[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 3057 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  1st Session
                                S. 3057

 To modernize the Older Americans Act of 1965, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           December 16, 2019

Ms. Collins (for herself and Mr. Casey) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
 To modernize the Older Americans Act of 1965, 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.

    This Act may be cited as the ``Modernization of the Older Americans 
Act Amendments''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.
TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION 
                                ON AGING

Sec. 101. Reauthorization.
Sec. 102. Person-centered, trauma-informed services.
Sec. 103. Aging and Disability Resource Centers.
Sec. 104. Assistive technology.
Sec. 105. Vaccination.
Sec. 106. Malnutrition.
Sec. 107. Sexually transmitted diseases.
Sec. 108. Addressing chronic pain management.
Sec. 109. Screening for suicide risk.
Sec. 110. Addressing public health emergencies and emerging health 
                            threats.
Sec. 111. Clarification regarding board and care facilities.
Sec. 112. Person-centered, trauma-informed services.
Sec. 113. Modernizing the review of applications and providing 
                            technical assistance for disasters.
Sec. 114. Notification of availability of or updates to policies, 
                            practices, and procedures through a uniform 
                            e-format.
Sec. 115. Evidence-Based program adaptation.
Sec. 116. Business acumen provisions and clarification regarding 
                            outside funding for area agencies on aging.
Sec. 117. National resource center for older individuals experiencing 
                            the long-term and adverse consequences of 
                            trauma.
Sec. 118. National Resource Center for Women and Retirement.
Sec. 119. Family caregivers.
Sec. 120. Coordination with Assistant Secretary for Mental Health and 
                            Substance Use and Director of the Centers 
                            for Disease Control and Prevention.
Sec. 121. Modernizing the Interagency Coordinating Committee on Healthy 
                            Aging and Age-Friendly Communities.
Sec. 122. Professional standards for nutrition official under the 
                            Assistant Secretary.
Sec. 123. Report on social isolation.
Sec. 124. Innovation, demonstration, and evaluation within aging 
                            programs.
  TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

Sec. 201. Determinants of health.
Sec. 202. Younger onset Alzheimer's disease.
Sec. 203. Reauthorization.
Sec. 204. Hold harmless formula.
Sec. 205. Outreach efforts.
Sec. 206. Maintenance of effort for State Long-Term Care Ombudsman 
                            program.
Sec. 207. Coordination with resource centers.
Sec. 208. Senior legal hotlines.
Sec. 209. Increase in limit on use of allotted funds for State 
                            administrative costs.
Sec. 210. Improvements to nutrition programs.
Sec. 211. Review of reports.
Sec. 212. Other practices.
Sec. 213. Culturally appropriate, medically tailored meals.
Sec. 214. Nutrition services study.
Sec. 215. National Family Caregiver Support program.
Sec. 216. National Family Caregiver Support program cap.
    TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND 
                               LONGEVITY

Sec. 301. Reauthorization.
Sec. 302. Falls prevention and chronic disease self-management 
                            education.
Sec. 303. Technical assistance and innovation to improve transportation 
                            for older individuals.
Sec. 304. Grant program for multigenerational collaboration.
         TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

Sec. 401. Priority for the senior community service employment program.
Sec. 402. Authorization of appropriations.
             TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

Sec. 501. Reauthorization.
TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION 
                     ACTIVITIES AND OTHER PROGRAMS

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

Sec. 701. Technical corrections.

SEC. 3. REFERENCES.

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

SEC. 4. DEFINITIONS.

    In this Act, the terms ``area agency on aging'', ``Assistant 
Secretary'', ``greatest social need'', ``older individual'', and 
``Secretary'' have the meanings given such terms in section 102 of the 
Older Americans Act of 1965 (42 U.S.C. 3002).

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

SEC. 101. REAUTHORIZATION.

    Section 216 (42 U.S.C. 3020f) is amended to read as follows--

``SEC. 216. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--For purposes of carrying out this Act, there are 
authorized to be appropriated for administration, salaries, and 
expenses of the Administration $44,041,171 for fiscal year 2020, 
$46,684,701 for fiscal year 2021, $49,485,783 for fiscal year 2022, 
$52,454,930 for fiscal year 2023, $55,602,226 for fiscal year 2024, 
$58,938,360 for fiscal year 2025, and $62,474,661 for fiscal year 2026.
    ``(b) Additional Authorizations.--There are authorized to be 
appropriated--
            ``(1) to carry out section 202(a)(21) (relating to the 
        National Eldercare Locator Service), $2,186,227 for fiscal year 
        2020, $2,317,401 for fiscal year 2021, $2,456,445 for fiscal 
        year 2022, $2,603,832 for fiscal year 2023, $2,760,062 for 
        fiscal year 2024, $2,925,665 for fiscal year 2025, and 
        $3,101,206 for fiscal year 2026;
            ``(2) to carry out section 215, $1,992,460 for fiscal year 
        2020, $2,112,008 for fiscal year 2021, $2,238,728 for fiscal 
        year 2022, $2,373,052 for fiscal year 2023, $2,515,435 for 
        fiscal year 2024, $2,667,361 for fiscal year 2025, and 
        $2,826,343 for fiscal year 2026;
            ``(3) to carry out section 202 (relating to Elder Rights 
        Support Activities under this title), $1,375,011 for fiscal 
        year 2020, $1,457,511 for fiscal year 2021, $1,544,962 for 
        fiscal year 2022, $1,637,660 for fiscal year 2023, $1,735,919 
        for fiscal year 2024, $1,840,074 for fiscal year 2025, and 
        $1,950,479 for fiscal year 2026;
            ``(4) to carry out section 202(b) (relating to the Aging 
        and Disability Resource Centers), $8,708,043 for fiscal year 
        2020, $9,230,526 for fiscal year 2021, $9,784,357 for fiscal 
        year 2022, $10,371,419 for fiscal year 2023, $10,993,704 for 
        fiscal year 2024, $11,653,326 for fiscal year 2025, and 
        $12,352,525 for fiscal year 2026.''.

SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES.

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

SEC. 103. AGING AND DISABILITY RESOURCE CENTERS.

    Section 102(4) (42 U.S.C. 3002(4)) is amended--
            (1) in the matter preceding subparagraph (A), by inserting 
        ``, in collaboration with (as appropriate) area agencies on 
        aging, centers for independent living (as described in part C 
        of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f 
        et seq.)), and other aging or disability entities'' after 
        ``provides'';
            (2) in subparagraph (B)--
                    (A) by inserting ``services, supports, and'' after 
                ``plan for long-term''; and
                    (B) by inserting ``and choices'' after ``desires''; 
                and
            (3) in subparagraph (D), by striking ``(29 U.S.C. 796f et 
        seq.), and other community-based entities,'' and inserting ``, 
        and other community-based entities, including other aging or 
        disability entities,''.

SEC. 104. ASSISTIVE TECHNOLOGY.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
            (1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the 
        end the following:
    ``(C) The term `State assistive technology entity' means the 
agency, office, or other entity designated under subsection (c)(1) of 
section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to 
carry out State activities under such section.'';
            (2) in section 306 (42 U.S.C. 3026)--
                    (A) in subsection (a)(6)--
                            (i) in subparagraph (G), by striking ``; 
                        and'' and inserting a semicolon;
                            (ii) in subparagraph (H), by striking 
                        ``appropriate;'' and inserting ``appropriate; 
                        and''; and
                            (iii) by adding at the end the following:
            ``(I) coordinate with the State assistive technology entity 
        to ensure access to, and acquisition of, assistive technology 
        in serving older individuals;''; and
                    (B) in subsection (b)(3)--
                            (i) in subparagraph (K)--
                                    (I) by aligning the margins of the 
                                subparagraph with the margins of 
                                subparagraph (J); and
                                    (II) by striking ``; and'' and 
                                inserting a semicolon;
                            (ii) by redesignating subparagraph (L) as 
                        subparagraph (M); and
                            (iii) by inserting after subparagraph (K) 
                        the following:
            ``(L) assistive technology devices and services; and''; and
            (3) in section 411(a) (42 U.S.C. 3032(a))--
                    (A) in paragraph (2), by inserting ``aligned with 
                evidence-based practice'' after ``applied social 
                research''; and
                    (B) in paragraph (10), by inserting ``consistent 
                with section 508 of the Rehabilitation Act of 1973 (29 
                U.S.C. 794d)'' after ``other technologies''.

SEC. 105. VACCINATION.

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

SEC. 106. MALNUTRITION.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
            (1) in section 102(14)(B), as amended by section 105(1), by 
        inserting ``(including screening for malnutrition)'' before the 
        semicolon at the end; and
            (2) in section 330(1), by striking ``and food insecurity'' 
        and inserting ``, food insecurity, and malnutrition''.

SEC. 107. SEXUALLY TRANSMITTED DISEASES.

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

SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT.

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

SEC. 109. SCREENING FOR SUICIDE RISK.

    Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting 
``and screening for suicide risk'' after ``depression''.

SEC. 110. ADDRESSING PUBLIC HEALTH EMERGENCIES AND EMERGING HEALTH 
              THREATS.

    Section 102(14) (42 U.S.C. 3002(14)) is amended--
            (1) by redesignating subparagraphs (K) and (L) as 
        subparagraphs (L) and (M), respectively;
            (2) by inserting after subparagraph (J) the following:
                    ``(K) responses to public health emergencies and 
                emerging health threats;''; and
            (3) in subparagraph (M), as so redesignated, by striking 
        ``(A) through (K)'' and inserting ``(A) through (L)''.

SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES.

    Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking 
``for purposes of sections 307(a)(12) and 712,''.

SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES.

    Section 102 (42 U.S.C. 3002) is amended--
            (1) by redesignating paragraphs (41) through (54) as 
        paragraphs (42) through (55), respectively; and
            (2) by inserting after paragraph (40) the following:
            ``(41) The term `person-centered, trauma-informed', with 
        respect to services, means services provided through an aging 
        program that--
                    ``(A) use a holistic approach to providing services 
                or care;
                    ``(B) promote the dignity, strength, and 
                empowerment of victims of trauma; and
                    ``(C) incorporate evidence-based practices based on 
                knowledge about the role of trauma in trauma victims' 
                lives.''.

SEC. 113. MODERNIZING THE REVIEW OF APPLICATIONS AND PROVIDING 
              TECHNICAL ASSISTANCE FOR DISASTERS.

    (a) Review of Applications.--Section 202 (42 U.S.C. 3012) is 
amended--
            (1) by amending subsection (a)(4) to read as follows:
            ``(4) administer the grants provided by this Act, but not 
        approve an application submitted by an applicant for a grant 
        for an activity under a provision of this Act for which such 
        applicant previously received a grant under such provision 
        unless the Assistant Secretary determines--
                    ``(A) the activity for which such application was 
                submitted is being operated, or was operated, 
                effectively to achieve its stated purpose; and
                    ``(B) such applicant--
                            ``(i) has complied with the assurances 
                        provided to the Assistant Secretary with the 
                        application for such previous grant; and
                            ``(ii) will comply with the assurances 
                        provided with the application submitted for the 
                        subsequent grant.''; and
            (2) by adding at the end the following:
    ``(h) The Assistant Secretary shall publish, on an annual basis, a 
list of centers and demonstration projects funded under each title of 
this Act. The Assistant Secretary shall ensure that this information is 
also directly provided to States and area agencies on aging.''.
    (b) Addressing the Needs of Older Individuals in Disasters.--
Section 202(a) (42 U.S.C. 3012(a)) is amended--
            (1) in paragraph (30), by striking ``; and'' and inserting 
        a semicolon;
            (2) in paragraph (31), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
            ``(32) provide technical assistance to, and share best 
        practices with, States and area agencies on aging on how to 
        collaborate and coordinate activities and develop long-range 
        emergency preparedness plans with local and State emergency 
        response agencies, relief organizations, local and State 
        governments, Federal agencies as appropriate, and any other 
        institutions that have responsibility for disaster relief 
        service delivery.''.

SEC. 114. NOTIFICATION OF AVAILABILITY OF OR UPDATES TO POLICIES, 
              PRACTICES, AND PROCEDURES THROUGH A UNIFORM E-FORMAT.

    Section 202(a) (42 U.S.C. 3012(a)), as amended by section 113(b), 
is further amended--
            (1) in paragraph (31), by striking ``; and'' and inserting 
        a semicolon;
            (2) in paragraph (32), by striking the period and inserting 
        ``; and''; and
            (3) by adding at the end the following:
            ``(33) provide (to the extent practicable) a standardized 
        notification, to State agencies, area agencies on aging, 
        providers of services under this Act, and grantees or contract 
        awardees under this Act, through an electronic format (e-mail 
        or other electronic notification), of the availability of, or 
        updates to, policies, practices, and procedures under this 
        Act.''.

SEC. 115. EVIDENCE-BASED PROGRAM ADAPTATION.

    (a) Functions of the Assistant Secretary.--Section 202 (42 U.S.C. 
3012) is amended--
            (1) in subsection (a)(28), by inserting before the 
        semicolon ``, including information and technical assistance on 
        delivery of such services in different settings''; and
            (2) in subsection (b)(9)(B), by inserting before the 
        semicolon ``, including delivery of such services in different 
        settings''.
    (b) Evidence-Based Disease Prevention and Health Promotion 
Services.--Section 361(a) (42 U.S.C. 3030m(a)) is amended in the second 
sentence by inserting ``provide technical assistance on the delivery of 
evidence-based disease prevention and health promotion services in 
different settings and for different populations, and'' before 
``consult''.

SEC. 116. BUSINESS ACUMEN PROVISIONS AND CLARIFICATION REGARDING 
              OUTSIDE FUNDING FOR AREA AGENCIES ON AGING.

    (a) Assistance Relating to Growing and Sustaining Capacity.--
Section 202(b)(9) (42 U.S.C. 3012(b)(9)) is amended--
            (1) in subparagraph (A), by striking ``and'' after the 
        semicolon at the end;
            (2) in subparagraph (B), as amended by section 115(a)(2), 
        by inserting ``and'' after the semicolon at the end; and
            (3) by adding at the end the following:
                    ``(C) business acumen, capacity building, 
                organizational development, innovation, and other 
                methods of growing and sustaining the capacity of the 
                aging network to serve older individuals and caregivers 
                most effectively;''.
    (b) Clarifying Partnerships for Area Agencies on Aging.--Section 
306 (42 U.S.C. 3026) is amended by adding at the end the following:
    ``(g) Nothing in this Act shall restrict an area agency on aging 
from providing services not provided or authorized by this Act, 
including through--
            ``(1) contracts with health care payers;
            ``(2) consumer private pay programs; or
            ``(3) other arrangements with entities or individuals that 
        increase the availability of home- and community-based services 
        and supports in the planning and service area supported by the 
        area agency on aging.''.

SEC. 117. NATIONAL RESOURCE CENTER FOR OLDER INDIVIDUALS EXPERIENCING 
              THE LONG-TERM AND ADVERSE CONSEQUENCES OF TRAUMA.

    Section 202 (42 U.S.C. 3012), as amended by section 113(a)(2), is 
further amended by adding at the end the following:
    ``(i) The Assistant Secretary shall, directly or by grant or 
contract, operate a national resource center that--
            ``(1) provides training and technical assistance to 
        agencies in the aging network delivering person-centered, 
        trauma-informed services to older individuals experiencing the 
        long-term and adverse consequences of trauma;
            ``(2) shares best practices with the aging network; and
            ``(3) makes grants to the agencies best positioned to 
        advance and improve the delivery of person-centered, trauma-
        informed services for older individuals experiencing the long-
        term and adverse consequences of trauma.''.

SEC. 118. NATIONAL RESOURCE CENTER FOR WOMEN AND RETIREMENT.

    Section 202 (42 U.S.C. 3012), as amended by section 117, is further 
amended by adding at the end the following:
    ``(j)(1) The Assistant Secretary shall, directly or by grant or 
contract, operate the National Resource Center for Women and Retirement 
(in this subsection referred to as the `Center').
    ``(2) The Center shall--
            ``(A) provide tools, such as basic financial management, 
        retirement planning, and other educational tools, that promote 
        financial literacy and help to identify and prevent fraud and 
        exploitation of older individuals who are women, and integrate 
        these tools with information on health and long-term care of 
        older individuals;
            ``(B) annually disseminate to the Assistant Secretary a 
        summary of outreach provided under this subsection, including 
        efforts to provide user-friendly consumer information and 
        public education materials with respect to the tools provided 
        under subparagraph (A);
            ``(C) develop targeted outreach strategies to older 
        individuals who are women in providing the tools under 
        subparagraph (A);
            ``(D) provide technical assistance to State agencies and to 
        other public and nonprofit private agencies and organizations 
        in providing the tools under subparagraph (A); and
            ``(E) develop partnerships and collaborations to address 
        objectives under this subsection.''.

SEC. 119. FAMILY CAREGIVERS.

    (a) Administration.--Section 202 (42 U.S.C. 3012), as amended by 
section 118, is further amended by adding at the end the following:
    ``(k) The Assistant Secretary shall carry out the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note).''.
    (b) Sunset.--Section 6 of the RAISE Family Caregivers Act (42 
U.S.C. 3030s note) is amended by striking ``3 years'' and inserting ``8 
years''.
    (c) Conforming Amendment.--Section 2(3) of the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note) is amended by inserting ``acting 
through the Assistant Secretary for Aging'' before the period at the 
end.

SEC. 120. COORDINATION WITH ASSISTANT SECRETARY FOR MENTAL HEALTH AND 
              SUBSTANCE USE AND DIRECTOR OF THE CENTERS FOR DISEASE 
              CONTROL AND PREVENTION.

    The Assistant Secretary shall, in performing the functions of the 
Administration on Aging under section 202(a)(5) of the Older Americans 
Act of 1965 (42 U.S.C. 3012(a)(5)) related to health (including mental 
and behavioral health) services, coordinate with the Assistant 
Secretary for Mental Health and Substance Use and the Director of the 
Centers for Disease Control and Prevention--
            (1) in the planning, development, implementation, and 
        evaluation of evidence-based policies, programs, practices, and 
        other activities pertaining to the prevention of suicide among 
        older individuals, including the implementation of evidence-
        based suicide prevention programs and strategies identified by 
        the National Center for Injury Prevention and Control at the 
        Centers for Disease Control and Prevention and other entities, 
        as applicable; and
            (2) in providing and incorporating technical assistance for 
        the prevention of suicide among older individuals, including 
        technical assistance related to the Suicide Prevention 
        Technical Assistance Center established under section 520C of 
        the Public Health Service Act (42 U.S.C. 290bb-34).

SEC. 121. MODERNIZING THE INTERAGENCY COORDINATING COMMITTEE ON HEALTHY 
              AGING AND AGE-FRIENDLY COMMUNITIES.

    (a) Federal Agency Consultation.--Section 203(c) (42 U.S.C. 
3013(c)) is amended--
            (1) in paragraph (1)--
                    (A) by striking ``the Federal officials'' and 
                inserting ``other Federal officials'';
                    (B) by striking ``Committee on Aging'' and 
                inserting ``Committee on Healthy Aging and Age-Friendly 
                Communities''; and
                    (C) by inserting ``and the development of a 
                national set of recommendations, in accordance with 
                paragraph (6), to support the ability of older 
                individuals to age in place and access preventive 
                health care, promote age-friendly communities, and 
                address the ability of older individuals to access 
                long-term care supports, including access to caregivers 
                and home- and community-based health services'' before 
                the period;
            (2) in paragraph (4), by adding at the end the following: 
        ``The first term, after the date of enactment of the 
        Modernization of the Older Americans Act Amendments, shall 
        start not later than 1 year after such date of enactment.'';
            (3) in paragraph (6)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``The Committee shall'' and inserting ``The 
                recommendations described in paragraph (1) may include 
                recommendations for'';
                    (B) in subparagraph (A)--
                            (i) by striking ``share information with 
                        and establish an ongoing system to'' and 
                        inserting ``ways to''; and
                            (ii) by striking ``for older individuals 
                        and recommend improvements'' and all that 
                        follows through ``accessibility of such 
                        programs and services'' and inserting ``that 
                        impact older individuals'';
                    (C) in subparagraph (B), by striking ``identify, 
                promote, and implement (as appropriate),'';
                    (D) in subparagraph (C)--
                            (i) by inserting ``ways to'' before 
                        ``collect'';
                            (ii) by striking ``older individuals and''; 
                        and
                            (iii) by striking ``the individuals to 
                        ensure'' and all that follows through 
                        ``information'' and inserting ``older 
                        individuals to ensure that such information is 
                        accessible'';
                    (E) in subparagraph (D), by striking ``work with'' 
                and all that follows through ``member agencies to 
                ensure'' and inserting ``ways to ensure'';
                    (F) in subparagraph (E), by striking ``seek input'' 
                and all that follows through ``foundations'' and 
                inserting ``seeking input from and consulting with 
                nonprofit organizations, academic or research 
                institutions, community-based organizations, 
                philanthropic organizations, or other entities 
                supporting age-friendly communities'';
                    (G) in subparagraph (F), by striking ``identify'' 
                and inserting ``identifying''; and
                    (H) by amending subparagraph (G) to read as 
                follows:
            ``(G) ways to improve coordination to provide housing, 
        health care, and other supportive services to older 
        individuals.'';
            (4) in paragraph (7)(A)(i), by striking ``services for 
        older individuals'' and inserting ``services that impact older 
        individuals''; and
            (5) by adding at the end the following:
    ``(9) In this subsection, the term `age-friendly community' means a 
community that--
            ``(A) is taking measurable steps to--
                    ``(i) include adequate and accessible housing, 
                public spaces and buildings, safe and secure paths, 
                variable route transportation services, and programs 
                and services designed to support health and well-being;
                    ``(ii) respect and include older individuals in 
                social opportunities, civic participation, 
                volunteerism, and employment; and
                    ``(iii) facilitate access to supportive services 
                for older individuals;
            ``(B) is not an assisted living facility or long-term care 
        facility; and
            ``(C) has a plan in place to meet local needs for housing, 
        transportation, civic participation, social connectedness, and 
        accessible public spaces.''.
    (b) Administration of the Act.--Section 205(a)(2) (42 U.S.C. 
3016(a)(2)) is amended--
            (1) by redesignating subparagraph (C) as subparagraph (D); 
        and
            (2) by inserting after subparagraph (B) the following:
    ``(C) The Assistant Secretary may provide technical assistance, 
including through the regional offices of the Administration, to State 
agencies, area agencies on aging, local government agencies, or leaders 
in age-friendly communities (as defined, for purposes of this 
subparagraph, in section 203(c)(9)) regarding--
            ``(i) dissemination of, or consideration of ways to 
        implement, best practices and recommendations from the 
        Interagency Coordinating Committee on Healthy Aging and Age-
        Friendly Communities established under section 203(c); and
            ``(ii) methods for managing and coordinating existing 
        programs to meet the needs of growing age-friendly 
        communities.''.

SEC. 122. PROFESSIONAL STANDARDS FOR NUTRITION OFFICIAL UNDER THE 
              ASSISTANT SECRETARY.

    Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as 
redesignated by section 121(b)(1), is amended to read as follows:
            ``(ii) be a registered dietitian or registered dietician 
        nutritionist.''.

SEC. 123. REPORT ON SOCIAL ISOLATION.

    (a) Preparation of Report.--
            (1) In general.--The Secretary shall, in carrying out 
        activities under section 206(a) of the Older Americans Act of 
        1965 (42 U.S.C. 3017(a)), prepare a report on programs 
        authorized by such Act (42 U.S.C. 3001 et seq.), and supported 
        or funded by the Administration on Aging, that include a focus 
        on addressing the negative impacts associated with social 
        isolation through targeting older individuals identified in 
        greatest social need, as appropriate.
            (2) Impact.--Such report shall identify--
                    (A) whether social isolation is being adequately 
                addressed under such programs, including, to the extent 
                practicable--
                            (i) the prevalence of social isolation in 
                        rural areas and in urban areas;
                            (ii) the public health impacts associated 
                        with social isolation; and
                            (iii) the role of preventive measures or of 
                        services, including nutrition services, in 
                        addressing the negative impacts associated with 
                        social isolation among older individuals; and
                    (B) public awareness of and efforts to address the 
                negative public health impacts associated with social 
                isolation.
            (3) Types of programs.--Such report shall identify whether 
        programs described in paragraph (1)--
                    (A) support projects in local communities and 
                involve diverse sectors associated with such 
                communities to decrease the negative impacts associated 
                with social isolation among older individuals and 
                caregivers;
                    (B) support outreach activities to screen older 
                individuals for negative impacts associated with social 
                isolation; and
                    (C) include a focus on decreasing the negative 
                impacts associated with social isolation.
            (4) Recommendations.--Such report shall, as appropriate, 
        include recommendations for reducing the negative impacts 
        associated with social isolation and to address any impacts 
        identified under clauses (i) through (iii) of subparagraph (A), 
        and subparagraph (B), of paragraph (2).
    (b) Submission of Report.--
            (1) Interim status report.--Not later than 2 years after 
        the date of enactment of this Act, the Secretary shall submit 
        an interim report, to the committees of the Senate and of the 
        House of Representatives with jurisdiction over the Older 
        Americans Act of 1965 (42 U.S.C. 3001 et seq.), and the Special 
        Committee on Aging of the Senate, on the status of the 
        evaluation underway to develop the final report required under 
        this section.
            (2) Final report.--Not later than 5 years after the date of 
        enactment of this Act, the Secretary shall submit a final 
        report of the report required under this section to the 
        committees of the Senate and of the House of Representatives 
        with jurisdiction over the Older Americans Act of 1965 (42 
        U.S.C. 3001 et seq.), and the Special Committee on Aging of the 
        Senate.

SEC. 124. INNOVATION, DEMONSTRATION, AND EVALUATION WITHIN AGING 
              PROGRAMS.

    (a) In General.--Section 206 (42 U.S.C. 3017) is amended--
            (1) by striking the section heading and inserting the 
        following:

``SEC. 206. EVALUATION.'';

            (2) in subsection (a)--
                    (A) by striking ``(a) The Secretary'' and inserting 
                the following:
    ``(a) In General.--
            ``(1) Measuring and evaluating the impact of programs.--The 
        Secretary''; and
                    (B) by adding at the end the following:
            ``(2) Innovation, demonstration, and evaluation within 
        aging programs.--
                    ``(A) In general.--The Secretary shall be 
                responsible for all activities related to demonstration 
                and evaluation of aging programs under this Act.
                    ``(B) Evaluation activities.--The Secretary shall 
                review, coordinate, and streamline the evaluation of 
                programs (including demonstration projects) authorized 
                by this Act to ensure enhanced program outcomes. Such 
                activities shall include--
                            ``(i) overseeing analyses of data obtained 
                        in connection with such programs to evaluate, 
                        where feasible, the relationship of such 
                        programs to--
                                    ``(I) the determinants of health 
                                for program participants; and
                                    ``(II) health care expenditures, 
                                including under the Medicare program 
                                under title XVIII of the Social 
                                Security Act (42 U.S.C. 1395 et seq.) 
                                and the Medicaid program under title 
                                XIX of such Act (42 U.S.C. 1396 et 
                                seq.);
                            ``(ii) disseminating the findings from 
                        evaluations of programs authorized by this Act 
                        throughout the aging network in electronic 
                        format and any other format determined 
                        appropriate by the Secretary;
                            ``(iii) publicly posting the findings from 
                        evaluations of such programs in an electronic 
                        format, including webinar as appropriate;
                            ``(iv) replicating successful demonstration 
                        projects under title IV of this Act, including 
                        on a national scale as appropriate; and
                            ``(v) providing, directly or through grant 
                        or contract, for research on and an evaluation 
                        of programs under this Act, which shall 
                        include, to the extent practicable, an analysis 
                        of the relationship of such programs, including 
                        demonstration projects under title IV of this 
                        Act, to health care expenditures under the 
                        Medicare program under title XVIII of the 
                        Social Security Act and Medicaid program under 
                        title XIX of such Act.
                    ``(C) Demonstration projects.--The Secretary--
                            ``(i) shall require selected demonstration 
                        projects authorized by title IV after the date 
                        of enactment of the Modernization of the Older 
                        Americans Act Amendments to be targeted to--
                                    ``(I) address the determinants of 
                                health for program participants;
                                    ``(II) show the relationship to 
                                health care expenditures, including, to 
                                the extent practicable, by measuring a 
                                reduction in health expenditures, and 
                                preserve or enhance quality of care 
                                furnished to individuals, which may 
                                include health expenditures and quality 
                                of care under the Medicare program 
                                under title XVIII of the Social 
                                Security Act and the Medicaid program 
                                under title XIX of such Act; and
                                    ``(III) contain performance 
                                standards and measures, developed by 
                                the Secretary, to evaluate whether such 
                                demonstration projects are achieving 
                                the objectives described in subclauses 
                                (I) and (II); and
                            ``(ii) may, in selecting demonstration 
                        projects authorized by title IV after the date 
                        of enactment of the Modernization of the Older 
                        Americans Act Amendments, prioritize 
                        demonstration projects involving--
                                    ``(I) multigenerational engagement;
                                    ``(II) support for caregivers 
                                caring for individuals of any age;
                                    ``(III) community-based 
                                partnerships; or
                                    ``(IV) any other activity described 
                                in title IV that the Secretary 
                                determines will achieve the objectives 
                                of this subsection.
                    ``(D) 5-year plans.--Not later than December 1, 
                2020, and every fifth December 1 thereafter, the 
                Secretary, shall prepare and publish in the Federal 
                Register for public comment a draft of a 5-year plan 
                that establishes a framework for evaluating programs 
                authorized by this Act (other than demonstration 
                projects evaluated in accordance with subparagraph 
                (C)), including programs authorized by title III, V, 
                VI, or VII, and explains the basis for such 
                framework.'';
            (3) in subsection (b), by striking ``(b) The Secretary'' 
        and inserting the following:
    ``(b) Standards for Title IV Grants or Contracts.--The Secretary'';
            (4) in subsection (c), by striking ``(c) In carrying out'' 
        and inserting the following:
    ``(c) Consultation.--In carrying out'';
            (5) in subsection (d), by striking ``(d) The Secretary 
        shall'' and inserting the following:
    ``(d) Summaries and Analyses.--The Secretary shall'';
            (6) in subsection (e), by striking ``(e) The Secretary 
        shall'' and inserting the following:
    ``(e) Property of the United States.--The Secretary shall'';
            (7) in subsection (f), by striking ``(f) Such information'' 
        and inserting the following:
    ``(f) Availability by Departments and Agencies.--Such 
information''; and
            (8) in subsection (g), by striking ``(g) From the total 
        amount'' and inserting the following:
    ``(g) Limitation on Funding.--From the total amount''.
    (b) Reports.--Section 207 (42 U.S.C. 3018) is amended--
            (1) in subsection (a)(2), by striking ``section 
        202(a)(16)'' and inserting ``sections 202(a)(16) and 
        206(a)(2)''; and
            (2) by adding at the end the following:
    ``(d) The Assistant Secretary shall, as part of the annual report 
submitted under subsection (a), prepare and submit a report on 
activities carried out under section 206(a)(2) and title IV.''.
    (c) Innovation, Demonstration, and Evaluation Activities Within 
Aging Programs.--
            (1) Heading.--Title IV (42 U.S.C. 3031 et seq.) is amended 
        in the title heading by striking ``ACTIVITIES FOR HEALTH, 
        INDEPENDENCE, AND LONGEVITY'' and inserting ``INNOVATION, 
        DEMONSTRATION, AND EVALUATION WITHIN AGING PROGRAMS''.
            (2) Purposes.--Section 401 (42 U.S.C. 3031) is amended--
                    (A) by amending paragraph (1) to read as follows:
            ``(1) to gain a better understanding and knowledge base 
        for--
                    ``(A) appraising services and facilities for older 
                individuals; and
                    ``(B) developing new and more effective and 
                efficient ways of improving the lives of older 
                individuals;'';
                    (B) in paragraph (2), by striking the semicolon at 
                the end and inserting ``; and'';
                    (C) in paragraph (3), by striking ``; and'' and 
                inserting a period; and
                    (D) by striking paragraph (4).
            (3) Program authorized.--Section 411(a)(3) (42 U.S.C. 
        3032(a)(3)) is amended by striking ``this section'' and 
        inserting ``this Act''.

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

SEC. 201. DETERMINANTS OF HEALTH.

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

SEC. 202. YOUNGER ONSET ALZHEIMER'S DISEASE.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
            (1) in section 302(3) (42 U.S.C. 3022(3)), by inserting 
        ``of any age'' after ``an individual''; and
            (2) in section 711(6) (42 U.S.C. 3058f(6)), by inserting 
        ``of any age'' after ``individual''.

SEC. 203. REAUTHORIZATION.

    (a) Grants for State and Community Programs on Aging.--Subsections 
(a) through (e) of section 303 (42 U.S.C. 3023) are amended to read as 
follows:
    ``(a)(1) There are authorized to be appropriated to carry out part 
B (relating to supportive services) $413,011,586 for fiscal year 2020, 
$437,792,281 for fiscal year 2021, $464,059,818 for fiscal year 2022, 
$491,903,407 for fiscal year 2023, $521,417,612 for fiscal year 2024, 
$552,702,669 for fiscal year 2025, and $585,864,829 for fiscal year 
2026.
    ``(2) Funds appropriated under paragraph (1) shall be available to 
carry out section 712.
    ``(b)(1) There are authorized to be appropriated to carry out 
subpart 1 of part C (relating to congregate nutrition services) 
$531,279,663 for fiscal year 2020, $563,156,443 for fiscal year 2021, 
$596,945,830 for fiscal year 2022, $632,762,580 for fiscal year 2023, 
$670,728,334 for fiscal year 2024, $710,972,034 for fiscal year 2025, 
and $753,630,356 for fiscal year 2026.
    ``(2) There are authorized to be appropriated to carry out subpart 
2 of part C (relating to home delivered nutrition services) 
$269,577,167 for fiscal year 2020, $285,751,797 for fiscal year 2021, 
$302,896,905 for fiscal year 2022, $321,070,719 for fiscal year 2023, 
$340,334,963 for fiscal year 2024, $360,755,061 for fiscal year 2025, 
and $382,400,364 for fiscal year 2026.
    ``(c) Grants made under part B, and subparts 1 and 2 of part C, of 
this title may be used for paying part of the cost of--
            ``(1) the administration of area plans by area agencies on 
        aging designated under section 305(a)(2)(A), including the 
        preparation of area plans on aging consistent with section 306 
        and the evaluation of activities carried out under such plans; 
        and
            ``(2) the development of comprehensive and coordinated 
        systems for supportive services, and congregate and home 
        delivered nutrition services under subparts 1 and 2 of part C, 
        the development and operation of multipurpose senior centers, 
        and the delivery of legal assistance.
    ``(d) There are authorized to be appropriated to carry out part D 
(relating to disease prevention and health promotion services) 
$26,650,753 for fiscal year 2020, $28,249,798 for fiscal year 2021, 
$29,944,786 for fiscal year 2022, $31,741,473 for fiscal year 2023, 
$33,645,961 for fiscal year 2024, $35,664,718 for fiscal year 2025, and 
$37,804,601 for fiscal year 2026.
    ``(e) There are authorized to be appropriated to carry out part E 
(relating to family caregiver support) $194,331,264 for fiscal year 
2020, $205,991,140 for fiscal year 2021, $218,350,609 for fiscal year 
2022, $231,451,645 for fiscal year 2023, $245,338,744 for fiscal year 
2024, $260,059,069 for fiscal year 2025, and $275,662,613 for fiscal 
year 2026.''.
    (b) Nutrition Services Incentive Program.--Section 311(e) of the 
Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended to read as 
follows:
    ``(e) There are authorized to be appropriated to carry out this 
section (other than subsection (c)(1)) $171,682,200 for fiscal year 
2020, $181,983,132 for fiscal year 2021, $192,902,120 for fiscal year 
2022, $204,476,247 for fiscal year 2023, $216,744,822 for fiscal year 
2024, $229,749,511 for fiscal year 2025, and $243,534,482 for fiscal 
year 2026.''.

SEC. 204. HOLD HARMLESS FORMULA.

    (a) In General.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is 
amended to read as follows:
                    ``(D)(i) In this subparagraph and paragraph (5)--
                            ``(I) the term `allot' means allot under 
                        this subsection from a sum appropriated under 
                        section 303(a) or 303(b)(1), as the case may 
                        be; and
                            ``(II) the term `covered fiscal year' means 
                        any of fiscal years 2020 through 2029.
                    ``(ii) If the sum appropriated under section 303(a) 
                or 303(b)(1) for a particular covered fiscal year is 
                less than or equal to the sum appropriated under 
                section 303(a) or 303(b)(1), respectively, for fiscal 
                year 2019, amounts shall be allotted to States from the 
                sum appropriated for the particular year in accordance 
                with paragraphs (1) and (2), and subparagraphs (A) 
                through (C) as applicable, but no State shall be 
                allotted an amount that is less than--
                            ``(I) for fiscal year 2020, 99.75 percent 
                        of the corresponding sum appropriated for 
                        fiscal year 2019;
                            ``(II) for fiscal year 2021, 99.50 percent 
                        of that sum;
                            ``(III) for fiscal year 2022, 99.25 percent 
                        of that sum;
                            ``(IV) for fiscal year 2023, 99.00 percent 
                        of that sum;
                            ``(V) for fiscal year 2024, 98.75 percent 
                        of that sum;
                            ``(VI) for fiscal year 2025, 98.50 percent 
                        of that sum;
                            ``(VII) for fiscal year 2026, 98.25 percent 
                        of that sum;
                            ``(VIII) for fiscal year 2027, 98.00 
                        percent of that sum;
                            ``(IX) for fiscal year 2028, 97.75 percent 
                        of that sum; and
                            ``(X) for fiscal year 2029, 97.50 percent 
                        of that sum.
                    ``(iii) If the sum appropriated under section 
                303(a) or 303(b)(1) for a particular covered fiscal 
                year is greater than the sum appropriated under section 
                303(a) or 303(b)(1), respectively, for fiscal year 
                2019, the allotments to States from the sum 
                appropriated for the particular year shall be 
                calculated as follows:
                            ``(I) From the portion equal to the 
                        corresponding sum appropriated for fiscal year 
                        2019, amounts shall be allotted in accordance 
                        with paragraphs (1) and (2), and subparagraphs 
                        (A) through (C) as applicable, but no State 
                        shall be allotted an amount that is less than 
                        the percentage specified in clause (ii), for 
                        that particular year, of the corresponding sum 
                        appropriated for fiscal year 2019.
                            ``(II) From the remainder, amounts shall be 
                        allotted in accordance with paragraph (1), 
                        subparagraphs (A) through (C) as applicable, 
                        and paragraph (2) to the extent needed to meet 
                        the requirements of those subparagraphs.''.
    (b) Repeal.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D) is 
repealed, effective October 1, 2029.

SEC. 205. OUTREACH EFFORTS.

    Section 306(a)(4)(B)(i)(VII) (42 U.S.C. 3026(a)(4)(B)(i)(VII)) is 
amended by inserting ``, specifically including survivors of the 
Holocaust'' after ``placement''.

SEC. 206. MAINTENANCE OF EFFORT FOR STATE LONG-TERM CARE OMBUDSMAN 
              PROGRAM.

    (a) Area Agency on Aging.--Section 306(a)(9) (42 U.S.C. 3026(a)(9)) 
is amended by striking ``Act and expended by the agency in fiscal year 
2000'' and inserting ``Act and expended by the agency in fiscal year 
2019''.
    (b) State Agency.--Section 307(a)(9) (42 U.S.C. 3027(a)(9)) is 
amended by striking ``not less than'' and all that follows and 
inserting ``not less than the total amount expended by the State agency 
with funds received under this title and title VII for fiscal year 
2019.''.

SEC. 207. COORDINATION WITH RESOURCE CENTERS.

    (a) Area Plans.--Section 306(a) (42 U.S.C. 3026(a)) is amended--
            (1) in paragraph (16), by striking ``and'' at the end;
            (2) in paragraph (17), by striking the period at the end 
        and inserting a semicolon; and
            (3) by adding at the end the following:
            ``(18) provide assurances that the area agency on aging 
        will collect data to determine--
                    ``(A) the services that are needed by older 
                individuals whose needs were the focus of all centers 
                funded under title IV in fiscal year 2019; and
                    ``(B) the effectiveness of the programs, policies, 
                and services provided by such area agency on aging in 
                assisting such individuals; and
            ``(19) provide assurances that the area agency on aging 
        will use outreach efforts that will identify individuals 
        eligible for assistance under this Act, with special emphasis 
        on those individuals whose needs were the focus of all centers 
        funded under title IV in fiscal year 2019.''.
    (b) State Plans.--Section 307(a) (42 U.S.C. 3027(a)) is amended by 
adding at the end the following:
            ``(31) The plan shall contain an assurance that the State 
        shall prepare and submit to the Assistant Secretary annual 
        reports that describe--
                    ``(A) data collected to determine the services that 
                are needed by older individuals whose needs were the 
                focus of all centers funded under title IV in fiscal 
                year 2019;
                    ``(B) data collected to determine the effectiveness 
                of the programs, policies, and services provided by 
                area agencies on aging in assisting such individuals; 
                and
                    ``(C) outreach efforts and other activities carried 
                out to satisfy the assurances described in paragraphs 
                (18) and (19) of section 306(a).''.

SEC. 208. SENIOR LEGAL HOTLINES.

    Not later than 4 years after the date of enactment of this Act, the 
Assistant Secretary shall prepare and submit to Congress a report 
containing--
            (1) information on which States or localities operate 
        senior legal hotlines;
            (2) information on how such hotlines operated by States or 
        localities are funded;
            (3) information of the usefulness of senior legal hotlines 
        in the coordination and provision of legal assistance; and
            (4) recommendations on additional actions that should be 
        taken related to senior legal hotlines.

SEC. 209. INCREASE IN LIMIT ON USE OF ALLOTTED FUNDS FOR STATE 
              ADMINISTRATIVE COSTS.

    Section 308(b)(2)(A) (42 U.S.C. 3028(b)(2)(A)) is amended by 
striking ``$500,000'' and inserting ``$750,000''.

SEC. 210. IMPROVEMENTS TO NUTRITION PROGRAMS.

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

SEC. 211. REVIEW OF REPORTS.

    Section 308(b) (42 U.S.C. 3028(b)) is amended by adding at the end 
the following:
    ``(8) The Assistant Secretary shall review the reports submitted 
under section 307(a)(31) and include aggregate data in the report 
required by section 207(a), including data on--
            ``(A) the effectiveness of the programs, policies, and 
        services provided by area agencies on aging in assisting older 
        individuals whose needs are the focus of all centers funded 
        under title IV in fiscal year 2019; and
            ``(B) outreach efforts and other activities carried out to 
        satisfy the assurances described in paragraphs (18) and (19) of 
        section 306(a), to identify such older individuals and their 
        service needs.''.

SEC. 212. OTHER PRACTICES.

    (a) Evaluation.--Section 315(d) (42 U.S.C. 3030c-2(d)) is amended 
by inserting ``, by State,'' after ``a comprehensive evaluation''.
    (b) GAO Study.--Not later than 2 years after the date of enactment 
of this Act, the Comptroller General of the United States shall conduct 
a study and issue a report that includes--
            (1) information--
                    (A) about, and a list of, contracts (implemented by 
                States or area agencies on aging) with health care 
                organizations, and State-implemented cost-sharing 
                policies by area agencies on aging, waiver use and 
                waiver use policies, and voluntary contribution 
                policies, by State, under title III of the Older 
                Americans Act of 1965 (42 U.S.C. 3021 et seq.); and
                    (B) about any negative impacts on low-income 
                individuals resulting from the policies and uses 
                described in subparagraph (A), and annual evaluation 
                methods and corrective action that the Assistant 
                Secretary is taking to rectify such an impact;
            (2) information about the policies described in 
        subparagraph (A), such as payment rates (including sliding 
        scales based solely on individual income and the cost of 
        delivering services and whether low-income individuals or other 
        populations are excluded from cost sharing or whether specific 
        demographic groups are targeted with cost sharing), procedures 
        to account for cost-sharing payments, written or other 
        educational materials to inform recipients about cost sharing 
        and voluntary contributions in a way that protects access to 
        services, and the extent to which stakeholders' views are 
        solicited regarding cost-sharing policies;
            (3) information on the number of older individuals paying 
        for services under the Older Americans Act of 1965 (42 U.S.C. 
        3001 et seq.);
            (4) policies that ensure that--
                    (A) low-income individuals are not burdened by 
                cost-sharing policies; and
                    (B) cost-sharing policies do not result in the 
                denial of services due to the individual's income or 
                the individual's failure to make a cost-sharing 
                payment; and
            (5) recommendations to Congress and various stakeholders 
        about ways to clarify or improve cost sharing or voluntary 
        contribution policies and implementation.

SEC. 213. CULTURALLY APPROPRIATE, MEDICALLY TAILORED MEALS.

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

SEC. 214. NUTRITION SERVICES STUDY.

    Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et seq.) is 
amended by adding at the end the following:

``SEC. 339B. NUTRITION SERVICES IMPACT STUDY.

    ``(a) Study.--
            ``(1) In general.--The Assistant Secretary shall perform a 
        study to assess how to measure and evaluate the discrepancy 
        between available services and the demand for such services in 
        the home delivered nutrition services program and the 
        congregate nutrition services program under this part, which 
        shall include assessing various methods (such as those that 
        States use) to measure and evaluate the discrepancy (such as 
        measurement through the length of waitlists).
            ``(2) Contents.--In performing the study, the Assistant 
        Secretary shall--
                    ``(A) consider means of obtaining information in 
                rural and underserved communities; and
                    ``(B) consider using existing tools (existing as of 
                the date the Assistant Secretary begins the study) such 
                as the tools developed through the Performance Outcome 
                Measurement Project.
            ``(3) Analysis.--The Assistant Secretary shall analyze and 
        determine which methods are the least burdensome and most 
        effective for measuring and evaluating the discrepancy 
        described in paragraph (1).
    ``(b) Recommendations.--
            ``(1) Preparation.--Not later than 3 years after the date 
        of enactment of this Act, the Assistant Secretary shall prepare 
        recommendations--
                    ``(A) on how to measure and evaluate, with the 
                least burden and the most effectiveness, the 
                discrepancy described in subsection (a)(1) (such as 
                measurement through the length of waitlists); and
                    ``(B) about whether studies similar to the study 
                described in subsection (a) should be carried out for 
                programs carried out under this Act, other than this 
                part.
            ``(2) Issuance.--The Assistant Secretary shall issue the 
        recommendations, and make the recommendations available as a 
        notification pursuant to section 202(a)(34) and to the 
        committees of the Senate and of the House of Representatives 
        with jurisdiction over this Act, and the Special Committee on 
        Aging of the Senate.''.

SEC. 215. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) Definitions for National Family Caregiver Support Program.--
Section 372(a) (42 U.S.C. 3030s(a)) is amended--
            (1) by redesignating paragraphs (1) through (3) as 
        paragraphs (2) through (4), respectively; and
            (2) by inserting before paragraph (2), as so redesignated, 
        the following:
            ``(1) Caregiver assessment.--The term `caregiver 
        assessment' means a defined process of gathering information to 
        identify the specific needs, barriers to support services, and 
        existing supports of a family caregiver or older relative 
        caregiver, as identified by the caregiver involved, to 
        appropriately target recommendations for support services 
        described in section 373(b). Such assessment shall be 
        administered through direct contact with the caregiver, which 
        may include contact through a home visit, the Internet, 
        telephone or teleconference, or in-person interaction.''.
    (b) General Authority.--Section 373 (42 U.S.C. 3030s-1) is 
amended--
            (1) in subsection (b), in the matter preceding paragraph 
        (1), by inserting ``which may be informed through the use of 
        caregiver assessments,'' after ``provided,'';
            (2) in subsection (e)(3), in the first sentence, by 
        inserting ``, including caregiver assessments used in the 
        State,'' after ``mechanisms'';
            (3) by redesignating subsections (e) through (g) as 
        subsections (f) through (h), respectively;
            (4) by inserting after subsection (d) the following:
    ``(e) Best Practices.--Not later than 1 year after the date of 
enactment of the Modernization of the Older Americans Act Amendments 
and every 5 years thereafter, the Assistant Secretary shall--
            ``(1) identify best practices relating to the programs 
        carried out under this section and section 631, regarding--
                    ``(A) the use of procedures and tools to monitor 
                and evaluate the performance of the programs carried 
                out under such sections;
                    ``(B) the use of evidence-based caregiver support 
                services; and
                    ``(C) any other issue determined relevant by the 
                Assistant Secretary; and
            ``(2) make available, including on the website of the 
        Administration and pursuant to section 202(a)(34), best 
        practices described in paragraph (1), to carry out the programs 
        under this section and section 631.''; and
            (5) by adding at the end the following:
    ``(i) Activities of National Significance.--The Assistant Secretary 
may award funds authorized under this section to States, public 
agencies, private nonprofit agencies, institutions of higher education, 
and organizations, including tribal organizations, for conducting 
activities of national significance that--
            ``(1) promote quality and continuous improvement in the 
        support provided to family caregivers and older relative 
        caregivers through programs carried out under this section and 
        section 631; and
            ``(2) include, with respect to such programs, program 
        evaluation, training, technical assistance, and research.
    ``(j) Technical Assistance for Caregiver Assessments.--Not later 
than 1 year after the date of enactment of the Modernization of the 
Older Americans Act Amendments, the Assistant Secretary, in 
consultation with stakeholders with appropriate expertise and, as 
appropriate, informed by the strategy developed under the RAISE Family 
Caregivers Act (42 U.S.C. 3030s note), shall provide technical 
assistance to promote and implement the use of caregiver assessments. 
Such technical assistance may include sharing available tools or 
templates, comprehensive assessment protocols, and best practices 
concerning--
            ``(1) conducting caregiver assessments (including 
        reassessments) as needed;
            ``(2) implementing such assessments that are consistent 
        across a planning and service area, as appropriate; and
            ``(3) implementing caregiver support service plans, 
        including conducting referrals to and coordination of 
        activities with relevant State services.''.
    (c) Report on Caregiver Assessments.--
            (1) In general.--Not later than 3 years after the date of 
        enactment of this Act, the Assistant Secretary shall issue a 
        report on the use of caregiver assessments by area agencies on 
        aging, entities contracting with such agencies, and tribal 
        organizations. Such report shall include--
                    (A) an analysis of the current use of caregiver 
                assessments, as of the date of the report;
                    (B) an analysis of the potential impact of 
                caregiver assessments on--
                            (i) family caregivers and older relative 
                        caregivers; and
                            (ii) the older individuals to whom the 
                        caregivers described in clause (i) provide 
                        care;
                    (C) an analysis of the potential impact of using 
                caregiver assessments on the aging network;
                    (D) an analysis of how caregiver assessments are 
                being used to identify the specific needs, barriers to 
                support services, and existing supports of family 
                caregivers and older relative caregivers, with 
                particular consideration to supporting--
                            (i) a caregiver specified in this 
                        subparagraph who is caring for individuals with 
                        disabilities, or, if appropriate, with a 
                        serious illness; and
                            (ii) caregivers with disabilities;
                    (E) recommendations for furthering the use of 
                caregiver assessments, as appropriate, including in 
                rural or underserved areas; and
                    (F) recommendations for assisting State agencies 
                and area agencies on aging, particularly in rural or 
                underserved areas, in implementing the use of caregiver 
                assessments.
            (2) Submission.--Not later than 6 months after the issuance 
        of the report specified in paragraph (1), the Assistant 
        Secretary shall submit the report to the committees of the 
        Senate and the House of Representatives with jurisdiction over 
        this Act, and the Special Committee on Aging of the Senate.
            (3) Definitions.--In this subsection--
                    (A) the terms ``caregiver assessment'' and ``older 
                relative caregiver'' have the meanings given such terms 
                in section 372(a) of the Older Americans Act of 1965 
                (42 U.S.C. 3030s(a));
                    (B) the term ``family caregiver'' has the meaning 
                given the term in section 302 of such Act (42 U.S.C. 
                3022); and
                    (C) the terms ``State agency'' and ``tribal 
                organization'' have the meanings given the terms in 
                section 102 of such Act (42 U.S.C. 3002).
    (d) Conforming Amendment.--Section 631(b) of such Act (42 U.S.C. 
3057k-11(b)) is amended by striking ``(c), (d), and (e)'' and inserting 
``(c), (d), and (f)''.

SEC. 216. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM CAP.

    (a) Federal Share.--Subsection (h)(2), as redesignated by section 
215(b)(3) of this Act, of section 373 (42 U.S.C. 3030s-1) is amended by 
striking subparagraph (C).
    (b) Monitoring the Impact of the Elimination of the Cap on Funds 
for Older Relative Caregivers.--
            (1) Report.--Not later than 18 months after the date of 
        enactment of this Act, and annually thereafter, the Assistant 
        Secretary shall submit to the Committee on Health, Education, 
        Labor, and Pensions of the Senate and the Committee on 
        Education and Labor of the House of Representatives a report on 
        the impact of the amendment made by subsection (a) to eliminate 
        the limitation on funds that States may allocate to provide 
        support services to older relative caregivers in the National 
        Family Caregiver Support Program established under part E of 
        title III of the Older Americans Act of 1965 (42 U.S.C. 3030s 
        et seq.). Each such report shall also be made available to the 
        public.
            (2) Contents.--For purposes of reports required by 
        paragraph (1), each State that receives an allotment under such 
        National Family Caregiver Support Program for fiscal year 2020 
        or a subsequent fiscal year shall report to the Assistant 
        Secretary for the fiscal year involved the amount of funds of 
        the total Federal and non-Federal shares described in section 
        373(h)(2) of the Older Americans Act of 1965 (42 U.S.C. 3030s-
        1(h)(2)) used by the State to provide support services for 
        older relative caregivers and the amount of such funds so used 
        for family caregivers.

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

SEC. 301. REAUTHORIZATION.

    Section 411(b) (42 U.S.C. 3032(b)) is amended to read as follows--
    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out--
            ``(1) aging network support activities under this section, 
        $14,549,157 for fiscal year 2020, $15,422,107 for fiscal year 
        2021, $16,347,433 for fiscal year 2022, $17,328,279 for fiscal 
        year 2023, $18,367,976 for fiscal year 2024, $19,470,054 for 
        fiscal year 2025, and $20,638,257 for fiscal year 2026; and
            ``(2) elder rights support activities under this section, 
        $15,650,667 for fiscal year 2020, $16,589,707 for fiscal year 
        2021, $17,585,090 for fiscal year 2022, $18,640,195 for fiscal 
        year 2023, $19,758,607 for fiscal year 2024, $20,944,123 for 
        fiscal year 2025, and $22,200,770 for fiscal year 2026.''.

SEC. 302. FALLS PREVENTION AND CHRONIC DISEASE SELF-MANAGEMENT 
              EDUCATION.

    Section 411(a) (42 U.S.C. 3032(a)) is amended--
            (1) by redesignating paragraphs (13) and (14) as paragraphs 
        (15) and (16), respectively; and
            (2) by inserting after paragraph (12) the following:
            ``(13) bringing to scale and sustaining evidence-based 
        falls prevention programs that will reduce the number of falls, 
        fear of falling, and fall-related injuries in older 
        individuals, including older individuals with disabilities;
            ``(14) bringing to scale and sustaining evidence-based 
        chronic disease self-management programs that empower older 
        individuals, including older individuals with disabilities, to 
        better manage their chronic conditions;''.

SEC. 303. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE TRANSPORTATION 
              FOR OLDER INDIVIDUALS.

    Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amended--
            (1) in subparagraph (B), by inserting before the semicolon 
        ``, call center, website or Internet-based portal, mobile 
        application, or other technological tools'';
            (2) in subparagraph (C), by striking ``; and'' and 
        inserting a semicolon;
            (3) by redesignating subparagraph (D) as subparagraph (G); 
        and
            (4) by inserting after subparagraph (C) the following:
                    ``(D)(i) improving the aggregation, availability, 
                and accessibility of information on options for 
                transportation services for older individuals, 
                including information on public transit, on-demand 
                transportation services, volunteer-based transportation 
                services, and other private transportation providers; 
                and
                    ``(ii) providing older individuals with the ability 
                to schedule trips both in advance and on demand, as 
                appropriate;
                    ``(E) identifying opportunities to share resources 
                and reduce costs of transportation services for older 
                individuals;
                    ``(F) coordinating individualized trip planning 
                responses to requests from older individuals for 
                transportation services; and''.

SEC. 304. GRANT PROGRAM FOR MULTIGENERATIONAL COLLABORATION.

    Section 417 (42 U.S.C. 3032f) is amended--
            (1) by amending subsection (a) to read as follows:
    ``(a) Grants and Contracts.--The Assistant Secretary shall award 
grants to and enter into contracts with eligible organizations to carry 
out projects, serving individuals in younger generations and older 
individuals, to--
            ``(1) provide opportunities for older individuals to 
        participate in multigenerational activities and civic 
        engagement activities that contribute to the health and 
        wellness of older individuals and individuals in younger 
        generations by developing--
                    ``(A) meaningful roles for participants;
                    ``(B) reciprocity in relationship building;
                    ``(C) reduced social isolation and improved 
                participant social connectedness;
                    ``(D) improved economic well-being for older 
                individuals;
                    ``(E) increased lifelong learning; or
                    ``(F) support for family caregivers by--
                            ``(i) providing support for older relative 
                        caregivers (as defined in section 372(a)) 
                        raising children (such as kinship navigator 
                        programs); or
                            ``(ii) involving volunteers who are older 
                        individuals who provide support and information 
                        to families who have a child with a disability 
                        or chronic illness, or other families in need 
                        of such family support;
            ``(2) coordinate multigenerational activities and civic 
        engagement activities, including multigenerational nutrition 
        and meal service programs;
            ``(3) promote volunteerism, including by providing 
        opportunities for older individuals to become a mentor to 
        individuals in younger generations; and
            ``(4) facilitate development of, and participation in, 
        multigenerational activities and civic engagement 
        activities.'';
            (2) by striking subsection (g);
            (3) by redesignating subsections (b) through (f) as 
        subsections (c) through (g), respectively;
            (4) by inserting after subsection (a) the following:
    ``(b) Grant and Contract Periods.--Each grant awarded and contract 
entered into under subsection (a) shall be for a period of not less 
than 36 months.'';
            (5) by amending subsection (c), as so redesignated, to read 
        as follows:
    ``(c) Use of Funds.--
            ``(1) In general.--An eligible organization shall use funds 
        made available under a grant awarded, or a contract entered 
        into, under this section to carry out a project described in 
        subsection (a).
            ``(2) Provision of projects through grantees.--In awarding 
        grants and entering into contracts under this section, the 
        Assistant Secretary shall ensure that such grants and contracts 
        are for the activities and projects that satisfy each 
        requirement under paragraphs (1) through (4) of subsection 
        (a).'';
            (6) in subsection (d), as so redesignated--
                    (A) in paragraph (1), by inserting ``, intent to 
                carry out, or intent to partner with local 
                organizations or multiservice organizations to carry 
                out,'' after ``record of carrying out'';
                    (B) in paragraph (3), by striking ``; and'' and 
                inserting a semicolon;
                    (C) in paragraph (4), by striking the period and 
                inserting ``; and''; and
                    (D) by adding at the end the following:
            ``(5) eligible organizations proposing multigenerational 
        activity projects that utilize shared site programs, such as 
        collocated child care and long-term care facilities.'';
            (7) by amending subsections (f) and (g), as so 
        redesignated, to read as follows:
    ``(f) Eligible Organizations.--Organizations eligible to receive a 
grant or enter into a contract under subsection (a) shall--
            ``(1) be a State, an area agency on aging, or an 
        organization that provides opportunities for older individuals 
        to participate in activities described in such subsection; and
            ``(2) have the capacity to conduct the coordination, 
        promotion, and facilitation described in such subsection 
        through the use of multigenerational coordinators.
    ``(g) Evaluation.--
            ``(1) In general.--Not later than 3 years after the date of 
        enactment of the Modernization of the Older Americans Act 
        Amendments, the Assistant Secretary shall, through data 
        submitted by organizations carrying out projects through grants 
        or contracts under this section, evaluate the activities 
        supported through such grants and contracts to determine--
                    ``(A) the effectiveness of such activities;
                    ``(B) the impact of such activities on the 
                community being served and the organization providing 
                the activities; and
                    ``(C) the impact of such activities on older 
                individuals participating in such projects.
            ``(2) Report to congress.--Not later than 6 months after 
        the Assistant Secretary completes the evaluation under 
        paragraph (1), the Assistant Secretary shall prepare and submit 
        to the Speaker of the House of Representatives and the 
        President pro tempore of the Senate a report that assesses such 
        evaluation and contains, at a minimum--
                    ``(A) the names or descriptive titles of the 
                projects funded under subsection (a);
                    ``(B) a description of the nature and operation of 
                such projects;
                    ``(C) the names and addresses of organizations that 
                conducted such projects;
                    ``(D) a description of the methods and success of 
                such projects in recruiting older individuals as 
                employees and as volunteers to participate in the 
                projects;
                    ``(E) a description of the success of the projects 
                in retaining older individuals participating in such 
                projects as employees and as volunteers;
                    ``(F) the rate of turnover of older individuals who 
                are employees or volunteers in such projects;
                    ``(G) a strategy for disseminating the findings 
                resulting from such projects; and
                    ``(H) any policy change recommendations relating to 
                such projects.''; and
            (8) in subsection (h)(2)(B)(i), by striking ``individuals 
        from the generations with older individuals'' and inserting 
        ``older individuals''.

         TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

SEC. 401. PRIORITY FOR THE SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM.

    (a) In General.--The Older Americans Act of 1965 (42 U.S.C. 3001 et 
seq.) is amended--
            (1) in section 503(a)(4)(C) (42 U.S.C. 3056a(a)(4)(C))--
                    (A) in clause (iii), by striking ``and'' at the 
                end;
                    (B) in clause (iv), by adding ``and'' at the end; 
                and
                    (C) by adding at the end the following:
                            ``(v) eligible individuals who are 
                        offenders;'';
            (2) in section 514(e)(1) (42 U.S.C. 3056l(e)(1)), by 
        inserting ``eligible individuals who are offenders,'' after 
        ``need,''; and
            (3) in section 518 (42 U.S.C. 3056p)--
                    (A) in subsection (a)(3)(B)(ii)--
                            (i) in clause (IV), by striking ``or'' at 
                        the end;
                            (ii) in clause (V), by striking the period 
                        at the end and inserting ``; or''; and
                            (iii) by adding at the end the following:
                                    ``(VI) are offenders.'';
                    (B) in subsection (a), by adding at the end the 
                following:
            ``(9) Offender.--The term `offender' means an eligible 
        individual--
                    ``(A) who is or has been subject to any stage of 
                the criminal justice process, and for whom services 
                under this title may be beneficial; or
                    ``(B) who requires assistance in overcoming 
                artificial barriers to employment resulting from a 
                record of arrest or conviction.''; and
                    (C) in subsection (b)(2)--
                            (i) in subparagraph (F), by striking ``or'' 
                        at the end;
                            (ii) in subparagraph (G), by striking the 
                        period at the end and inserting ``; or''; and
                            (iii) by adding at the end the following:
                    ``(H) is an offender.''.
    (b) Implementation.--The Secretary of Labor shall implement the 
amendments made by this section not later than 12 months after the date 
of enactment of this Act.

SEC. 402. AUTHORIZATION OF APPROPRIATIONS.

    Section 517(a) (42 U.S.C. 3056o(a)) is amended to read as follows:
    ``(a) In General.--There are authorized to be appropriated to carry 
out this title $429,020,486 for fiscal year 2020, $454,761,715 for 
fiscal year 2021, $482,047,418 for fiscal year 2022, $510,970,263 for 
fiscal year 2023, $541,628,478 for fiscal year 2024, $574,126,187 for 
fiscal year 2025, and $608,573,758 for fiscal year 2026.''.

             TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

SEC. 501. REAUTHORIZATION.

    Title VI (42 U.S.C. 3057 et seq.) is amended--
            (1) in part D (42 U.S.C. 3057l et seq.)--
                    (A) by amending section 643 (42 U.S.C. 3057n) to 
                read as follows--

``SEC. 643. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this title--
            ``(1) for parts A and B, $38,524,324 for fiscal year 2020, 
        $40,835,783 for fiscal year 2021, $43,285,930 for fiscal year 
        2022, $45,883,086 for fiscal year 2023, $48,636,071 for fiscal 
        year 2024, $51,554,235 for fiscal year 2025, and $54,647,489 
        for fiscal year 2026; and
            ``(2) for part C, $10,785,575 for fiscal year 2020, 
        $11,432,710 for fiscal year 2021, $12,118,672 for fiscal year 
        2022, $12,845,792 for fiscal year 2023, $13,616,540 for fiscal 
        year 2024, $14,433,532 for fiscal year 2025, and $15,299,544 
        for fiscal year 2026.''; and
                    (B) by adding at the end the following:

``SEC. 644. FUNDING SET ASIDE.

    ``Of the funds appropriated under section 643(1) for a fiscal year, 
up to 5 percent shall be made available to carry out part D for such 
fiscal year, provided that for such fiscal year--
            ``(1) the funds appropriated for parts A and B are greater 
        than the funds appropriated for fiscal year 2019; and
            ``(2) the Assistant Secretary makes available for parts A 
        and B no less than the amount of resources made available for 
        fiscal year 2019.'';
            (2) by redesignating part D, as so amended, as part E; and
            (3) by inserting after part C the following:

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

``SEC. 636. PROGRAM.

    ``(a) In General.--The Assistant Secretary may carry out a 
competitive demonstration program for making grants to tribal 
organizations or organizations serving Native Hawaiians with 
applications approved under part A or B, respectively, to pay for the 
Federal share of carrying out programs serving Indians or Native 
Hawaiians, to enable the organizations to build their capacity to 
provide a wider range of in-home and community supportive services to 
enable older individuals who are Indians or Native Hawaiians to 
maintain their health and independence and to avoid long-term care 
facility placement.
    ``(b) Supportive Services.--
            ``(1) In general.--Subject to paragraph (2), supportive 
        services described in subsection (a) may include any of the 
        activities described in section 321(a).
            ``(2) Priority.--The Assistant Secretary, in making grants 
        under this section, shall give priority to tribal organizations 
        or organizations serving Native Hawaiians that will use the 
        grant funds for supportive services described in subsection (a) 
        that are for in-home assistance, transportation, information 
        and referral, case management, health and wellness programs, 
        legal services, family caregiver support services, and other 
        services that directly support the independence of the older 
        individuals served.
            ``(3) Rule of construction.--Nothing in this section shall 
        be construed or interpreted to prohibit the provision of 
        supportive services under part A or B.''.

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

SEC. 601. REAUTHORIZATION; VULNERABLE ELDER RIGHTS PROTECTION 
              ACTIVITIES.

    Section 702 (42 U.S.C. 3058a) is amended by striking subsections 
(a) and (b) and inserting the following:
    ``(a) Ombudsman Program.--There are authorized to be appropriated 
to carry out chapter 2, $18,110,027 for fiscal year 2020, $19,196,629 
for fiscal year 2021, $20,348,427 for fiscal year 2022, $21,569,332 for 
fiscal year 2023, $22,863,492 for fiscal year 2024, $24,235,301 for 
fiscal year 2025, and $25,689,419 for fiscal year 2026.
    ``(b) Other Programs.--There are authorized to be appropriated to 
carry out chapters 3 and 4, $5,119,287 for fiscal year 2020, $5,426,444 
for fiscal year 2021, $5,752,031 for fiscal year 2022, $6,097,153 for 
fiscal year 2023, $6,462,982 for fiscal year 2024, $6,850,761 for 
fiscal year 2025, and $7,261,807 for fiscal year 2026.''.

SEC. 602. VOLUNTEER STATE LONG-TERM CARE OMBUDSMAN REPRESENTATIVES.

    Section 712(a)(5) (42 U.S.C. 3058g(a)(5)) is amended by adding at 
the end the following:
                    ``(E) Rule of construction for volunteer ombudsman 
                representatives.--Nothing in this paragraph shall be 
                construed as prohibiting the program from reimbursing 
                or otherwise providing financial support to an 
                individual designated under subparagraph (A) as a 
                volunteer to represent a local Ombudsman entity for any 
                costs, such as transportation costs, incurred by the 
                individual in serving as such volunteer.''.

SEC. 603. PREVENTION OF ELDER ABUSE, NEGLECT, AND EXPLOITATION.

    Section 721(b)(12) (42 U.S.C. 3058i(b)(12)) is amended--
            (1) in subparagraph (C), by inserting ``community outreach 
        and education,'' after ``technical assistance,''; and
            (2) in subparagraph (F)--
                    (A) by striking ``studying'' and inserting 
                ``implementing''; and
                    (B) by inserting ``, programs, and materials'' 
                after ``practices''.

SEC. 604. PRINCIPLES FOR PERSON-DIRECTED SERVICES AND SUPPORTS DURING 
              SERIOUS ILLNESS.

    (a) Definitions.--
            (1) Administrator.--The term ``Administrator'' means the 
        Administrator of the Administration for Community Living.
            (2) Covered agency.--The term ``covered agency'' means--
                    (A) a State agency or area agency on aging; and
                    (B) a Federal agency other than the Department of 
                Health and Human Services, and a unit of that 
                Department other than the Administration on Aging, that 
                the Assistant Secretary determines performs functions 
                for which the principles are relevant, and the Centers 
                for Medicare & Medicaid Services.
            (3) Principles.--The term ``principles'' means the 
        Principles for Person-directed Services and Supports during 
        Serious Illness, issued by the Administration on September 1, 
        2017, or an updated set of such Principles.
            (4) State agency.--The term ``State agency'' has the 
        meaning given the term in section 102 of the Older Americans 
        Act of 1965 (42 U.S.C. 3002).
    (b) Dissemination.--The Administrator shall disseminate the 
principles to appropriate stakeholders within the aging network, as 
determined by the Assistant Secretary, and to covered agencies. The 
covered agencies may use the principles in setting priorities for 
service delivery and care plans in programs carried out by the 
agencies.
    (c) Feedback.--The Administrator shall solicit, on an ongoing 
basis, feedback on the principles from covered agencies, experts in the 
fields of aging and dementia, and stakeholders who provide or receive 
disability services.
    (d) Report.--Not less often than once, but not more often than 
annually, during the 3 years after the date of enactment of this Act, 
the Administrator shall prepare and submit to Congress a report 
describing the feedback received under subsection (c) and indicating if 
any changes or updates are needed to the principles.

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

    Section 3(f) of the Supporting Grandparents Raising Grandchildren 
Act (Public Law 115-196) is amended by striking ``3'' and inserting 
``4''.

SEC. 606. BEST PRACTICES FOR HOME AND COMMUNITY-BASED OMBUDSMEN.

    Not later than 3 years after the date of enactment of this Act, the 
Assistant Secretary shall issue a report updating the best practices 
for home and community-based ombudsmen that were included in the report 
entitled ``Best Practices for Home and Community-Based Ombudsmen'', 
issued by the National Direct Service Workforce Resource Center of the 
Centers for Medicare & Medicaid Services and prepared by the Research 
and Training Center at the University of Minnesota and The Lewin Group 
(January 2013).

SEC. 607. SENIOR HOME MODIFICATION ASSISTANCE INITIATIVE.

    Not later than 2 years after the date of enactment of this Act, the 
Comptroller General of the United States shall conduct a study and 
issue a report that includes--
            (1) an inventory of Federal programs, administered by the 
        Department of Health and Human Services, the Department of 
        Housing and Urban Development, or any other Federal agency or 
        department determined appropriate by the Comptroller General, 
        that support evidence-based falls prevention, home assessments, 
        and home modifications for older individuals and individuals 
        with disabilities;
            (2) statistical data, for recent fiscal years, on the 
        number of older individuals and individuals with disabilities 
        served by each Federal program described in paragraph (1) and 
        the approximate amount of Federal funding invested in each such 
        program;
            (3) a demographic analysis of individuals served by each 
        such program for recent fiscal years;
            (4) an analysis of duplication and gaps in populations 
        supported by the Federal programs described in paragraph (1);
            (5) what is known about the impact of the Federal programs 
        described in paragraph (1) on health status and health outcomes 
        in populations supported by such programs;
            (6) a review of Federal efforts to coordinate Federal 
        programs existing prior to the date of enactment of this Act 
        that support evidence-based falls prevention, home assessments, 
        and home modifications for older individuals and individuals 
        with disabilities and any considerations for improving 
        coordination, which may include an indication of the Federal 
        agency or department that is best suited to coordinate such 
        Federal programs; and
            (7) information on the extent to which consumer-friendly 
        resources, such as a brochure, are available through the 
        National Eldercare Locator Service established under section 
        202(a)(21) of the Older Americans Act of 1965 (42 U.S.C. 
        3012(a)(21)), are accessible to all area agencies on aging, and 
        contain information on evidence-based falls prevention, home 
        assessments, and home modifications for older individuals 
        attempting to live independently and safely in their homes and 
        for the caregivers of such individuals.

                        TITLE VII--MISCELLANEOUS

SEC. 701. TECHNICAL CORRECTIONS.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is 
amended--
            (1) in section 102(37)(A) (42 U.S.C. 3002(37)(A)), by 
        striking ``paragraph (5)'' and inserting ``paragraph (26)'';
            (2) in section 202(a)(23) (42 U.S.C. 3012(a)(23)), by 
        striking ``sections 307(a)(18) and 731(b)(2)'' and inserting 
        ``sections 307(a)(13) and 731'';
            (3) in section 202(e)(1)(A) (42 U.S.C. 3012(e)(1)(A)), by 
        moving the left margin of clause (i) 2 ems to the left;
            (4) in sections 203(c)(7) (42 U.S.C. 3013(c)(7)), 
        207(b)(2)(B) (42 U.S.C. 3018(b)(2)(B)), and 215(i) (42 U.S.C. 
        3020e-1(i)), by striking ``Committee on Education and the 
        Workforce'' each place it appears and inserting ``Committee on 
        Education and Labor'';
            (5) in section 207(b)(3)(A) (42 U.S.C. 3018(b)(3)(A)), by 
        striking ``Administrator of the Health Care Finance 
        Administration'' and inserting ``Administrator of the Centers 
        for Medicare & Medicaid Services'';
            (6) in section 304(a)(3)(C) (42 U.S.C. 3024(a)(3)(C)), by 
        striking ``term'' and all that follows through ``does'' and 
        inserting ``term `State' does'';
            (7) in section 306(a) (42 U.S.C. 3026(a))--
                    (A) in paragraph (1), by inserting ``the number of 
                older individuals at risk for institutional placement 
                residing in such area,'' before ``and the number of 
                older individuals who are Indians''; and
                    (B) in paragraph (2)(B), by striking ``who are 
                victims of'' and inserting ``with'';
            (8) in section 339(2)(A)(ii)(I) (42 U.S.C. 3030g-
        21(2)(A)(ii)(I)), by striking ``Institute of Medicine of the 
        National Academy of Sciences'' and inserting ``National 
        Academies of Sciences, Engineering, and Medicine'';
            (9) in section 611 (42 U.S.C. 3057b), by striking ``(a)''; 
        and
            (10) in section 614(c)(4) (42 U.S.C. 3057e(c)(4)), by 
        striking ``(a)(12)'' and inserting ``(a)(11)''.
                                 <all>