination.--
                    ``(A) Assurance.--The plan shall contain an 
                assurance that the State agency will make demonstrable 
                efforts--
                            ``(i) to develop, arrange for, and operate 
                        a system providing any one or more of the 
                        services specified in subparagraph (B); or
                            ``(ii) to coordinate the provision, by 
                        another entity or entities within the State, of 
                        any one or more of such services.
                    ``(B) Services.--The services which may be provided 
                for under subparagraph (A) include--
                            ``(i) health care information services to 
                        assist older individuals to make informed 
                        health care choices;
                            ``(ii) counseling of older individuals in 
                        the selection of public and private health care 
                        benefits, policies, and options;
                            ``(iii) a health care ombudsman program to 
                        provide health care advocacy and assist 
                        vulnerable older individuals with health care 
                        choices and appeals; and
                            ``(iv) assistance to providers of nutrition 
                        and supportive services and providers of acute 
                        and chronic health care with respect to 
                        identifying and meeting health care needs of 
                        older individuals.''.

SEC. 117. STATE OPTION FOR COST SHARING.

    (a) State Plan Requirement.--Section 307(a) (42 U.S.C. 3027(a)) (as 
previously amended) is amended by adding at the end the following new 
paragraph:
            ``(23) State option for cost sharing.--If the State elects 
        to require cost sharing by recipients of services under the 
        State plan (or to require or permit area agencies on aging to 
        require cost sharing by recipients of services under area 
        plans), the plan shall--
                    ``(A) provide that no cost sharing shall be 
                required for--
                            ``(i) information and assistance, outreach, 
                        or case management services;
                            ``(ii) ombudsman or other protective 
                        services; or
                            ``(iii) congregate or home-delivered 
                        nutrition services; and
                    ``(B)(i) exempt from cost-sharing requirements 
                individuals who declare that they have incomes below a 
                low-income threshold set by the State, and
                    ``(ii) set cost-sharing rates for individuals with 
                incomes above such threshold on a sliding-fee scale 
                based on income.''.
    (b) Area Plan Requirement.--Section 306(a) (42 U.S.C. 3026(a)) (as 
previously amended) is amended by adding at the end the following new 
paragraph:
            ``(12) provide assurances that any requirements for cost-
        sharing by recipients of services under the plan will be 
        consistent with the provisions of the State plan under section 
        307(a)(23).''.

SEC. 118. STATE OPTION CONCERNING CONSUMER-DIRECTED SERVICES.

    (a) State Plan Amendment.--Section 307(a) (42 U.S.C. 3027(a)) (as 
previously amended by this Act) is further amended by adding at the end 
the following new paragraph:
            ``(24) State option concerning consumer-directed 
        services.--The plan shall specify--
                    ``(A) whether (and if so, with respect to which 
                supportive or nutrition services) the State elects to 
                permit area agencies on aging--
                            ``(i) to provide services to older 
                        individuals through direct contracts with the 
                        individuals delivering such services; or
                            ``(ii) to provide vouchers or cash to older 
                        individuals to permit such older individuals to 
                        contract with individuals or entities for the 
                        delivery of such services (and, if so, any 
                        requirements for the setting of payment rates 
                        or amounts);
                    ``(B) the qualifications and other requirements 
                that must be met by individuals and entities providing 
                services under such arrangements; and
                    ``(C) whether (and, if so, the conditions under 
                which) services may be provided to an older individual 
                by a family member under such an arrangement;
                    ``(D) how the State will monitor activities 
                described in subparagraph (A)(ii) to ensure that 
                vouchers or cash are used for the purposes for which 
                they are provided; and
                    ``(E) that the State agency will implement 
                procedures necessary to ensure appropriate withholding 
                and crediting of taxes and other amounts from 
payments to individuals and entities providing consumer-directed 
services, in compliance with applicable Federal and State laws.''.
    (b) Conforming Amendment.--Section 210(b) (42 U.S.C. 302a(b)) is 
amended by inserting ``(including any cash or voucher provided in 
accordance with section 307(a)(24)(A)(ii)'' before ``may be treated as 
income or benefits''.

SEC. 119. STATE-AREA AGENCY SERVICE INNOVATION DEVELOPMENT PROJECTS.

    (a) Projects Authorized.--Section 307 (42 U.S.C. 3027) is amended--
            (1) in subsection (a), as previously amended by this Act, 
        by adding at the end the following new paragraph:
            ``(25) State option for service innovation development 
        projects.--The plan shall state whether the State elects to 
        operate a program under subsection (g), and if so shall provide 
        the information required by subsection (g)(2).''.
    ``(g) Service Innovation Development Projects.--
            ``(1) Projects authorized.--A State agency may elect to 
        implement a project or projects, in collaboration with one or 
        more area agencies, to develop, test, and implement innovative, 
        cost-effective methods of delivering to older individuals and 
        their families services that may be provided with funds under 
        this Act.
            ``(2) State plan requirement.--The State plan shall 
        specify--
                    ``(A) the service innovations to be developed and 
                tested;
                    ``(B) the area agencies that will participate;
                    ``(C) the period during which the project will be 
                implemented;
                    ``(D) the methodology to be used to evaluate the 
                results of the demonstration;
                    ``(E) the amount of funds to be used; and
                    ``(F) such other information as the Assistant 
                Secretary may require.
            ``(3) Availability of funds.--
                    ``(A) In general.--The State agency may reserve, 
                from the total amount appropriated for a fiscal year 
                under subsections (a) and (b) of section 303 and 
                allotted to the State under section 304, up to the 
                greater of 4 percent of such total amount or
                            ``(i) $300,000, in the case of each of the 
                        fifty States, the District of Columbia, and the 
                        Commonwealth of Puerto Rico; and
                            ``(ii) $50,000, in the case of Guam, the 
                        United States Virgin Islands, American Samoa, 
                        and the Commonwealth of the Northern Mariana 
                        Islands.
                    ``(B) Restriction.--Amounts available under this 
                subsection shall be used only for costs of delivering 
                services, and may not be used for related 
                administrative costs.''.

SEC. 120. TRANSFER OF FUNDS BETWEEN PROGRAMS.

    (a) Streamlining of General Rules.--Section 308(b) (42 U.S.C. 
3028(b)) is amended--
            (1) in paragraph (4)--
                    (A) by striking ``(A)'' after ``(4)''; and
                    (B) by striking subparagraph (B) (Assistant 
                Secretary's discretion to permit State to transfer 
                additional amounts between congregate and home-
                delivered meal programs); and
            (2) in paragraph (5) (authority to transfer funds between 
        nutrition and services programs), to read as follows:
    ``(5) Of the funds received by a State for a fiscal year from funds 
appropriated under subsections (a)(1), and (b) (1) and (2), of section 
303, the State may elect to transfer not more than 20 percent between 
programs under part B and part C, for use as the State considers 
appropriate.''.
    (b) Waiver Authority.--For the Assistant Secretary's authority to 
waive limitations on amounts transferable between programs, see section 
123 of this Act, adding a new section 314.

SEC. 121. AVAILABILITY OF DISASTER RELIEF FUNDS TO TRIBAL 
              ORGANIZATIONS.

    Section 310 (42 U.S.C. 3030) is amended--
            (1) in subsection (a)(1)--
                    (A) by inserting ``(or to any tribal organization 
                receiving a grant under title VI)'' after ``any 
                State''; and
                    (B) by inserting ``(or used by such tribal 
                organization)'' before ``for the delivery of supportive 
                services'';
            (2) in subsection (a)(2), by inserting ``and tribal 
        organizations'' after ``States''; and
            (3) in subsection (a)(3), by inserting ``or tribal 
        organization'' after ``State'' each place it appears; and
            (4) in subsections (b)(1) and (c), by inserting ``and 
        tribal organizations'' after ``States''.

SEC. 122. NUTRITION SERVICES INCENTIVE PROGRAM.

    (a) Adjustment of Allotment Formula.--Section 311 (42 U.S.C. 3030a) 
is amended--
            (1) in the caption, to read: ``nutrition services incentive 
        program'';
            (2) by relocating and redesignating subsection (a)(4)(B) as 
        subsection (b)(4);
            (3) by striking the balance of subsection (a)(4);
            (4) by redesignating subsections (a), (b), (c), and (d) as 
        subsections (c), (d), (e), and (f), respectively;
            (5) by inserting after the caption the following new 
        subsections:
    ``(a) Purpose.--The purpose of the program under this section is to 
enable the Secretary of Agriculture to provide incentives to encourage 
and reward effective performance by States and tribal organizations in 
the efficient delivery of nutritious meals to older Americans.
    ``(b) Nutrition Services Incentive Payments.--
            ``(1) In general.--The Secretary shall allot any pay, to 
        each State agency with a plan approved under this title for a 
        fiscal year, and to each tribal organization with an 
        application approved under title VI for such fiscal year, an 
        amount bearing the same ratio to the total amount appropriated 
        for such fiscal year under subsection (e) as the number of 
        meals served in the State, under such plan approved for the 
        preceding fiscal year (or the number of meals served by the 
        tribal organization, under such application approved for such 
        preceding fiscal year), bears to the total number of such meals 
        served in all States and by all tribal organizations under all 
        such plans and applications approved for such preceding fiscal 
        year.
            ``(2) Calculation of allotment for certain tribal 
        organizations.--For purposes of paragraph (1), in the case of a 
        tribal organization that has a plan approved under title VI for 
        a fiscal year but that did not receive assistance under this 
        section for the preceding fiscal year, the number of meals 
        served by the tribal organization in the preceding fiscal year 
        shall be deemed to equal the number of meals that the Assistant 
        Secretary estimates will be served by the tribal organization 
        in the current fiscal year.''; and
            (6) in subsection (e), as redesignated, to read as follows:
    ``(e) Authorization of Appropriations.--For carrying out the 
purposes of this section (other than subsection (c)(1)), there are 
authorized to be appropriated $150,000,000 for fiscal year 2000 and 
such sums as may be necessary for each of the four succeeding fiscal 
years.''.
    (b) Elimination of Maintenance of Effort.--Section 339A is 
repealed.

SEC. 123. WAIVERS OF CERTAIN REQUIREMENTS FOR STATE PROGRAMS.

    (a) General Wavier Authority.--Part A of title III (42 U.S.C. 3021 
et seq.) is amended by adding at the end the following new section:

``SEC. 315. WAIVERS.

    ``(a) In General.--The Assistant Secretary may waive any of the 
provisions enumerated in subsection (b) with respect to a State, upon 
application by the State agency containing or accompanied by 
documentation sufficient to establish, to the satisfaction of the 
Assistant Secretary, that--
            ``(1) approval of the States legislature has been obtained 
        or is not required;
            ``(2) the State agency has consulted with area agencies on 
        aging with respect to the proposal for which waiver is sought;
            ``(3) such proposal has been made available for public 
        review and comment within the State (and a summary of comments 
        received shall be included with the application); and
            ``(4) the State agency has given adequate consideration to 
        the probable positive and negative consequences of approval of 
        the waiver application, and the probable benefits for older 
        individuals can reasonably be expected to outweigh any negative 
        consequences, or particular circumstances in the States 
        otherwise justify the waiver.
    ``(b) Requirements Subject to Waiver.--The provisions of this title 
that may be waived under this section are--
            ``(1) any provisions of section 305, 306, 307 requiring 
        statewide uniformity of programs under this title, to the 
        extent necessary to permit demonstrations, in limited areas of 
        a State, of innovative approaches to assist older individuals;
            ``(2) any area plan requirement under section 306(a);
            ``(3) any State plan requirement under section 307(a);
            ``(4) any restriction, under section 308(b) (4) or (5), on 
        the amount that may be transferred between programs under part 
        B and part C, or between programs under subpart 1 and subpart 2 
        of part C; and
            ``(5) all or any part of the reduction in allotment 
        required under section 309(c) with respect to a State which 
        reduces expenditures under its State plan (but only to the 
        extent that the non-Federal share of expenditures is not 
        reduced below any minimum specified in section 304(d) or any 
        other provision of this title).
    ``(c) Duration of Waiver.--The application by a State agency for a 
waiver under this section shall include a recommendation as to the 
duration of the waiver (not to exceed the duration of the State plan). 
The Assistant Secretary, in granting any waiver, shall specify the 
duration of the waiver, which may be the duration recommended by the 
State agency or such shorter time period as the Assistant Secretary 
finds appropriate.
    ``(d) Reports to Secretary.--The State agency shall make to the 
Assistant Secretary, with respect to each waiver granted under this 
section, not later than one year after the expiration of such waiver, 
and at any times during the waiver period that the Assistant Secretary 
may require, concerning the impact of the waiver on the operation and 
effectiveness of programs and services under this title in the 
State.''.
    (b) Conforming Amendments.--
            (1) Section 207(a) (42 U.S.C. 3018(a)) is amended--
                    (A) by striking paragraph (3); and
                    (B) by redesignating paragraphs (4) and (5) as 
                paragraphs (3) and (4), respectively.
            (2) Section 307(b) (42 U.S.C. 3027(b)) is amended--
                    (A) by striking paragraph (2) (waiver of 
                maintenance of effort for rural areas); and
                    (B) by striking ``(1)'' after ``(b)''.

SEC. 124. CONSOLIDATION AND REVISION OF AUTHORITIES FOR SUPPORTIVE 
              SERVICES AND SENIOR CENTERS.

    (a) Assistance in Obtaining Housing.--Section 321(a)(4) (42 U.S.C. 
3030d(a)(4)) is amended by striking ``or (D)'' and all that follows and 
inserting ``or (D) to assist older individuals to obtain housing 
assisted under programs of the Department of Housing and Urban 
Development;''.
    (b) Community-Based Care and Services.--Section 321(a)(5) (42 
U.S.C. 3030d(a)(5)) is amended by striking ``including'' and all that 
follows and inserting ``including--
                    ``(A) client assessment, case management, and 
                development and coordination of community services;
                    ``(B) in-home services for frail older individuals 
                (including supportive services for victims of 
                Alzheimer's disease and related disorders with 
                neurological and organic brain dysfunction, and for the 
                families of such individuals);
                    ``(C) supportive activities to meet the special 
                needs of caregivers, including caretakers who provide 
                in-home services to frail older individuals;
                    ``(D) in-home and other community services, 
                including home health, homemaker, shopping, escort, 
                reader, and letter writing services, to assist older 
                individuals to live independently in a home 
                environment;''.
    (c) Employment-Related Programs.--Section 321(a)(12) (42 U.S.C. 
3030d(a)(12)) is amended by adding before the semicolon'', including 
coordination with programs administered or assisted by the Department 
of Labor''.
    (d) General Authority.--Section 321(a)(22) (42 U.S.C. 3030d(a)(22)) 
is amended by inserting ``necessary for the general welfare of older 
individuals'' after ``any other services''.
    (e) Relocation of Definitions.--
            (1) Section 342 (42 U.S.C. 3030i) (definition of ``in-home 
        services'') is relocated and redesigned as paragraph (46) of 
        section 102 (42 U.S.C. 3002), and is amended by striking ``For 
        purposes of this part, the term'' and inserting ``The term''.
            (2) Section 363 (42 U.S.C. 3030o) (definition of ``disease 
        prevention and health promotion services'') is relocated and 
        redesignated as paragraph (47) of section 102, and is amended 
        by striking ``For purposes of this part, the term'' and 
        inserting ``The term''.
    (f) Repeal of Superseded Authorities.--
            (1) Substantive authority.--Part (D) (In-Home Services for 
        Frail Older Individuals), part E (Additional Assistance for 
        Special Needs of Older Individuals), and part G (Supportive 
        Activities for Caretakers Who Provide In-Home Services to Frail 
        Order Individuals) (42 U.S.C. 3030h, et seq., 3030l, et seq., 
        and 3030p, et seq., respectively) are repealed.
            (2) Authorization of appropriations.--(A) Repeals; 
        redesignation.--Section 303 (42 U.S.C. 3022) is amended by 
        striking subsections (d), (e), and (g), and by redesignating 
        subsections (f) and (h) as subsections (e) and (f), 
        respectively.
            (B) Conforming amendment.--Sections 202(a)(24) (42 U.S.C. 
        3012(a)(24)) and 304(b)(2) (42 U.S.C. 3024(b)(2)) are each 
        amended by striking ``303(h)'' and inserting ``303(f)''.

SEC. 125. CONSOLIDATION OF AUTHORITIES FOR NUTRITION SERVICES.

    (a) School-Based Meals as Congregate Nutrition Services.--
            (1) Section 331 (42 U.S.C. 3030e) is amended by inserting 
        ``(a) In General.--'' after ``331.''.
            (2) Section 338(a) (42 U.S.C. 3030g-11(a)) is relocated and 
        redesignated as subsection (b) of section 331, and is amended, 
        in the matter preceding paragraph (1), by striking all that 
        precedes ``projects'' and inserting instead the following:
    ``(b) School-Based Meals and Multigenerational Programs.--The State 
may include, in programs under this section,''.
    (b) Repeal of Superseded Authority.--
            (1) Substantive authority.--Part C of title III (42 U.S.C. 
        3030e et seq.) is amended by striking subpart 3 and 
        redesignating subpart 4 as subpart 3.
            (2) Authorization of appropriations.--Section 303(b)(3) (42 
        U.S.C. 3023(b)(2)) is repealed.

SEC. 126. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) Establishment of Program.--Part D of title III (42 U.S.C. 3030h 
et seq.) is amended to read as follows:

          ``PART D--NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM

                    ``Subpart 1--State Grant Program

``SEC. 341. PROGRAM AUTHORIZED.

    ``(a) In General.--The Assistant Secretary shall carry out a 
program under this subpart for making grants to States under State 
plans approved under section 307 for multi-faceted systems of support 
for families and other informal providers of in-home and community care 
to older individuals.
    ``(b) Coordination With Service Providers.--In carrying out the 
provisions of this supart, each area agency on aging shall coordinate 
with other community agencies and voluntary organizations providing the 
types of services for which funding is available under this subpart.
    ``(c) Family Caregiver Support Services.--The services provided in 
a State program under this subpart shall include--
            ``(1) provision of information to caregivers about 
        available services;
            ``(2) assistance to caregivers in gaining access to such 
        services;
            ``(3) individual counseling, organization of support 
        groups, and provision of caregiver training to help families 
        make decisions and solve problems relating to their caregiving 
        roles;
            ``(4) respite care to enable families and other informal 
        caregivers to be temporarily relieved from their caregiving 
        responsibilities; and
            ``(5) provision of supplemental services, on a limited 
        basis, to complement the care provided by families and other 
        informal caregivers.
    ``(d) Eligibility.--In order for the caregiver or caregivers of an 
older individual to be eligible to receive services provided by a State 
program under this subpart, the State must--
            ``(1) determine that the older individual meets the 
        condition specified in either subparagraph (A)(i) or (B) of 
        section 102(28); and
            ``(2) give priority for services to older individuals and 
        families with the greatest social and economic need, consistent 
        with the requirements of section 305(a)(2)(E).
    ``(e) Quality Standards and Accountability.--
            ``(1) The State shall have in place mechanisms designed to 
        assure the quality of services provided with assistance under 
        this subpart.
            ``(2) The State shall collect data and furnish records at 
        the times and in the standardized format that the Assistant 
        Secretary may require in order to enable the Assistant 
        Secretary to monitor State program administration and 
        compliance, and to evaluate and compare the effectiveness of 
        State programs under this subpart.
            ``(3) The State shall report to the Assistant Secretary on 
        the data and information required under section 341(e)(2), 
        including the services and activities funded under this 
        subpart, and standards and methods by which the quality of 
        services shall be assured.
    ``(f) State Option for Cost Sharing.--
            ``(1) In general.--A State may elect to require cost 
        sharing under this subpart for services described in paragraphs 
        (4) and (5) of subsection (a) (or to require or permit area 
        agencies on aging to require cost sharing by recipients of such 
        services under area plans), but--
                    ``(A) individuals with incomes below the Federal 
                poverty line shall be exempt from cost-sharing 
                requirements; and
                    ``(B) cost-sharing rates for individuals with 
                incomes above such threshold shall be set on a sliding-
                fee scale based on income.
            ``(2) Assistant secretary approval.--Fee scales imposed 
        under this subsection are subject to approval by the Assistant 
        Secretary.
            ``(3) Reporting required if fee schedule not used.--A State 
        electing not to require or permit fees pursuant to this 
        subsection shall report to the Assistant Secretary on the 
        alternative methods used by the State to satisfy the 
        requirement of section 305(a)(2)(E) to give priority to 
        individuals with greatest economic and social need.
    ``(g) Availability of Funds.--
            ``(1) In general.--The program under this subpart shall be 
        carried out with the balance of funds appropriated under 
        section 303(d) remaining after reservation of funds under 
        sections 345 and 346 for carrying out subpart 2.
            ``(2) Use of funds for administration of area plans.--
        Amounts made available to a State under this subpart may be 
        used, in addition to amounts available in accordance with 
        section 303(c)(1), for costs of administration of area plans.
            ``(3) Federal share.--
                    ``(A) Notwithstanding section 304(d)(1)(D), amounts 
                made available to a State under this subpart shall be 
                available to pay not more than 75 percent of the costs 
                of services provided under this subpart.
                    ``(B) Federal funds and cost sharing by recipients 
                of services provided under this subpart cannot be used 
                for the non-Federal share of funds under this subpart.

``SEC. 342. MAINTENANCE OF EFFORT.

    ``Funds made available under this subpart shall be in addition to, 
and may not be used to supplant, any funds that are or would otherwise 
be expended under any Federal, State, or local law by a State or unit 
of general purpose local government (including area agencies on aging) 
which have in their planning and service areas existing services 
equivalent to the services which may be funded under this subpart.

               ``Subpart 2--National Innovation Programs

``SEC. 345. INNOVATION GRANT PROGRAM.

    ``(a) In General.--The Assistant Secretary shall carry out a 
program for making grants on a competitive basis to foster the 
development and testing of new approaches to sustaining the efforts of 
families and other informal caregivers of older individuals, and to 
serving particular groups of caregivers of older individuals, including 
minority caregivers and distant caregivers.
    ``(b) Evaluation and Dissemination of Results.--The Assistant 
Secretary shall provide for evaluation of the effectiveness of programs 
and activities funded with grants under this subpart, and for 
dissemination to States of descriptions and evaluations of such 
programs and activities, to enable States to incorporate successful 
approaches into their programs under this part.
    ``(c) Availability of Funds.--
            ``(1) In general.--The Assistant Secretary shall reserve up 
        to 10 percent of the amount appropriated under section 303(d) 
        to carry out the program under this section.
            ``(2) Native american programs.--20 percent of the amount 
        reserved under paragraph (1) shall be available for programs 
and activities for Native Americans.

``SEC. 346. ACTIVITIES OF NATIONAL SIGNIFICANCE.

    ``(a) In General.--The Assistant Secretary shall, directly or by 
grant or contract, carry out activities of national significance to 
promote quality and continuous improvement in the support provided to 
family and other informal caregivers of older individuals through 
program evaluation, training, technical assistance, and research.
    ``(b) Availability of Funds.--The Assistant Secretary shall reserve 
up to 2 percent of the amount appropriated under section 303(d) to 
carry out the program under this section.''.
    (b) Authorization of Appropriations.--Section 303 (as amended by 
section 124(d)(2) of this Act) is amended by adding after subsection 
(c) the following new subsection:
    ``(d) National Family Caregiver Program.--There are authorized to 
be appropriated $125,000,000 for fiscal year 2000, and such sums as may 
be necessary for each of the four succeeding fiscal years, to carry out 
the programs under part D of this title (relating to the national 
family caregiver program).''.
    (c) Allotments to States.--Section 304(a)(1) is amended in the 
first sentence by inserting ``remaining after reservations of funds in 
accordance with sections 345 and 346'' after ``from the sums 
appropriated under section 303 for each fiscal year''.
    (d) Availability of Title III-D Funds for Reallotment.--Section 
304(b) is amended in the first sentence by striking ``part B or C'' and 
inserting ``part B, C, or D''.

SEC. 127. AUTHORIZATION OF APPROPRIATIONS.

    (a) Supportive Services and Senior Centers.--Section 303(a)(1) (42 
U.S.C. 3023(a)(1)) is amended by striking all that precedes ``for the 
purposes'' and inserting ``There are authorized to be appropriated 
$310,082,000 for fiscal year 2000 and such sums as may be necessary for 
each of the four succeeding fiscal years,''.
    (b) Congregate Nutrition Services.--Section 303(b)(1) is amended by 
striking all that precedes ``for the purpose'' and inserting ``There 
are authorized to be appropriated $374,412,000 for fiscal year 2000 and 
such sums as may be necessary for each of the four succeeding fiscal 
years,''.
    (c) Home-Delivered Nutrition Services.--Section 303(b)(2) (42 
U.S.C. 3023(b)(2)) is amended by striking all that precedes ``for the 
purpose'' and inserting ``There are authorized to be appropriated 
$147,000,000 for fiscal year 2000 and such sums as may be necessary for 
each of the four succeeding fiscal years,''.
    (d) Preventive Health Services.--Section 303(e) (as redesignated by 
section 124 of this Act) is amended by striking all that precedes ``for 
the purpose'' and inserting ``There are authorized to be appropriated 
$16,123,000 for fiscal year 2000 and such sums as may be necessary for 
each of the four succeeding fiscal years,''.

     PART C--STATE AND LOCAL INNOVATIONS AND PROGRAMS OF NATIONAL 
                              SIGNIFICANCE

SEC. 141. REVISION OF TITLE IV.

    Title IV is amended--
            (1) in the heading, to read as follows:

   ``TITLE IV--STATE AND LOCAL INNOVATIONS AND PROGRAMS OF NATIONAL 
                            SIGNIFICANCE'';

            (2) in section 401, to read as follows:

``SEC. 401. STATEMENT OF PURPOSE.

    ``It is the purpose of this title to expand the Nation's knowledge 
and understanding of the older population and the aging process; to 
design, test, and promote utilization of innovative ideas and best 
practices in programs and services for older individuals; to help meet 
the needs for trained personnel in the field of aging; and to increase 
the awareness of citizens of all ages of the need to assume personal 
responsibility for their own longevity.'';
            (3) by striking parts A and B in their entirety and 
        inserting the following new part:

              ``PART A--PROGRAMS AND ACTIVITIES AUTHORIZED

``SEC. 410. DISCRETIONARY PROJECTS AND PROGRAMS.

    ``In order to accomplish the purpose of this title, the Assistant 
Secretary may make grants to States, public or nonprofit private 
agencies, organizations, and institutions, and tribal organizations, 
and may enter into contracts with any agency, organization, 
institution, or individual for the following activities--
            ``(1) education and training to develop an adequately 
        trained workforce to work with and on behalf of older 
        individuals;
            ``(2) applied social research and analysis to improve 
        access and delivery of services for older individuals, as well 
        as evaluation of the performance and measurement of the results 
        of programs, activities, and services provided under this Act;
            ``(3) developments of methods and practices to improve 
        quality and effectiveness of such services;
            ``(4) demonstration of new approaches to design, deliver, 
        and coordinate programs and services for older individuals;
            ``(5) technical assistance in planning, development, 
        implementation, and improvement of services and activities 
        conducted under this Act;
            ``(6) dissemination of information related to longevity and 
        its ramifications for various segments of the elderly 
        population, life course planning, and services and programs for 
        older individuals that incorporates new ideas, utilizes 
        advances in our knowledge, and stimulates the adoption of 
        innovative best practices to benefit older individuals; and
            ``(7) other similar activities that, in the judgment of the 
        Assistant Secretary, will achieve the purposes of this 
        title.'';
            (4) by redesignating part C as part B; and
            (5) by redesignating sections 431, 432, and 433, 
        respectively, (42 U.S.C. 3037, 3037a and 3037b, respectively) 
        as sections 421, 422, and 423.

SEC. 142. AUTHORIZATION OF APPROPRIATIONS.

    Section 421 (42 U.S.C. 3035) (as redesignated by section 141 of 
this Act) is amended--
            (1) in subsection (a), to read as follows:
    ``(a) Authorizations.--
            ``(1) In general.--There are authorized to be appropriated 
        to carry out this title $22,000,000 for fiscal year 2000 and 
        such sums as may be necessary for each of the succeeding fiscal 
        years.
            ``(2) National ombudsman and elder abuse centers.--Funds 
        available under this subsection may be used, to the extent the 
        Assistant Secretary finds necessary.'';
            (2) by striking subsection (b); and
            (3) in subsection (c), by striking ``(c)'' and inserting 
        ``(b) Restrictions.--''.

        PART D--COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

SEC. 151. PURPOSES OF PROJECTS.

    Section 502(a) (42 U.S.C. 3056(a)) is amended--
            (1) by inserting ``(1)'' after ``Sec. 502. (a)''; and
            (2) by inserting at the end the following new paragraph:
    ``(2) To foster individual economic self-sufficiency and to 
increase the number of persons who may enjoy the benefits of the 
program, the Secretary shall encourage projects to place participants 
in unsubsidized employment.''.

SEC. 152. PROGRAM AUTHORIZED.

    (a) Project Requirements.--Section 502(b)(1) (42 U.S.C. 3056(b)(1)) 
is amended--
            (1) in subparagraph (H), by inserting in the parenthetical 
        clause after ``including'' the following: ``arrangements with 
        the local one-stop delivery system established under title I of 
        the Workforce Investment Act of 1998 and'';
            (2) in subparagraph (N)(i)--
                    (A) by striking all that follows ``will'' through 
                ``except'' and inserting ``prepare an assessment of the 
                participants' skills and talents and their needs for 
                services, except''; and
                    (B) by striking ``the Job Training Partnership Act 
                (29 U.S.C. 1501 et seq.) or the Carl D. Perkins 
                Vocational and Applied Technology Education Act (20 
                U.S.C. 3201 et seq.)'' and inserting ``the Workforce 
                Investment Act of 1998, the Carl D. Perkins Vocational 
                and Technical Education Act of 1998, or part A of title 
                IV of the Social Security Act''; and
            (3) by striking subparagraph (O) and inserting the 
        following:
                    ``(O) will provide appropriate services for 
                participants through the local one-stop delivery system 
                established under title I of the Workforce Investment 
                Act of 1998, and will be involved in the planning and 
                operations of such system pursuant to a memorandum of 
                understanding with the local workforce investment board 
                in accordance with section 121(c) of such Act; and''.
    (b) Assessments.--Section 502(b) (42 U.S.C. 3056(b)) is further 
amended--
            (1) by striking paragraph (4);
            (2) by redesignating paragraphs (2) and (3) as paragraphs 
        (3) and (4), respectively, and by inserting after paragraph (1) 
        the following new paragraph:
            ``(2)(A) An assessment and service strategy provided for an 
        eligible individual under this title shall satisfy any 
        conditions for an assessment or individual employment plan for 
        an adult participant under title I of the Workforce Investment 
        Act of 1998, in order to determine whether such individual 
        qualifies for intensive training services in accordance with 
        such Act.
            ``(B) An assessment and service strategy provided for an 
        eligible individual under title I of the Workforce Investment 
        Act of 1998 shall satisfy any conditions for an assessment and 
        service strategy under this title.''; and
            (3) in paragraph (4) (as so redesignated), by striking 
        ``prime sponsors,''.
    (c) Cost Limitations.--Section 502(c)(3) (42 U.S.C. 3056(c)(3)) is 
amended by striking ``for fiscal year 1987 and each fiscal year 
thereafter'' and inserting ``for any fiscal year''.
    (d) Distribution of Programs.--Section 502(d) (42 U.S.C. 3056(d)) 
is amended--
            (1) in paragraph (1), by striking ``sponsor'' each place it 
        appears and inserting ``grantee''; and
            (2) in the last sentence of paragraph (2), by striking all 
        that follows ``opportunity'' and inserting ``for public 
        comments''.
    (e) Miscellaneous.--Section 502(e) (42 U.S.C. 3056(e)) is amended--
            (1) by amending paragraph (2)(C) to read as follows:
                    ``(C) require the coordination of projects carried 
                out under such agreements, with the programs carried 
                out under title I of the Workforce Investment Act of 
                1998.''; and
            (2) by striking paragraphs (3) and (4).
    (f) Evaluation Requirement.--Section 502 (42 U.S.C. 3056) is 
further amended by inserting at the end the following new subsection:
    ``(f) The Secretary shall, on a regular basis, carry out 
evaluations of the programs authorized under this title, which may 
include but are not limited to projects described in subsection (e).''.

SEC. 153. ADMINISTRATION.

    (a) Coordination.--Section 503 (42 U.S.C. 3056a) is amended--
            (1) in subsections (a)(2) and (b)(1), by striking ``titles 
        III, IV, and VI'' each place it appears and inserting ``other 
        titles of this Act'';
            (2) in subsection (b)(1)--
                    (A) by striking ``Job Training Partnership Act'' 
                each place it appears and inserting ``Workforce 
                Investment Act of 1998''; and
                    (B) by striking ``Vocational Education Act of 
                1984'' each place it appears and inserting ``the Carl 
                D. Perkins Vocational and Technical Education Act of 
                1998, the National and Community Services Act of 1990, 
                and the Domestic Volunteer Service Act of 1973,''; and
            (3) by amending subsection (f) to read as follows:
    ``(f) Monitoring, Fiscal Controls, and Reports.--
            ``(1) Monitoring.--The Secretary shall monitor programs 
        receiving financial assistance under this title to determine 
        whether the grantees are complying with the provisions of and 
        regulations issued under this title.
            ``(2) Fiscal controls.--Each grantee receiving funds under 
        this title shall comply with the applicable uniform cost 
        principles and appropriate administrative requirements for 
        grants and contracts that are applicable to the type of entity 
        receiving funds, as issued in circulars or rules of the Office 
        of Management and Budget.
            ``(3) Reports.--Each grantee shall maintain such records 
        and submit such reports, in such form and containing such 
        information, as the Secretary may require regarding activities 
        carried out under this title, including the performance of 
        programs. Each grantee receiving funds under this title shall 
        keep records that are sufficient to permit the preparation of 
        reports required pursuant to this title and to permit the 
        tracing of funds to a level of expenditure adequate to ensure 
        that the funds have not been spent unlawfully.''.
    (b) Interagency Cooperation.--Section 505 (42 U.S.C. 3056c) is 
amended--
            (1) by striking subsection (c);
            (2) by redesignating subsection (d) as subsection (c); and
            (3) in paragraph (2) of such subsection (c) (as so 
        redesignated), by striking ``Carl D. Perkins Vocational and 
        Applied Technology Education Act (20 U.S.C. 2301 et seq.)'' and 
        inserting ``Carl D. Perkins Vocational and Technical Education 
        Act of 1998''.

SEC. 154. EQUITABLE DISTRIBUTION OF ASSISTANCE.

    (a) Distribution of Funds.--Section 506 (42 U.S.C. 3056d) is 
amended by striking all that precedes subsection (b) and inserting the 
following:

``SEC. 506. EQUITABLE DISTRIBUTION OF ASSISTANCE.

    ``(a) Funds Reserved or Allotted.--
            ``(1) From the sums available from appropriations to carry 
        out this title for each fiscal year, 78 percent of the amount 
        remaining after the Secretary makes the reservation under 
        paragraph (3) shall be used in accordance with the provisions 
        of the following subparagraphs:
                    ``(A) The Secretary shall first reserve such sums 
                as may be necessary for national grants or contracts 
                with public agencies and public or nonprofit private 
                organizations to maintain the level of activities 
                carried on under such grants or contracts, in the 
                aggregate, at least at the level of such activities 
                supported under this title in the preceding year.
                    ``(B) The Secretary shall reserve such sums as may 
                be necessary for national grants or contracts with 
                public or nonprofit national Indian aging organizations 
                with the ability to provide employment services to 
                older Indians and with national public or nonprofit 
                Pacific Island and Asian American aging organizations 
                with the ability to provide employment to older Pacific 
                Island and Asian Americans.
                    ``(C) Preference in awarding grants or contracts 
                under this paragraph shall be given to national 
                organizations, and agencies, of proven ability in 
                providing employment services to eligible individuals 
                under this program and similar programs.
            ``(2) The Secretary, in awarding grants and contracts under 
        paragraphs (1) and (4) of this subsection, shall, to the extent 
        feasible, assure an equitable distribution of activities under 
such grants and contracts among the States, in accordance with the 
allotments among the States required by paragraph (5).
            ``(3) From the sums available from appropriations to carry 
        out this title for each fiscal year, the Secretary shall 
        reserve an amount, which shall be at least 1 percent but not 
        more than 5 percent of the amount appropriated, for the purpose 
        of--
                    ``(A) entering into agreements under section 
                502(e), relating to improved transition to private 
                employment; and
                    ``(B) incentive grants for performance as described 
                in section 514(d).
            ``(4) From the sums available from appropriations to carry 
        out this title for each fiscal year, 22 percent of the amount 
        remaining after the Secretary makes the reservation under 
        paragraph (3) shall be allotted to the appropriate public 
        agencies of the States for carrying out projects and activities 
        authorized in this title.
            ``(5) In carrying out paragraphs (1) and (4), the Secretary 
        shall allot the sums available from appropriations for any 
        fiscal year under section 508 of this title so that each State 
        will receive an amount which bears the same ratio to such sums 
        as the product of the number of persons aged fifty-five or over 
        in the State and the allotment percentage of such State bears 
        to the sum of the corresponding product for all States, except 
        that--
                    ``(A) no State (except as described in subparagraph 
                (C)) shall be allotted less than one-half of 1 percent 
                of the sum available from appropriations for the fiscal 
                year for which the determination is made, or $100,000, 
                whichever is greater;
                    ``(B) no State shall be allotted less than 95 
                percent of its proportionate share of the total 
                allotments received by all of the States under this 
                section for the preceding fiscal year; and
                    ``(C) Guam, American Samoa, the Commonwealth of the 
                Northern Mariana Islands, and the Virgin Islands shall 
                each be allotted an amount which is not less than one-
                fourth of 1 percent of the sums available from 
                appropriations for the fiscal year for which the 
                determination is made, or $50,000, whichever is 
                greater.
            ``(6) For the purpose of this subsection--
                    ``(A) the allotment percentage of each State shall 
                be 100 percent less that percentage which bears the 
same ration to 50 percent as the per capita income of such State bears 
to the per capita income of the United States, except that (i) the 
allotment percentage shall in no case be more than 75 percent or less 
than 33 percent, and (ii) the allotment percentage for the District of 
Columbia, the Commonwealth of Puerto Rico, Guam, the Virgin Islands, 
American Samoa, and the Commonwealth of the Northern Mariana Islands 
shall be 75 percent;
                    ``(B) the number of persons aged fifty-five or over 
                in any State and in all States, and the per capita 
                income in any State and in all States, shall be 
                determined by the Secretary on the basis of the most 
                satisfactory data available to the Secretary; and
                    ``(C) for the purpose of determining the allotment 
                percentage, the term `United States' means the fifty 
                States and the District of Columbia.''.
    (b) Study and Report.--Section 506 (42 U.S.C. 3056d) is further 
amended by inserting at the end the following new subsections:
    ``(e) After consulting with grantees under this title and other 
interested parties, the Secretary shall conduct a study concerning 
improvement in the formula described in this section for distributing 
funds for activities under this title. In conducting the study, the 
Secretary shall examine means of improving the allocation of funds by 
developing a formula which is based on statistically reliable data and 
consistent with the goals and objectives of this title. The Secretary 
shall prepare and submit to the Congress a report containing the 
results of the study, including recommendations for improved formulas 
for allocating funds under this title. Such report shall be submitted 
to the Congress no later than 2 years after the enactment of the Older 
Americans Act Amendments of 1999.
    ``(f) The Secretary shall periodically conduct an evaluation of 
cost factors applicable under this title, including the average annual 
cost per authorized enrollee position.''.

SEC. 155. AUTHORIZATION OF APPROPRIATIONS.

    Section 508 (42 U.S.C. 3056f) is amended--
            (1) in subsection (a), by striking paragraph (1) and 
        inserting the following:
            ``(1) such sums as may be necessary for fiscal year 2000, 
        and each of the 4 succeeding fiscal years; and'';
            (2) in subsection (b), by striking ``used'' and inserting 
        ``available for obligation'', and by striking the last 
        sentence; and
            (3) by inserting at the end of such section the following 
        new subsection:
    ``(c) The Secretary may recapture any unexpended funds from a 
completed program year, and may re-obligate any such funds within the 
two succeeding program years for incentive grants under section 514(d), 
for technical assistance, or for grants or contracts for any other 
program purpose authorized by this title.''.

SEC. 156. WORKFORCE INVESTMENT ACTIVITIES.

    Section 510 (42 U.S.C. 3056h) is amended to read as follows:

``SEC. 510. ELIGIBILITY FOR WORKFORCE INVESTMENT ACTIVITIES.

    ``Eligible individuals under this title may be deemed by local 
workforce investment boards established under title I of the Workforce 
Investment Act of 1998 to satisfy the requirements for receiving 
services under such title that are applicable to adults.''.

SEC. 157. ADDITIONAL PROVISIONS.

    Title V (42 U.S.C. 3056 et seq.) is further amended by inserting at 
the end thereof the following new sections:

``SEC. 512. COORDINATION WITH THE WORKFORCE INVESTMENT ACT.

    ``(a) Grantees under this title shall be partners as described in 
section 121(b)(1)(B)(vi) of the Workforce Investment Act of 1998 in the 
appropriate local one-stop delivery system under section 134(c) of such 
Act, and shall carry out the responsibilities relating to such 
partners.
    ``(b) In local workforce investment areas where more than one 
grantee provides services, the grantees shall coordinate their 
activities related to the one-stop delivery system, and each grantee 
shall be a signatory of the memorandum of understanding established 
under section 121(c) of the Workforce Investment Act of 1998.

``SEC. 513. WAIVERS.

    ``(a) In General.--Pursuant to a written request submitted by a 
grantee receiving funds under paragraph (1), (3), or (4) of section 
506(a), the Secretary may waive any of the statutory or regulatory 
requirements of this title except the basic purposes of the program, 
wage and labor standards, worker rights, participation and protection 
of workers and participants, grievance procedures, judicial review, and 
eligibility of participants.
    ``(b) Request.--Any grantee seeking a waiver under subsection (a) 
shall submit a request that describes the goals of the waiver and the 
expected improvements in the program if the request is approved.
    ``(c) Duration.--The duration of each waiver approved under this 
section shall be limited to the duration of the grant agreement. Such 
waiver may be renewed pursuant to approval of a subsequent request that 
meets the requirements of this section.
    ``(d) Report.--With respect to each waiver approved under this 
section, each grantee shall submit a report to the Secretary concerning 
the impact of the waiver on the operation and effectiveness of programs 
and services under this title. Such reports shall be submitted not 
later than one year after the expiration of such waiver, and at such 
times during the waiver period as the Secretary may require.

``SEC. 514. PERFORMANCE.

    ``(a) Measures.--The Secretary shall establish, in consultation 
with grantees under this title, measures of performance that are 
appropriate to older worker activities authorized by this title. The 
measures shall consist of indicators of performance and levels of 
performance applicable to each indicator. The levels of performance 
shall be adjusted by taking into account such factors as economic 
conditions and the characteristics of participants.
    ``(b) Required Indicators.--Such measures shall include, at a 
minimum, the following indicators of performance:
            ``(1) the number of persons served;
            ``(2) community services provided;
            ``(3) entry into and retention in unsubsidized employment; 
        and
            ``(4) satisfaction of customers, including participants and 
        employers, with the services provided in activities under this 
        title.
    ``(c) Additional Indicators.--The measures established pursuant to 
subsection (a) may include such additional indicators of performance as 
the Secretary may determine to be appropriate to evaluate services and 
performance.
    ``(d) Incentive Grants.--From funds available under section 
506(a)(3) or section 508(c), the Secretary shall award incentive grants 
annually to grantees that exceed the performance measures established 
by the Secretary under this section.''.

                  PART E--GRANTS FOR NATIVE AMERICANS

SEC. 161. LIMIT OF ONE GRANT PER NATIVE AMERICAN ORGANIZATION.

    Section 612 (42 U.S.C. 3057c) is amended--
            (1) by redesignating subsection (b) as subsection (c); and
            (2) by inserting after subsection (a) the following new 
        subsection:
    ``(c) One-Grant Limit.--A federally recognized tribe represented by 
an organization specified in subsection (a) shall be eligible for only 
one grant under this title for any fiscal year.''.

SEC. 162. EXPENDITURES FOR NUTRITION SERVICES.

    Section 614(c) (42 U.S.C. 3057e(c)) is amended--
            (1) by striking ``(c)'' and inserting the following:
    ``(c) Approval by Assistant Secretary.--
            ``(1) In general.--''; and
            (2) by adding at the end the following new paragraph:
            ``(2) Special rule for nutrition programs.--In determining 
        whether an application complies with the requirements of 
        subsection (a)(8), the Assistant Secretary shall provide 
        maximum flexibility to an applicant that seeks to take into 
        account subsistence needs, local customs, and other 
        characteristics that are appropriate to the unique cultural, 
        regional, and geographic needs of the Indian populations to be 
        served.''.

SEC. 163. AUTHORIZATION OF APPROPRIATIONS.

    Section 633(a) (42 U.S.C. 3057n(a)) is amended by striking all that 
precedes ``to carry out this title'' and inserting ``There are 
authorized to be appropriated $18,457,000 for fiscal year 2000, and 
such sums as may be necessary for each of the four succeeding fiscal 
years''.

               PART F--VULNERABLE ELDER RIGHTS PROTECTION

SEC. 171. CONSOLIDATED AUTHORIZATION OF APPROPRIATIONS AND RELATED 
              AMENDMENTS.

    (a) Consolidated Authorization.--Section 702 (42 U.S.C. 3058a) is 
amended by striking all that follows the heading and inserting the 
following:
    ``There are authorized to be appropriated to carry out this 
subtitle $12,181,000 for fiscal year 2000 and such sums as may be 
necessary for each of the four succeeding fiscal years.''.
    (b) Minimum Funding for Ombudsman and Elder Rights Activities.--
            (1) Repeal of minimum allotments.--Section 703(a)(2) (42 
        U.S.C. 3058b(a)(2)) is amended--
                    (A) by striking subparagraph (C); and
                    (B) by redesignating subparagraph (D) as 
                subparagraph (C).
            (2) Maintenance of effort requirement.--Section 705(a) (42 
        U.S.C. 3058d(a)) is amended--
                    (A) by redesignating paragraph (8) as paragraph 
                (9);
                    (B) by inserting after paragraph (7) the following 
                new paragraph:
            ``(8) an assurance that total State expenditures in any 
        fiscal year for the long-term care ombudsman program under 
        section 712 shall not be less than total State expenditures for 
        such programs under this Act in fiscal year 1999;'' and
                    (C) in paragraph (9), as redesignated, by striking 
                ``paragraphs (1) through (7)'' and inserting 
                ``paragraphs (1) through (8).''.
    (c) Optional State Implementation of Title VII Programs.--
            (1) State assurances concerning expenditures.--Section 
        705(a)(7)(A) (42 U.S.C. 3058(a)(7)(A)) is amended by striking 
        ``funds appropriated under section 702(d)'' and inserting ``any 
        funds used by the State''.
            (2) Ombudsman program.--Section 712(a) (42 U.S.C. 3058g(a)) 
        is amended by striking ``In order to be eligible to receive an 
        allotment under section 703 from funds appropriated under 
        section 702(a), a State agency shall'' and inserting ``With 
        funds allotted to a State under section 703, the State agency 
        shall''.
            (3) Elder abuse prevention.--Section 721(a)(1) (42 U.S.C. 
        3058i(a)(1)) is amended by striking ``In order to be eligible 
        to receive an allotment under section 703 from funds 
        appropriated under section 702(b), a State agency shall'' and 
        inserting ``With funds allotted to a State under section 703, 
        the State agency shall''.
            (4) Elder rights and legal assistance.--Section 731(a)(1) 
        (42 U.S.C. 3058j(a)(1)) is amended by striking ``In order to be 
        eligible to receive an allotment under section 703 from funds 
        appropriated under section 702(c), a State agency shall'' and 
        inserting ``With funds allotted to a State under section 703, 
        the State agency of a State electing to implement a program 
        under this chapter shall''.
            (5) Outreach, counseling, and assistance.--
                    (A) Section 741(b) (42 U.S.C. 3058k(b)) is amended 
                by striking ``In order to be eligible to receive an 
                allotment under section 703 from funds appropriated 
                under section 702(d), a State agency shall'' and 
                inserting ``With funds allotted to a State under 
                section 703, consistent with section 705(a)(7), the 
                State agency of a State electing to implement a program 
                under this chapter shall''.
                    (B) Section 741(c) (42 U.S.C. 3058k(c)) is amended 
                by striking ``The State agency shall'' and inserting 
                ``The State agency may''.
                    (C) Section 741(e) (42 U.S.C. 3058k(e)) is amended 
                by striking ``Maintenance of Effort.--Any funds 
                appropriated'' and inserting ``Supplementation 
                Requirement.--Any funds used''.

SEC. 172. LIFE COURSE PLANNING PROGRAM.

    (a) Redesignation and Expansion of Outreach, Counseling, and 
Assistance Program.--Chapter 5 of subtitle A of title VII (42 U.S.C. 
3058k et seq.) is amended--
            (1) in the heading, to read as follows:

                  ``CHAPTER 5--LIFE COURSE PLANNING'';

            (2) in the heading of section 741 (42 U.S.C. 3058k), to 
        read: ``state life course planning program'';
            (3) in section 741(a) (42 U.S.C. 3058k)--
                    (A) by redesignating paragraphs (2) through (6) as 
                paragraphs (3) through (7), respectively; and
                    (B) by inserting after paragraph (1) the following 
                new paragraph:
            ``(2) Life course planning.--The term `life course 
        planning' means the identification and implementation by an 
        individual of appropriate measures to prepare for the 
        financial, health, and social aspects of longevity and to 
        ensure the protection of elder rights, and includes such 
        planning with respect to--
                    ``(A) economic security, including financial 
                literacy and knowledge of pension and public benefits;
                    ``(B) options for community participation and 
                social activities, including access to employment, 
                volunteer, education, and leisure opportunities;
                    ``(C) housing options;
                    ``(D) insurance benefits; and
                    ``(E) consumer protection, including defenses 
                against telemarketing scams and fraudulent investment 
                offers.'';
            (4) in section 741(b) (42 U.S.C. 3058k(b)), in the matter 
        preceding paragraph (1), by striking ``establish--'' and all 
        that follows and inserting ``establish a program to provide, to 
        older individuals and to others preparing for retirement and 
        old age, outreach, information, counseling, and assistance 
        related to life course planning. The program shall--
                    ``(A) at a minimum include--
                            ``(i) a program to provide to older 
                        individuals outreach, counseling, and 
                        assistance related to obtaining insurance 
                        benefits; and
                            ``(ii) a program to provide outreach, 
                        counseling, and assistance to older individuals 
                        who may be eligible for, but who are not 
                        receiving, public benefits;
                    ``(B) provide additional life course planning 
                services to the extent permitted by available funds;
                    ``(C) establish a system of referral to appropriate 
                service providers and agencies;
                    ``(D) give priority to those in greatest social and 
                economic need, with particular attention to low-income 
                minorities;
                    ``(E) ensure coordination with services and 
                programs under title III and with other providers and 
                agencies;
                    ``(F) provide for adequate and trained staff 
                (including volunteers) to carry out the program; and
                    ``(G) ensure that staff and volunteers are not 
                subject to conflicts of interest.''.
    (b) Conforming Amendments.--
            (1) Section 741(a)(6) (42 U.S.C. 3058k(a)(6)), as 
        redesignated, is amended by striking ``subsection (b)(1)'' and 
        inserting ``subsection (b)(1)(A)(i)''.
            (2) Section 741(a)(7) (42 U.S.C. 3058k(a)(7)), as 
        redesignated, is amended by striking ``subsection (b)(2)'' and 
        inserting ``subsection (b)(1)(A)(ii)''.

SEC. 173. DEMONSTRATION AUTHORITY EXTENDED TO LIFE COURSE PLANNING.

    (a) Scope of Demonstration.--Section 706(a) (42 U.S.C. 3058e(a)), 
is amended--
            (1) by striking ``and'' at the end of paragraph (2);
            (2) by striking the period at the end of paragraph (3) and 
        inserting ``; and''; and
            (3) by adding after paragraph (3) the following new 
        paragraph:
            ``(4) assistance with life course planning (as defined in 
        section 741(a)(2)).''.
    (b) Benefits.--Section 706(b)(1) (42 U.S.C. 3058e(b)(1)) is amended 
by inserting before the semicolon ``, and regarding other available 
benefits, assistance, or services identified through life course 
planning described in paragraph (4) of subsection (a)''.

                          PART G--DEFINITIONS

SEC. 181. DEFINITIONS.

    (a) Relocation, Reordering, and Redesignation of Definitions.--
            (1)(A) Paragraphs (1) and (2) of section 302 (42 U.S.C. 
        3022) are relocated and redesignated as paragraphs (48) and 
        (49) of section 102 (42 U.S.C. 3).
            (B) Paragraph (3) of section 302 (42 U.S.C. 3022) is 
        repealed.
            (2)(A) Section 102(5) (42 U.S.C. 3022(5)) is amended by 
        inserting ``(A)'' after ``(5)''.
            (B) Section 102(6) (42 U.S.C. 3022(6)) is amended--
                    (i) by striking ``(A)'' and ``(B)'' and inserting 
                ``(i)'' and ``(ii)''; and
                    (ii) by striking ``(6)'' and inserting ``(B)''.
            (C) Section 102(7) (42 U.S.C. 3022(7)) is amended by 
        striking ``(7)'' and inserting ``(C)''.
            (3)(A) Section 102(8) (42 U.S.C. 3022(8)) is amended--
                    (i) by striking the subparagraph designations 
                ``(A)'' through ``(H)'' and inserting clause 
                designations ``(i)'' through ``(vii)''; and
                    (ii) by inserting ``(A)'' after ``(8)''.
            (B) Section 102(9) (42 U.S.C. 3022(9)) is amended--
                    (i) by striking the subparagraph designations 
                ``(A)'' and ``(B)'' and inserting the clause 
                designations ``(i)'' and ``(ii)''; and
                    (ii) by striking ``(9)'' and inserting ``(B)''.
    (b) Elimination of the Defunct Trust Territory of the Pacific 
Islands (TTPI) From Definition of State.--
            (1) Elimination of definition of ttpi.--Section 103(12) (42 
        U.S.C. 3022(12)) is repealed.
            (2) Amendment of definition of states.--Section 102(3) (42 
        U.S.C. 3022(3)) is amended--
                    (A) by inserting ``and'' after ``American Samoa''; 
                and
                    (B) by striking ``the Trust Territory of the 
                Pacific Islands''.
            (3) Amendment to allotment formulas.--
                    (A) Basic state grants.--Section 304(a)(1) (42 
                U.S.C. 3024(a)(1)) is amended--
                            (i) in the first sentence--
                                    (I) by striking ``(B) Guam,'' and 
                                inserting ``(B) Guam and'';
                                    (II) by striking ``, and the Trust 
                                Territory of the Pacific Islands,''; 
                                and
                            (ii) in the last sentence, by striking 
                        ``the Trust Territory of the Pacific 
                        Islands,''.
                    (B) Grants for state plan administration.--Section 
                308(b) (42 U.S.C. 3028(b)) is amended in paragraphs 
                (1)(B) and (2)(B) by striking ``the Trust Territory of 
                the Pacific islands,''.
    (c) Definition of Native American.--Section 102 (42 U.S.C. 3022) is 
amended by adding at the end the following new paragraph:
            ``(45) The term `Native American' includes an Indian (as 
        defined in paragraph (5)) and a Native Hawaiian (as defined in 
        section 625).''.

                         PART H--EFFECTIVE DATE

SEC. 191. EFFECTIVE DATE.

    Except as otherwise specifically provided, the amendments made by 
this title shall become effective October 1, 1999.

               TITLE II--WHITE HOUSE CONFERENCE ON AGING

SEC. 201. WHITE HOUSE CONFERENCE AUTHORIZED.

    (a) Authority To Call Conference.--Not later than December 31, 
2005, the President shall convene the White House Conference on Aging 
in order to develop recommendations for additional research and action 
in the field of aging which will further the policy set forth in 
subsection (b).
    (b) Planning and Direction.--The Conference shall be planned and 
conducted under the direction of the Secretary in cooperation with the 
Assistant Secretary for Aging and the heads of such other Federal 
departments and agencies as are appropriate. Such assistance may 
include the detail of personnel on a reimbursable or non-reimbursable 
basis as the head of the department or agency may decide.
    (c) Purpose of the Conference.--The purpose of the Conference shall 
be--
            (1) to increase the public awareness of the interdependence 
        of generations and the essential contributions of older 
        individuals to society for the well-being of all generations in 
        light of population longevity;
            (2) to identify the problems facing older individuals and 
        the commonalities of the problems with problems of younger 
        generations, some of which can be alleviated through policy and 
        program interventions as well as effective life course 
        planning;
            (3) to examine the well-being of older individuals, 
        including the impact the well-being of older individuals has on 
        our longevous society;
            (4) to develop such specific and comprehensive 
        recommendations for executive and legislative action as may be 
        appropriate for maintaining and improving the well-being of 
        older Americans;
            (5) to develop recommendations for the coordination of 
        Federal policy with state and local needs and the 
        implementation of such recommendations; and
            (6) to review the status and multigenerational value of 
        recommendations adopted at previous White House Conferences on 
        Aging and incorporate developments which acknowledge advances 
        in knowledge and technology.
    (d) Conference Participants and Delegates.--
            (1) Participants.--In order to carry out the purposes of 
        this section, the Conference shall bring together--
                    (A) representatives of Federal, State, local, and 
                tribal governments;
                    (B) professional and lay people who are working in 
                the field of aging; and
                    (C) representatives of the general public, 
                particularly older individuals.
            (2) Selection of delegates.--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 
        individuals who are professionals, individuals who are 
        nonprofessional, minority individuals, and individuals from 
        low-income families. A majority of delegates shall be aged 55 
        or older.

SEC. 202. CONFERENCE ADMINISTRATION.

    (a) Administration.--In administering this section, the Secretary 
shall--
            (1) provide written notice to all members of the Policy 
        Committee of each meeting, hearing, or working session of the 
        Policy Committee not later than 48 hours before the occurrence 
of such meeting, hearing, or working session;
            (2) request the cooperation and assistance of the heads of 
        such other Federal departments and agencies as may be 
        appropriate in the carrying out of this section;
            (3) furnish all reasonable assistance, including financial 
        assistance, to State agencies on aging and to area agencies on 
        aging, and to other appropriate organizations (including 
        organizations representing older Indians), to enable them to 
        organize and conduct conferences and other activities in 
        conjunction with the Conference (including activities in 
        advance of the Conference, as part of the process of planning 
        for the Conference, and activities subsequent to the Conference 
        in connection with dissemination, discussion, and 
        implementation of recommendations of the Conference);
            (4) make available for public comment a proposed agenda, 
        prepared by the Policy Committee, for the Conference which will 
        reflect to the greatest extent possible the major issues facing 
        older individuals consistent with the provisions of subsection 
        (a);
            (5) prepare and make available background materials for the 
        use of delegates to the Conference which the Secretary deems 
        necessary; and
            (6) 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 the Senior 
        Executive Service, and without regard to chapter 51 and 
        subchapter III of chapter 53 of such title relating to 
        classification and pay rates for the General Schedule and the 
        Senior Executive Service.
    (b) Duties.--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--
            (1) the conferences under subsection (a)(3) shall--
                    (A) include a conference on older Native Americans 
                to identify conditions that adversely affect older 
                Native Americans, to propose solutions to ameliorate 
                such conditions, and to provide for the exchange of 
                information relating to the delivery of services to 
                older Native Americans; and
                    (B) be so conducted as to ensure broad 
                participation of older individuals;
            (2) the agenda prepared under subsection (a)(4) for the 
        Conference is published in the Federal Register not later than 
        30 days after such agenda is approved by the Policy Committee, 
        and the Secretary may republish such agenda together with the 
        recommendations of the Secretary regarding such agenda;
            (3) 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;
            (4) 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
            (5) 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 paragraph, the Secretary is authorized to 
make grants to, and enter into cooperative agreements with, public 
agencies and nonprofit private organizations.
    (c) Gifts.--
            (1) Gift acceptance authority.--The Secretary may accept, 
        on behalf of the United States, gifts (in cash or in kind, 
        including voluntary and uncompensated services), which shall be 
        available to carry out this title. Gifts of cash shall be 
        available in addition to amounts appropriated to carry out this 
        title.
            (2) Ethics guidelines.--The Secretary shall establish 
        written guidelines setting forth the criteria to be used in 
        determining whether the acceptance of gifts or donations 
        pursuant to this paragraph would reflect unfavorably upon the 
        ability of the Department of Health and Human Services, the 
        Administration on Aging, or any employee to carry out its 
        responsibilities or official duties in a fair and objective 
        manner, or would compromise the integrity or the appearance of 
        integrity of its programs or of any official involved in those 
        programs.
    (d) Records.--The Secretary shall maintain records regarding--
            (1) the sources, amounts, and uses of gifts accepted under 
        subsection (c); and
            (2) the identity of each person receiving assistance to 
        carry out this title, and the amount of such assistance 
        received by each such person.

SEC. 203. POLICY COMMITTEE; RELATED COMMITTEES.

    (a) Policy Committee.--
            (1) Establishment.--There is established a Policy Committee 
        comprised of 25 members to be selected, not later than 90 days 
        after the enactment of the Older Americans Act of 1999, as 
        follows:
                    (A) Presidential appointees.--13 members shall be 
                selected by the President and shall include--
                            (i) 3 members who are officers or employees 
                        of the United States; and
                            (ii) 10 members with experience in the 
                        field of aging, who may include representatives 
                        of public aging agencies, institution-based 
                        organizations, and minority aging 
                        organizations, and shall include a member of 
                        the Federal Council on the Aging.
                    (B) House appointees.--2 members shall be selected 
                by the Speaker of the House of Representatives, and 2 
                members by the Minority Leader of the House of 
                Representatives, after consultation with the Committee 
                on Education and the Workforce and the Committee on 
                Ways and Means of the House of Representatives.
                    (C) Senate appointees.--2 members shall be selected 
                by the Majority Leader of the Senate, and 2 members by 
                the Minority Leader of the Senate, after consultation 
                with members of the Committee on Health, Education, 
                Labor, and Pensions and the Special Committee on Aging 
                of the Senate.
                    (D) Joint appointees.--2 members shall be selected 
                jointly by the Speaker of the House of Representatives 
                and the Majority Leader of the Senate, and 2 members 
                shall be selected jointly by the minority leaders of 
                the House and Senate, and shall include representatives 
                with experience in the field of aging, who may include 
                representatives described in subsection (a)(1)(A)(ii).
            (2) Duties of the policy committee.--The Policy Committee 
        shall initially meet at the call of the Secretary, but not 
        later than 30 days after the last member is selected under 
        subsection (a). Subsequent meetings of the Policy Committee 
        shall be held at the call of the chairperson of the Policy 
        Committee. Through meetings, hearings, and working sessions, 
        the Policy Committee shall--
                    (A) make recommendations to the Secretary to 
                facilitate the timely convening of the Conference;
                    (B) formulate and approve a proposed agenda for the 
                Conference not later than 60 days after the first 
                meeting of the Policy Committee;
                    (C) make recommendations for participants and 
                delegates of the Conference;
                    (D) establish the number of delegates to be 
                selected under section 301(d)(2); and
                    (E) formulate and approve the initial report of the 
                Conference in accordance with section 304.
            (3) Quorum; committee voting; chairperson.--
                    (A) Quorum.--13 members shall constitute a quorum 
                for the purpose of conducting the business of the 
                Policy Committee, except that 17 members shall 
                constitute a quorum for purposes of approving the 
                agenda required by paragraph (2)(B) and the report 
                required by paragraph (2)(E).
                    (B) Voting.--The Policy Committee shall act by the 
                vote of the majority of the members present.
                    (C) Chairperson.--The President shall select a 
                chairperson from among the members of the Policy 
                Committee. The chairperson may vote only to break a tie 
                vote of the other members of the Policy Committee.
    (b) Other Committees.--The Secretary may establish such other 
committees, including technical committees, as may be necessary to 
assist in the planning, conducting, and reviewing of the Conference.
    (c) Composition of Committees.--Each committee established under 
subsection (b) shall be composed of professionals and public members, 
and shall include individuals from low-income families, and individuals 
who are Native Americans. Appropriate efforts shall be made to include 
individuals who are members of minority groups. A majority of the 
public members of each such committee shall be 55 years of age or 
older.
    (d) Compensation.--Appointed members of any such committee (other 
than any officers or employees of the Federal Government), while 
attending conferences or meetings of the committee or otherwise serving 
at the request of the Secretary, while away from their homes or regular 
places of business, may be allowed travel expenses, including per diem 
in lieu of subsistence, at the rate authorized under section 5708 of 
title 5, United States Code, for persons employed intermittently in 
Federal Government services.

SEC. 204. REPORT OF THE CONFERENCE.

    (a) Proposed Report.--A proposed report of the Conference, which 
shall include a statement of comprehensive coherent national policy on 
aging together with recommendations for the implementation of the 
policy, shall be published and submitted to the chief executive 
officers of the States not later than 90 days following the date on 
which the Conference is adjourned. The findings and recommendations 
included in the published proposed report shall be immediately 
available to the public.
    (b) Response to Proposed Report.--The chief executive officers of 
the States, after reviewing and soliciting recommendations and comments 
on the report of the Conference, shall submit to the Policy Committee, 
not later than 90 days after receiving the report, their views and 
findings on the recommendations of the Conference.
    (c) Reports.--
            (1) Initial report.--The Policy Committee shall, after 
        reviewing the views and recommendations of the chief executive 
        officers of the States, prepare and approve an initial report 
        of the Conference, which shall include a compilation of the 
        actions of the chief executive officers of the States and take 
        into consideration the views and findings of such officers.
            (2) Publication of initial report; final report.--Not later 
        than 60 days after such initial report is transmitted by the 
        Policy Committee, the Secretary shall publish such initial 
        report in the Federal Register. The Secretary shall republish a 
        final report together with such additional views and 
        recommendations as the Secretary considers to be appropriate.
    (d) Recommendations of the Policy Committee.--The Policy Committee 
shall, within 90 days after submission of the views of the chief 
executive officers of the States, publish and transmit to the President 
and to the Congress recommendations for the administrative action and 
the legislation necessary to implement the recommendations contained 
within the report.

SEC. 205. DEFINITIONS.

    For the purposes of this title--
            (1) the term ``area agency on aging'' has the meaning given 
        the term in section 102 of the Older Americans Act of 1965;
            (2) the term ``State agency on aging'' means the State 
        agency designated under section 305(a)(1) of the Act;
            (3) the term ``Secretary'' means the Secretary of Health 
        and Human Services;
            (4) the term ``Conference'' means the White House 
        Conference on Aging; and
            (5) the term ``State'' means any of the several States, the 
        District of Columbia, the Commonwealth of Puerto Rico, Guam, 
        American Samoa, the Virgin Islands, the Commonwealth of the 
        Northern Mariana Islands, and the Trust Territory of the 
        Pacific Islands.

SEC. 206. AUTHORIZATION OF APPROPRIATIONS.

    (a) Authorization.--There are authorized to be appropriated such 
sums as may be necessary for fiscal years 2001 through 2007 to carry 
out this title.
    (b) Availability of Funds.--
            (1) In general.--Funds appropriated to carry out this title 
        and funds received as gifts under section 303(c) shall remain 
        available until expended.
            (2) Unobligated funds.--Any funds described in paragraph 
        (1) that are unobligated as of the date one year after the date 
        the Conference adjourns shall be available to carry out the 
        Older Americans Act of 1965.
                                 <all>