[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 4776 Introduced in Senate (IS)]

<DOC>






118th CONGRESS
  2d Session
                                S. 4776

 To amend the Older Americans Act of 1965 to authorize appropriations 
      for fiscal years 2025 through 2029, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 25, 2024

  Mr. Sanders (for himself, Mr. Cassidy, Mr. Casey, Ms. Collins, Mr. 
Kaine, Mr. Mullin, and Mr. Markey) introduced the following bill; which 
  was read twice and referred to the Committee on Health, Education, 
                          Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
 To amend the Older Americans Act of 1965 to authorize appropriations 
      for fiscal years 2025 through 2029, 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 ``Older Americans Act Reauthorization 
Act of 2024''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents for this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.
  TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER 
                              INDIVIDUALS

Sec. 101. Declaration of objectives.
Sec. 102. Addressing mental health and substance use disorders and 
                            cognitive impairments of older individuals.
Sec. 103. List of national resource centers.
Sec. 104. Awareness of relevant Federal programs.
Sec. 105. Evaluations and surveys.
Sec. 106. Contracting and grant authority.
Sec. 107. Guidance on transfers of funding between area agencies on 
                            aging.
Sec. 108. Right to first refusal.
Sec. 109. Area agency on aging capabilities.
Sec. 110. Supporting older individuals with disabilities through 
                            improved coordination.
Sec. 111. Business acumen, fiscal training, and technical assistance.
Sec. 112. Enhancing access to assistive technology.
Sec. 113. White House Conference on Aging.
 TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR 
                           OLDER INDIVIDUALS

Sec. 201. Disease prevention and health promotion services.
Sec. 202. Improving health outcomes.
Sec. 203. Evidence-informed practices.
Sec. 204. Enhancing multipurpose senior centers.
Sec. 205. Addressing home modifications.
Sec. 206. Multigenerational and civic engagement activities.
Sec. 207. GAO study and report on access to housing for older 
                            individuals.
Sec. 208. Report relating to health outcomes for older individuals 
                            living with or near family members.
Sec. 209. Improving broadband coordination and reducing social 
                            isolation.
 TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES

Sec. 301. Medically tailored meals.
Sec. 302. Nutrition service providers.
Sec. 303. Grab-and-go meals.
Sec. 304. Nutrition Services Incentive Program innovation.
Sec. 305. GAO study on Nutrition Services Incentive Program.
Sec. 306. Innovations in nutrition programs and services.
                 TITLE IV--SUPPORTING FAMILY CAREGIVERS

Sec. 401. Improving the National Family Caregiver Support Program.
Sec. 402. Emphasizing respite care.
Sec. 403. Clarifying supportive services.
Sec. 404. Direct care workforce resource center.
Sec. 405. Supporting Grandparents Raising Grandchildren Act.
Sec. 406. RAISE Family Caregivers Act.
          TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT

Sec. 501. Improving the Community Service Employment Program.
Sec. 502. GAO report on alignment within the Community Service 
                            Employment Program.
             TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS

Sec. 601. Older Americans Tribal Advisory Committee.
Sec. 602. Supportive services; set aside.
Sec. 603. GAO report on Tribal services.
  TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND 
                         ELDER ABUSE PREVENTION

Sec. 701. Director of the Office of Long-Term Care Ombudsman Programs.
Sec. 702. Legal assistance training resources relating to elder abuse 
                            prevention.
Sec. 703. Improving training of volunteers under the State Long-Term 
                            Care Ombudsman Program.
Sec. 704. Reporting on State Long-Term Care Ombudsman Programs.
Sec. 705. Study on State Long-Term Care Ombudsman Programs.
              TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS

Sec. 801. Administration on Aging.
Sec. 802. Grants for State and community programs on aging.
Sec. 803. Activities for health, independence, and longevity.
Sec. 804. Community Service Senior Opportunities Act.
Sec. 805. Grants for Native Americans.
Sec. 806. Allotments for elder rights protection activities.

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'', ``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--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER 
                              INDIVIDUALS

SEC. 101. DECLARATION OF OBJECTIVES.

    Section 101 (42 U.S.C. 3001) is amended--
            (1) in the matter preceding paragraph (1), by striking ``of 
        the following objectives:'' and inserting ``of the objectives 
        of--'';
            (2) in each of paragraphs (1) through (10), by amending the 
        first word so that it begins with a lowercase letter;
            (3) in each of paragraphs (1) through (8), by striking the 
        period at the end and inserting a semicolon;
            (4) in each of paragraphs (9) and (10), by striking the 
        period at the end and inserting ``; and'';
            (5) in paragraph (2), by inserting ``to improve health 
        outcomes and reduce health care expenditures'' after ``economic 
        status'';
            (6) by redesignating paragraphs (1) through (10) as 
        subparagraphs (A) through (J), respectively, and adjusting the 
        margins accordingly;
            (7) in the matter preceding subparagraph (A) (as so 
        redesignated), by striking ``our democratic society, the older 
        people'' and inserting the following: ``our democratic 
        society--
            ``(1) the older people''; and
            (8) by adding at the end the following:
            ``(2) the families of older individuals and community-based 
        organizations, including faith-based organizations, also play a 
        vital role in supporting and honoring older individuals and 
        their happiness, dignity, and independence.''.

SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND 
              COGNITIVE IMPAIRMENTS OF OLDER INDIVIDUALS.

    Section 201(f) (42 U.S.C. 3011(f)) is amended to read as follows:
    ``(f)(1) The Assistant Secretary may designate an officer or 
employee who shall be responsible for the administration of services 
for mental health and substance use disorders and cognitive impairments 
authorized under this Act and serve as an effective and visible 
advocate for the related needs of older individuals within the 
Department of Health and Human Services, including by ensuring that 
relevant information disseminated and research conducted or supported 
by the Department takes into consideration such services.
    ``(2) It shall be the duty of the Assistant Secretary, acting 
through the individual designated under paragraph (1), and in 
consultation with the heads of relevant agencies within the Department 
of Health and Human Services, including the Substance Abuse and Mental 
Health Services Administration, to develop objectives, priorities, and 
a long-term plan for supporting State and local efforts under this Act 
involving education about and prevention, detection, and treatment of 
mental health and substance use disorders and cognitive impairment, 
including age-related dementia, depression, and Alzheimer's disease and 
related neurological disorders with neurological and organic brain 
dysfunction.
    ``(3) Not later than 2 years after the date of enactment of the 
Older Americans Act Reauthorization Act of 2024, the Assistant 
Secretary shall report to the Committee on Health, Education, Labor, 
and Pensions of the Senate, the Special Committee on Aging of the 
Senate, and the Committee on Education and the Workforce of the House 
of Representatives on the activities of the officer or employee 
designated under paragraph (1) in carrying out the requirements under 
this subsection, including any activities to identify and reduce 
duplication and gaps across the Department in such information 
disseminated and research conducted or supported by the Department.''.

SEC. 103. LIST OF NATIONAL RESOURCE CENTERS.

    Section 202 (42 U.S.C. 3012) is amended--
            (1) in subsection (d)(4), by striking ``Resource Center on 
        Elder Abuse'' and inserting ``Center''; and
            (2) by striking subsection (h) and inserting the following:
    ``(h)(1) The Assistant Secretary shall publish online in a publicly 
accessible format, on an annual basis, a list of national resource 
centers and demonstration projects authorized, or administratively 
established through funds provided under, this Act.
    ``(2) The Assistant Secretary shall ensure that the list published 
pursuant to paragraph (1)--
            ``(A) includes--
                    ``(i) a description of each such center and 
                demonstration project, including the projected goals 
                and activities of each such center and demonstration 
                project;
                    ``(ii) a citation to the statutory authorization of 
                each such center and demonstration project, or a 
                citation to the statutory authority that the Assistant 
                Secretary relied upon to administratively establish 
                each such center and demonstration project;
                    ``(iii) the award amount for each such center and 
                demonstration project; and
                    ``(iv) a summary of any evaluations required under 
                this Act for each such center, including a description 
                of any measures of effectiveness; and
            ``(B) is directly provided to State agencies, area agencies 
        on aging, and the Committee on Health, Education, Labor, and 
        Pensions and the Special Committee on Aging of the Senate and 
        the Committee on Education and the Workforce of the House of 
        Representatives.''.

SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS.

    Title II (42 U.S.C. 3011 et seq.) is amended by inserting after 
section 203A (42 U.S.C. 3013a) the following:

``SEC. 203B. AWARENESS OF RELEVANT FEDERAL PROGRAMS.

    ``In carrying out section 203(a)(1), the Assistant Secretary shall 
coordinate with the heads of relevant Federal departments and agencies 
to ensure that the aging network and individuals served under this Act 
are aware of, and, subject to applicable eligibility criteria, have 
access to, Federal programs that may advance the objectives of this 
Act, including programs described in section 203(b) and other programs 
to meet housing, health care, and other supportive service needs to 
help such individuals age in place.''.

SEC. 105. EVALUATIONS AND SURVEYS.

    Section 206 (42 U.S.C. 3017) is amended--
            (1) by striking subsection (d) and inserting the following:
    ``(d)(1) In carrying out evaluations under this section, the 
Secretary shall--
            ``(A) award grants to, or enter into contracts with, public 
        or nonprofit private organizations or academic or research 
        institutions to survey State agencies, area agencies on aging, 
        and other program and project participants about the strengths 
        and weaknesses of the programs and projects; and
            ``(B) conduct, where appropriate, evaluations that compare 
        the effectiveness of related programs in achieving common 
        objectives.
    ``(2) The surveys and evaluations under paragraph (1) shall include 
information on programs, services, use and sources of funding 
(including any transfer of funding between area agencies on aging), 
identified unmet need for services and related indicators, and any 
other challenges faced by State agencies and area agencies on aging in 
carrying out the activities of this Act.
    ``(3) The Secretary shall, in carrying out the evaluations under 
paragraph (1), consult with organizations concerned with older 
individuals, including organizations that represent minority 
individuals, older individuals residing in rural areas, and older 
individuals with disabilities.''; and
            (2) in subsection (g), by striking ``him'' and inserting 
        ``the Secretary''.

SEC. 106. CONTRACTING AND GRANT AUTHORITY.

    (a) In General.--Section 212 (42 U.S.C. 3020c) is amended--
            (1) by striking subsection (a) and inserting the following:
    ``(a) In General.--Subject to subsection (b), this Act shall not be 
construed to prevent a recipient of a grant or a contract under this 
Act (other than title V) from entering into an agreement with a 
profitmaking organization for the recipient to provide services to 
individuals or entities not otherwise receiving services under this 
Act, provided that--
            ``(1) in the case funds provided under this Act are used in 
        developing or carrying out the agreement--
                    ``(A) such agreement guarantees that the cost is 
                reimbursed to the recipient;
                    ``(B) if such agreement provides for the provision 
                of 1 or more services, of the type provided under this 
                Act by or on behalf of such recipient, to an individual 
                or entity seeking to receive such services--
                            ``(i) the individuals and entities may only 
                        purchase such services at their fair market 
                        rate;
                            ``(ii) all costs incurred by the recipient 
                        in providing such services (and not otherwise 
                        reimbursed under subparagraph (A)), are 
                        reimbursed to such recipient; and
                            ``(iii) except in the case of an agreement 
                        with a health plan or health care provider, the 
                        recipient reports the rates for providing such 
                        services under such agreement in accordance 
                        with subsection (c) and the rates are 
                        consistent with the prevailing market rate for 
                        provision of such services in the relevant 
                        geographic area as determined by the State 
                        agency or area agency on aging (as applicable); 
                        and
                    ``(C) any amount of payment to the recipient under 
                the agreement that exceeds reimbursement under this 
                subsection of the recipient's costs is used to provide, 
                or support the provision of, services under this Act; 
                and
            ``(2) subject to subsection (e), in the case no funds 
        provided under this Act are used in developing or carrying out 
        the agreement--
                    ``(A) not later than 45 days after the agreement 
                first goes into effect, and annually thereafter until 
                the termination of such agreement, the recipient of a 
                grant or contract under this Act shall, in writing--
                            ``(i) notify the State agency of--
                                    ``(I) the existence of the 
                                agreement; and
                                    ``(II) the services provided and 
                                populations served under the agreement; 
                                and
                            ``(ii) provide assurances to the State 
                        agency that--
                                    ``(I) nothing in the agreement--
                                            ``(aa) undermines--

                                                    ``(AA) the duties 
                                                of the recipient under 
                                                this Act; or

                                                    ``(BB) the 
                                                provision of services 
                                                in accordance with this 
                                                Act; or

                                            ``(bb) violates any other 
                                        terms and conditions of an 
                                        award received by the recipient 
                                        under this Act; and
                                    ``(II) any potential real or 
                                perceived conflict of interest with 
                                respect to the agreement has been 
                                prevented, mitigated, or otherwise 
                                addressed, including providing a 
                                description of any such conflicts of 
                                interest and a description of the 
                                actions taken to mitigate such 
                                conflicts of interest; and
                    ``(B) not later than 45 days after the population 
                or services under the agreement substantially change 
                due to an amendment to the agreement, the recipient 
                shall, in writing--
                            ``(i) notify the State agency of such 
                        change; and
                            ``(ii) provide the assurances described in 
                        subparagraph (A)(ii) with respect to such 
                        change.'';
            (2) by striking subsection (b) and inserting the following:
    ``(b) Ensuring Appropriate Use of Funds.--An agreement--
            ``(1) described in subsection (a)(1) may not--
                    ``(A) be made without the prior approval of the 
                State agency (or, in the case of a grantee under title 
                VI, without the prior recommendation of the Director of 
                the Office for American Indian, Alaska Native, and 
                Native Hawaiian Aging and the prior approval of the 
                Assistant Secretary), after timely submission of all 
                relevant documents related to the agreement including 
                information on all costs incurred; or
                    ``(B) directly or indirectly provide for, or have 
                the effect of, paying, reimbursing, subsidizing, or 
                otherwise compensating an individual or entity in an 
                amount that exceeds the fair market value of the 
                services subject to such agreement; and
            ``(2) described in subsection (a) may not--
                    ``(A) result in the displacement of services 
                otherwise available to an older individual with 
                greatest social need, an older individual with greatest 
                economic need, or an older individual who is at risk 
                for institutional placement; or
                    ``(B) in any other way compromise, undermine, or be 
                inconsistent with the objective of serving the needs of 
                older individuals, as determined by the Assistant 
                Secretary.'';
            (3) in subsection (c), by striking ``subsection (a)'' and 
        inserting ``subsection (a)(1)'';
            (4) by redesignating subsection (e) as subsection (f); and
            (5) by inserting after subsection (d) the following:
    ``(e) Requesting Additional Information for Certain Non-OAA 
Agreements.--
            ``(1) In general.--In the case of an agreement described in 
        subsection (a)(2), if the State agency has a reasonable belief 
        that an agreement may violate the assurances provided under 
        subsection (a)(2)(A)(ii), the State agency may request 
        additional information from the recipient of funds under this 
        Act that is a party to such agreement, which may include a 
        request for a copy of such agreement. Such recipient shall make 
        a good faith effort to address such request for additional 
        information, except that such recipient shall not provide 
        agreements or other data that are restricted under the terms of 
        a non-disclosure agreement signed by such recipient. If such 
        recipient declines to provide a copy of an agreement to a State 
        agency, such recipient shall provide a justification to the 
        State agency within 30 days of receiving such request.
            ``(2) Confidentiality.--A State agency shall keep 
        confidential, as required by applicable Federal and State law, 
        all information received under this subsection that is--
                    ``(A) a trade secret;
                    ``(B) commercial or financial information; and
                    ``(C) information obtained from an individual that 
                is privileged and confidential.''.
    (b) Area Plans.--Section 306 (42 U.S.C. 3026) is amended--
            (1) in subsection (a)(13)--
                    (A) in subparagraph (B)(i), by striking ``any 
                service to older individuals'' and inserting ``any 
                service under this Act to older individuals or 
                caregivers''; and
                    (B) in subparagraph (E), by inserting ``or 
                caregivers under this Act'' after ``older 
                individuals''; and
            (2) in subsection (g), by inserting ``, except as provided 
        under section 212(a)(2),'' after ``Nothing in this Act''.

SEC. 107. GUIDANCE ON TRANSFERS OF FUNDING BETWEEN AREA AGENCIES ON 
              AGING.

    Not later than 1 year after the date of enactment of this Act, the 
Assistant Secretary shall disseminate guidance to State agencies (as 
defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 
3002)) and area agencies on aging on circumstances under which funds 
appropriated pursuant to part B and subparts 1 and 2 of part C of title 
III of the Older Americans Act (42 U.S.C. 3030d et seq., 42 U.S.C. 
3030e et seq., 42 U.S.C. 3030f et seq.) may be appropriate to transfer 
between area agencies on aging, with the approval of the State agency 
and the concurrence of any involved area agencies on aging, within a 
budget year.

SEC. 108. RIGHT TO FIRST REFUSAL.

    Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is amended to read 
as follows:
    ``(B) Whenever a State agency designates a new area agency on aging 
after the date of enactment of the Older Americans Act Reauthorization 
Act of 2024, the State agency shall give the right to first refusal to 
a unit of general purpose local government if--
            ``(i) such unit can meet the requirements of subsection 
        (c);
            ``(ii)(I) such unit has demonstrated experience 
        administering services for older individuals; or
            ``(II) the State agency determines that there is not 
        another entity eligible under subsection (c)(1) within the 
        planning and service area with such demonstrated experience; 
        and
            ``(iii) the boundaries of such unit and the boundaries of 
        the planning and service area are reasonably contiguous.''.

SEC. 109. AREA AGENCY ON AGING CAPABILITIES.

    (a) Organization.--Section 305(c) (42 U.S.C. 3025(c)) is amended--
            (1) by redesignating paragraphs (1) through (5) as 
        subparagraphs (A) through (E), respectively, and moving such 
        subparagraphs 2 ems to the right;
            (2) by striking ``shall be'' and inserting the following: 
        ``shall--
            ``(1) be--'';
            (3) in subparagraph (E), as so redesignated--
                    (A) by striking ``(b)(5)'' and inserting 
                ``(b)(5)(A)''; and
                    (B) by inserting ``and'' after the semicolon; and
            (4) by striking ``and shall provide assurance, determined 
        adequate by the State agency, that the area agency on aging 
        will have the ability to develop an area plan and to carry out, 
        directly or through contractual or other arrangements, a 
        program in accordance with the plan within the planning and 
        service area.'' and inserting the following:
            ``(2) provide assurance, determined adequate by the State 
        agency, that the area agency on aging will have the ability, 
        and maintain the capabilities necessary, to develop an area 
        plan as required under section 306(a), and carry out, directly 
        or through contractual or other arrangements, and oversee 
        activities in accordance with--
                    ``(A) the plan within the planning and service 
                area;
                    ``(B) any other relevant requirements of this Act;
                    ``(C) other applicable Federal and State laws; and
                    ``(D) other terms and conditions of awards received 
                under this Act.''.
    (b) Plans.--Section 306(f)(1) (42 U.S.C. 3026(f)(1)) is amended--
            (1) by inserting ``the assurances required under section 
        305(c)(2),'' after ``of this section,''; and
            (2) by striking the period at the end and inserting ``, and 
        if the State agency determines, in the discretion of the State 
        agency, that an area agency on aging failed in 2 successive 
        years to comply with the requirements under this title, then 
        the State agency may require the area agency on aging to submit 
        a plan for a 1-year period that meets such requirements, for 
        subsequent years until the State agency determines that the 
        area agency on aging is in compliance with such 
        requirements.''.

SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABILITIES THROUGH 
              IMPROVED COORDINATION.

    (a) Area Plans.--Section 306(a)(5) (42 U.S.C. 3026(a)(5)) is 
amended by striking ``with agencies that develop or provide services 
for individuals with disabilities'' and inserting ``with entities that 
develop or provide services for individuals with disabilities, which 
may include centers for independent living, relevant service providers, 
and other community-based organizations, as appropriate''.
    (b) Supporting Older Individuals With Disabilities Through Improved 
Coordination.--
            (1) In general.--The Administrator of the Administration 
        for Community Living of the Department of Health and Human 
        Services (referred to in this section as the ``Administrator'') 
        shall identify--
                    (A) opportunities to improve coordination between 
                the aging and disability networks, which may include 
                the formation of partnerships to serve individuals 
                eligible for programs under the Older Americans Act of 
                1965 (42 U.S.C. 3001 et seq.);
                    (B) lessons learned from disability networks, 
                including centers for independent living, State 
                developmental disabilities councils, university centers 
                on excellence in developmental disabilities, and State 
                protection and advocacy agencies that could improve 
                operations and service delivery within the aging 
                network; and
                    (C) any technical assistance needs related to 
                subparagraphs (A) and (B).
            (2) Guidance.--Not later than 2 years after the date of 
        enactment of this Act, the Administrator shall issue guidance 
        to State agencies and area agencies on aging on strategies to 
        leverage disability networks, including centers for independent 
        living, State developmental disabilities councils, university 
        centers on excellence in developmental disabilities, and State 
        protection and advocacy agencies, as appropriate, to strengthen 
        the provision of services under the Older Americans Act of 1965 
        (42 U.S.C. 3001 et seq.).
            (3) Technical assistance.--The Administrator shall 
        coordinate across the Administration for Community Living to 
        address any technical assistance needs identified under 
        paragraph (1)(C) in a manner that does not unnecessarily 
        duplicate other technical assistance activities carried out 
        prior to the date of enactment of this Act.

SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECHNICAL ASSISTANCE.

    Section 307(a) (42 U.S.C. 3027(a)) is amended by adding at the end 
the following:
            ``(31) The plan shall provide assurances that the State 
        agency may provide technical assistance, as needed, for area 
        agencies on aging related to the development of business 
        acumen, sound fiscal practices, capacity building, 
        organizational development, innovation, and other methods of 
        growing and sustaining the capacity of the aging network to 
        carry out activities funded under this Act to serve older 
        individuals and caregivers most effectively.''.

SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY.

    Section 307(a) (42 U.S.C. 3027(a)), as amended by section 111 of 
this Act, is further amended by adding at the end the following:
            ``(32) The plan shall provide assurances that the State 
        will coordinate services, to the extent feasible, with lead 
        agencies designated to carry out State assistive technology 
        programs under the Assistive Technology Act of 1998 (29 U.S.C. 
        3001 et seq.) and with area agencies on aging to assist 
        eligible older individuals, including older individuals with 
        disabilities, in accessing and acquiring assistive 
        technology.''.

SEC. 113. WHITE HOUSE CONFERENCE ON AGING.

    Title II of the Older Americans Act Amendments of 1987 (42 U.S.C. 
3001 note; Public Law 100-175) is amended by striking title II and 
inserting the following:

              ``TITLE II--WHITE HOUSE CONFERENCE ON AGING

``SEC. 201. AUTHORIZATION OF THE CONFERENCE.

    ``(a) Authority To Call Conference.--Not earlier than January 21, 
2025 and not later than December 31, 2025, the President shall convene 
the White House Conference on Aging in order to fulfill the purpose set 
forth in subsection (c) and to make fundamental policy recommendations 
regarding programs that are important to older individuals and to the 
families and communities of such individuals.
    ``(b) Planning and Direction.--The Conference described in 
subsection (a) shall be planned and conducted under the direction of 
the Secretary, in cooperation with the Assistant Secretary for Aging, 
the Director of the National Institute on Aging, the Administrator of 
the Centers for Medicare and Medicaid Services, the Social Security 
Administrator, and the heads of such other Federal agencies serving 
older individuals as are appropriate. Planning and conducting the 
Conference includes the assignment of personnel.
    ``(c) Purpose.--The purpose of the Conference described in 
subsection (a) shall be to gather individuals representing the spectrum 
of thought and experience in the field of aging to--
            ``(1) evaluate the manner in which the objectives of the 
        Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be met 
        by using the resources and talents of older individuals, of 
        families and communities of such individuals, and of 
        individuals from the public and private sectors;
            ``(2) evaluate the manner in which Federal policies, 
        programs, and activities meet and respond to the needs of older 
        individuals, including an examination of innovative and 
        fiscally responsible strategies relating to retirement 
        security, caregiving, nutrition and supportive services, health 
        care, elder justice, and long term services and supports;
            ``(3) review the work and recommendations of the 
        Interagency Coordinating Committee on Healthy Aging and Age-
        Friendly Communities, and evaluate the recommendations of the 
        Committee, which may include implementation strategies for such 
        recommendations;
            ``(4) develop recommendations to guide the President, 
        Congress, and Federal agencies in improving Federal programs 
        that serve older individuals, which may relate to the 
        prevention and mitigation of disease, injury, abuse, social 
        isolation, loneliness, and economic insecurity, including food 
        insecurity, and promotion of healthy aging in place.
    ``(d) Conference Participants and Delegates.--
            ``(1) Participants.--In order to carry out the purposes of 
        this section, the Conference shall bring together--
                    ``(A) representatives of Federal, State, Tribal, 
                and local governments;
                    ``(B) professionals and volunteers who are working 
                in the field of aging; and
                    ``(C) representatives of the general public, 
                particularly older individuals.
            ``(2) Selection of delegates.--The delegates shall be 
        selected without regard to political affiliation or past 
        partisan activity and shall, to the best of the appointing 
        authority's ability, be representative of the spectrum of 
        thought in the field of aging. Delegates shall include older 
        individuals, individuals who are professionals in the field of 
        aging, individuals who are community leaders, minority 
        individuals, individuals from rural areas, low-income 
        individuals, and representatives of Federal, State, and local 
        governments.

``SEC. 202. CONFERENCE ADMINISTRATION.

    ``(a) Administration.--In administering this section, the Secretary 
shall--
            ``(1) consult with relevant State, Tribal, and local 
        officials, stakeholders, and subject matter experts in planning 
        the Conference;
            ``(2) request the cooperation and assistance of the heads 
        of such other Federal departments and agencies, including such 
        officials of the Interagency Coordinating Committee on Healthy 
        Aging and Age-Friendly Communities, as may be appropriate in 
        the carrying out of this section;
            ``(3) make available for public comment a proposed agenda 
        for the Conference, which will reflect to the greatest extent 
        possible the major issues facing older individuals consistent 
        with the provisions of subsection (a);
            ``(4) prepare and make available such background materials 
        for the use of delegates to the Conference as the Secretary 
        deems necessary; and
            ``(5) engage such additional personnel as may be necessary 
        to carry out the provisions of this section without regard to 
        provisions of title 5, United States Code, governing 
        appointments in the competitive service, and without regard to 
        chapter 51 and subchapter III of chapter 53 of such title, 
        relating to classification and General Schedule pay rates.
    ``(b) Duties.--The Secretary shall, in carrying out the Secretary's 
responsibilities and functions under this section, and as part of the 
White House Conference on Aging, ensure that--
            ``(1) the agenda prepared under subsection (a)(3) for the 
        Conference is published in the Federal Register not later than 
        30 days after such agenda is approved by the Secretary;
            ``(2) the personnel engaged under subsection (a)(5) shall 
        be fairly balanced in terms of points of views represented and 
        shall be appointed without regard to political affiliation or 
        previous partisan activities;
            ``(3) the recommendations of the Conference are not 
        inappropriately influenced by any appointing authority or by 
        any special interest, but will instead be the result of the 
        independent judgment of the Conference; and
            ``(4) current and adequate statistical data, including 
        decennial census data, and other information on the well-being 
        of older individuals in the United States are readily 
        available, in advance of the Conference, to the delegates of 
        the Conference, together with such information as may be 
        necessary to evaluate Federal programs and policies relating to 
        aging. In carrying out this subparagraph, the Secretary is 
        authorized to make grants to, and enter into cooperative 
        agreements with, public agencies and nonprofit private 
        organizations.
    ``(c) Gifts.--The Secretary may accept, on behalf of the United 
States, gifts (in cash or in kind, including voluntary and 
uncompensated services), that shall be available to carry out this 
title. Gifts of cash shall be available in addition to amounts 
appropriated to carry out this title. Gifts may be earmarked by the 
donor for a specific purpose.
    ``(d) Records.--The Secretary shall maintain records regarding--
            ``(1) the sources, amounts, and uses of gifts accepted 
        under subsection (c); and
            ``(2) the identity of each person receiving assistance to 
        carry out this title, and the amount of such assistance 
        received by each such person.

``SEC. 203. REPORT OF THE CONFERENCE.

    ``(a) Preliminary Report.--Not later than 100 days after the date 
on which the Conference adjourns, the Secretary shall publish and 
deliver to the States a preliminary report on the Conference. Comments 
on the preliminary report of the Conference shall be accepted by the 
Secretary.
    ``(b) Final Report.--Not later than 180 days after the date on 
which the Conference adjourns, the Secretary shall publish and transmit 
to the President and to Congress recommendations resulting from the 
Conference and suggestions for any administrative action and 
legislation necessary to implement the recommendations contained within 
the report.

``SEC. 204. DEFINITIONS.

    ``In this title:
            ``(1) Conference.--The term `Conference' means the White 
        House Conference on Aging.
            ``(2) Secretary.--The term `Secretary' means the Secretary 
        of Health and Human Services.
            ``(3) State.--The term `State' means any of the several 
        States, the District of Columbia, the Commonwealth of Puerto 
        Rico, Guam, American Samoa, the Virgin Islands of the United 
        States, the Trust Territory of the Pacific Islands, or the 
        Commonwealth of the Northern Mariana Islands.''.

 TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR 
                           OLDER INDIVIDUALS

SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION SERVICES.

    Section 102(14) (42 U.S.C. 3002(14)) is amended--
            (1) in subparagraph (B), by inserting ``heart rate, 
        respiratory function,'' after ``hearing,'';
            (2) in subparagraph (K), by inserting ``providing'' before 
        ``information'';
            (3) by redesignating subparagraphs (L), (M), (N), and (O), 
        as subparagraphs (M), (N), (O), and (P), respectively;
            (4) by inserting after subparagraph (K) the following:
                    ``(L) providing information concerning testing, 
                diagnosis, and treatment of infectious diseases, taking 
                into consideration infectious diseases for which older 
                individuals are at increased risk of infection or 
                serious health outcomes;''; and
            (5) in subparagraph (P), as so redesignated, by striking 
        ``subparagraphs (A) through (N)'' and inserting ``subparagraphs 
        (A) through (O)''.

SEC. 202. IMPROVING HEALTH OUTCOMES.

    (a) Research and Evaluation Activities.--Section 201 (42 U.S.C. 
3011) is amended--
            (1) in subsection (c)(3)(B), by striking ``in behalf'' and 
        inserting ``on behalf''; and
            (2) in subsection (g)--
                    (A) in paragraph (3)(A)(ii), by inserting 
                ``reduction of health care expenditures,'' after 
                ``quality of life,''; and
                    (B) in paragraph (7), by inserting ``and 
                recommendations relating to further research, 
                evaluation, and demonstration projects conducted under 
                this section'' after ``title IV''.
    (b) Falls Prevention Programs.--Section 411(a)(15) (42 U.S.C. 
3032(a)(15)) is amended to read as follows:
            ``(15) bringing to scale and sustaining evidence-based or 
        evidence-informed falls prevention programs to reduce the 
        number of falls, fear of falling, and fall-related injuries 
        affecting older individuals, including older individuals with 
        disabilities, which programs shall--
                    ``(A) provide training and technical assistance to 
                the aging network; and
                    ``(B) share best practices with the aging network, 
                including the Aging and Disability Resource Centers;''.
    (c) Interagency Coordinating Committee on Healthy Aging and Age-
Friendly Communities.--Section 203(c) (42 U.S.C. 3013(c)) is amended--
            (1) in paragraph (6)(B)--
                    (A) in clause (ii), by striking ``and'' after the 
                semicolon;
                    (B) in clause (iii), by inserting ``and'' after the 
                semicolon; and
                    (C) by adding at the end the following:
                    ``(iv) strategies to address social isolation, 
                including by promoting strong and stable connections 
                across different generations in a family and in the 
                community;''; and
            (2) in paragraph (7)--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) by redesignating subparagraph (C) as 
                subparagraph (D); and
                    (C) by inserting after subparagraph (B) the 
                following:
                    ``(C) contains an assessment of the effectiveness 
                of relevant Federal efforts and programs, including 
                implementation of best practices described in paragraph 
                (6)(B); and''.

SEC. 203. EVIDENCE-INFORMED PRACTICES.

    (a) Disease Prevention and Health Promotion Services.--Section 
361(a) (42 U.S.C. 3030m(a)) is amended--
            (1) by striking ``(a)'' and inserting ``(a)(1)'';
            (2) in the first sentence, by inserting after ``promotion 
        services'' the following: ``, or, as applicable and 
        appropriate, evidence-informed practices that are likely to 
        improve health outcomes,''; and
            (3) by striking the second sentence and inserting the 
        following:
    ``(2) In carrying out such program, the Assistant Secretary shall--
            ``(A) provide technical assistance on the delivery of 
        evidence-based disease prevention and health promotion 
        services, and, as applicable and appropriate, such evidence-
        informed practices, in different settings and for different 
        populations;
            ``(B) develop, make publicly available, and update on a 
        regular basis a list of such evidence-informed practices; and
            ``(C) consult with the Directors of the Centers for Disease 
        Control and Prevention and the National Institute on Aging.''.
    (b) Functions of Assistant Secretary.--Section 202 (42 U.S.C. 3012) 
is amended--
            (1) in subsection (a)(28), by inserting after ``promotion 
        services'' the following: ``, or, as applicable and 
        appropriate, evidence-informed practices that are likely to 
        improve health outcomes''; and
            (2) in subsection (b)(9)(B), by inserting after ``services 
        programs'' the following: ``, or, as applicable and 
        appropriate, evidence-informed practices that are likely to 
        improve health outcomes''.
    (c) Falls Prevention and Chronic Disease Self-management 
Education.--Section 411(a) (42 U.S.C. 3032(a)) is amended, in 
paragraphs (15) and (16), by inserting ``or evidence-informed'' after 
``evidence-based''.

SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS.

    (a) In General.--Section 202(a)(30) (42 U.S.C. 3012(a)(30)) is 
amended--
            (1) by inserting ``establishment, maintenance, and'' after 
        ``to support the''; and
            (2) by inserting ``and access to services provided at 
        multipurpose senior centers'' before the semicolon at the end.
    (b) Area Agency on Aging Plans.--Section 306(a)(2)(A) (42 U.S.C. 
3026(a)(2)(A)) is amended by inserting ``, including those services 
provided at multipurpose senior centers, where appropriate'' before the 
semicolon at the end.
    (c) State Plans.--Section 307(a)(2)(A) (42 U.S.C. 3027(a)(2)(A)) is 
amended by inserting ``and, to the extent feasible, make such 
evaluation public'' before the semicolon at the end.

SEC. 205. ADDRESSING HOME MODIFICATIONS.

    (a) Indoor Air Quality.--Section 361(c) (42 U.S.C. 3030m(c)) is 
amended by striking ``buildings'' and all that follows and inserting 
``buildings and residences where older individuals congregate or 
live''.
    (b) Weatherization.--Section 321(a)(4) (42 U.S.C. 3030d(a)(4)) is 
amended by striking subparagraph (A) and inserting ``(A) to assist 
older individuals to obtain adequate housing, including residential 
repair and renovation projects, and (if assistance for weatherization 
projects does not unnecessarily duplicate other Federal assistance 
available) weatherization projects, designed to enable older 
individuals to maintain their homes in conformity with minimum housing 
and other relevant standards, in order to support such older 
individuals in aging in place and maintaining their health;''.

SEC. 206. MULTIGENERATIONAL AND CIVIC ENGAGEMENT ACTIVITIES.

    Section 417 (42 U.S.C. 3032f) is amended--
            (1) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``projects,'' and all that follows and 
                inserting the following: ``projects to serve 
                individuals in younger generations and older 
                individuals by developing, carrying out, and promoting 
                participation in multigenerational activities, which 
                projects may include--'';
                    (B) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``provide'' and inserting 
                ``providing'';
                    (C) in paragraph (2)--
                            (i) by striking ``coordinate'' and 
                        inserting ``coordinating''; and
                            (ii) by adding ``and'' at the end;
                    (D) by striking paragraphs (3) and (4) and 
                inserting the following:
            ``(3) promoting volunteerism, including by providing 
        opportunities--
                    ``(A) for older individuals to become mentors to 
                individuals in younger generations; and
                    ``(B) at facilities that serve older individuals or 
                individuals in younger generations, at which 
                multigenerational activities might occur.'';
            (2) in subsection (c)(2), by striking ``(4)'' and inserting 
        ``(3)'';
            (3) in subsection (d)--
                    (A) by striking paragraph (1); and
                    (B) by redesignating paragraphs (2) through (5) as 
                paragraphs (1) through (4); and
            (4) in subsection (h)(1), by striking ``or a family support 
        program.'' and inserting ``or a family support program, or a 
        program at a multipurpose senior center, long-term care 
        facility, or any other residential facility for older 
        individuals.''.

SEC. 207. GAO STUDY AND REPORT ON ACCESS TO HOUSING FOR OLDER 
              INDIVIDUALS.

    Not later than 2 years after the date of enactment of this Act, the 
Comptroller General of the United States shall conduct, and submit to 
Congress a report describing the results of, a study that analyzes 
housing programs and services for older individuals under the Older 
Americans Act of 1965 (42 U.S.C. 3001 et seq.), including--
            (1) an analysis of the Interagency Coordinating Committee 
        on Healthy Aging and Age-Friendly Communities that--
                    (A) assesses any metrics used by the Committee to 
                evaluate the success of the Committee's activities and 
                related Federal programs;
                    (B) evaluates interagency coordination of Federal 
                housing programs for older individuals; and
                    (C) assesses the availability of affordable housing 
                for older individuals as the result of interagency 
                coordination;
            (2) an analysis of any overlap between, and gaps in, 
        housing programs and services that assist older individuals in 
        obtaining accessible and affordable housing that achieves the 
        objectives of the Older Americans Act of 1965 (42 U.S.C. 3001 
        et seq.), including programs under the Administration for 
        Community Living, the Department of Housing and Urban 
        Development, and other Federal programs, as applicable, and the 
        availability, accessibility, and demand for such services;
            (3) an analysis of the availability of affordable housing 
        for such older individuals, to the extent such information is 
        available and taking into consideration incomes and geographic 
        and demographic trends; and
            (4) any recommendations to improve the supply, 
        accessibility, and affordability of housing for older 
        individuals and coordination of services provided under the 
        Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) and other 
        related Federal programs, as applicable.

SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR OLDER INDIVIDUALS 
              LIVING WITH OR NEAR FAMILY MEMBERS.

    (a) In General.--The Secretary shall prepare a report that 
assesses--
            (1) the health outcomes for older individuals who live 
        with, on the same property as, or otherwise in the community in 
        close geographic proximity, relative to the area, to family 
        members; and
            (2) the degree to which programs under the Older Americans 
        Act of 1965 (42 U.S.C. 3001 et seq.) promote living in the 
        settings described in paragraph (1), as appropriate.
    (b) Inclusion.--The report described under subsection (a) shall 
include--
            (1) an assessment of physical and mental health outcomes of 
        older individuals who live in the settings described in 
        subsection (a)(1) in comparison to physical and mental health 
        outcomes of older individuals who do not live in such settings;
            (2) an assessment of the extent to which living in such 
        settings mitigates social isolation and loneliness in older 
        adults; and
            (3) a description of the different types of such settings 
        and whether, and to what extent, findings under paragraphs (1) 
        and (2) vary across such different types.
    (c) Submission.--Not later than 2 years after the date of enactment 
of this Act, the Secretary shall submit to the Committee on Health, 
Education, Labor, and Pensions and the Special Committee on Aging of 
the Senate and the Committee on Education and Workforce of the House of 
Representatives the report required by subsection (a).

SEC. 209. IMPROVING BROADBAND COORDINATION AND REDUCING SOCIAL 
              ISOLATION.

    (a) In General.--The Assistant Secretary shall, as appropriate, 
coordinate with the Assistant Secretary of Commerce for Communications 
and Information of the National Telecommunications and Information 
Administration to ensure that the aging network (as defined in section 
102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) and other 
relevant stakeholders are aware of, and, subject to applicable 
eligibility criteria, have access to, Federal programs relating to 
digital literacy and the adoption of broadband that may support aging 
in place for older individuals.
    (b) Report.--Not later than 90 days after the date of enactment of 
this Act, the Assistant Secretary shall prepare, and submit to the 
Committee on Health, Education, Labor, and Pensions, the Special 
Committee on Aging, and the Committee on Commerce, Science, and 
Transportation of the Senate and the Committee on Education and the 
Workforce of the House of Representatives, a report regarding any 
coordination efforts carried out pursuant to subsection (a).

 TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES

SEC. 301. MEDICALLY TAILORED MEALS.

    (a) Definitions.--Section 102(14) (42 U.S.C. 3002(14)) is amended--
            (1) in subparagraph (C), by inserting ``, which may include 
        counseling related to the provision of medically tailored 
        meals'' after ``counseling''; and
            (2) in subparagraph (D), by inserting ``(including from 
        medically tailored meals)'' after ``improved nutrition''.
    (b) Administration of Nutrition Services.--Section 205(a)(2)(A) (42 
U.S.C. 3016(a)(2)(A)) is amended--
            (1) in clause (vi), by inserting ``, including through the 
        use of innovative approaches'' after ``systems''; and
            (2) in clause (viii), by inserting ``and innovative 
        interventions'' after ``including strategies''.
    (c) Nutrition Education.--Section 214(2)(C) (42 U.S.C. 3020e(2)(C)) 
is amended by inserting ``, including interventions,'' after ``other 
activities''.
    (d) Nutrition Services Purposes.--Section 330(3) (42 U.S.C. 3030d-
21(3)) is amended by inserting ``, tailored to their individual medical 
and nutritional needs to the extent feasible,'' after ``services''.

SEC. 302. NUTRITION SERVICE PROVIDERS.

    Section 339 (42 U.S.C. 3030g-21)--
            (1) in paragraph (1), by striking ``and'' at the end;
            (2) in paragraph (2), by striking the period and inserting 
        ``; and''; and
            (3) by adding at the end the following:
            ``(3) where feasible, when selecting local nutrition 
        providers, give consideration to the capabilities of community-
        based organizations if such organizations meet the requirements 
        of subpart 1 or 2 and can provide nutrition services in the 
        designated area.''.

SEC. 303. GRAB-AND-GO MEALS.

    Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at 
the end the following:
    ``(E) A State may elect in its plan under section 307 to allow use 
of not more than 25 percent of the funds received by such State under 
subpart 1 of part C, calculated after any transfers under subparagraphs 
(A) and (B) are completed, to make meals available at congregate meal 
sites or other community locations for consumption by older individuals 
outside such congregate meal sites. A State electing to allow use of 
funds under the preceding sentence shall--
            ``(i) ensure that such allowable use supplements but does 
        not supplant the delivery of services through the congregate 
        meals program under section 331; and
            ``(ii) notify the Assistant Secretary of such election, 
        including a description of the amount and percentage of funds 
        received by such State under subpart 1 of part C to be used for 
        such purposes.''.

SEC. 304. NUTRITION SERVICES INCENTIVE PROGRAM INNOVATION.

    Section 311 (42 U.S.C. 3030a) is amended--
            (1) in subsection (b)(1), by striking ``subsection (e)'' 
        and inserting ``subsection (f)(1)'';
            (2) by redesignating subsections (e) and (f) as subsections 
        (f) and (g), respectively;
            (3) by inserting after subsection (d) the following:
    ``(e)(1) Subject to subsection (f)(2), a State agency or title VI 
grantee may implement innovative approaches, including any approaches 
demonstrated to be effective through an award under section 340, to 
achieve the purposes described in section 330(1) by improving--
            ``(A) the quality, composition, preparation, modality, 
        delivery, or location of meals provided to older individuals 
        under this Act; or
            ``(B) the efficiency and effectiveness of distributing, 
        delivering, or otherwise making meals available to older 
        individuals under this Act.
    ``(2) In implementing approaches under paragraph (1), a State 
agency or title VI grantee may, with the approval of the Assistant 
Secretary, waive any requirements of subparts 1 or 2 of part C or 
section 339 if the State agency or title VI grantee determines that 
such requirements impede the ability of such State agency or title VI 
grantee to successfully implement such approach. The Assistant 
Secretary shall approve a request for a waiver under the preceding 
sentence unless the Assistant Secretary determines that such waiver is 
not consistent with the objectives of this Act or the purposes 
described in section 330(1).
    ``(3) The authority to carry out activities described in paragraph 
(1) shall expire on October 1, 2029.
    ``(4) Not later than September 30, 2028, the Assistant Secretary 
shall submit a report to the Committee on Health, Education, Labor, and 
Pensions and the Special Committee on Aging of the Senate and the 
Committee on Education and the Workforce of the House of 
Representatives describing any activities carried out by State agencies 
or title VI grantees under paragraph (1), an assessment of the outcomes 
of such activities, and recommendations for scaling implementation of 
any successful innovative approaches within programs established under 
this section or subparts 1 and 2 of part C.''; and
            (4) in subsection (f), as so redesignated--
                    (A) by striking ``There are'' and inserting ``(1) 
                There are''; and
                    (B) by adding at the end the following:
    ``(2) If the amount appropriated to carry out this section for a 
fiscal year exceeds the amount appropriated to carry out this section 
for fiscal year 2024, a State agency and title VI grantee in receipt of 
an allotment under subsection (b) may elect to use the difference 
between the allotment received for the fiscal year and the allotment 
received for fiscal year 2024 for activities described in subsection 
(e).''.

SEC. 305. GAO STUDY ON NUTRITION SERVICES INCENTIVE PROGRAM.

    (a) In General.--Not later than 18 months after the date of 
enactment of this Act, the Comptroller General of the United States 
shall conduct a study to evaluate the Nutrition Services Incentive 
Program under section 311 (42 U.S.C. 3030a) (referred to in this 
section as the ``Program'').
    (b) Inclusions.--The study under this section--
            (1) shall--
                    (A) include an assessment of how States and Tribal 
                organizations use funding provided under the Program, 
                including the degree to which States and Tribal 
                organizations use such funding to procure food products 
                from local or regional producers for meals supported 
                under the Program; and
                    (B) identify any challenges or barriers to 
                increasing the use of local and regional producers 
                under the Program; and
            (2) may make recommendations related to improving the 
        effectiveness of the Program, including with respect to the use 
        of local and regional producers.

SEC. 306. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.

    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. 340. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.

    ``(a) In General.--From funds available under subsection (d), the 
Assistant Secretary shall make grants, on a competitive basis, to 
eligible entities, to achieve the purposes of section 330(1) by 
developing, implementing, and evaluating innovative local or regional 
approaches to improve the quality, effectiveness, efficiency, and 
outcomes of nutrition programs and services described in sections 311, 
331, and 336.
    ``(b) Eligibility.--In order to be eligible for a grant under 
subsection (a), an entity shall--
            ``(1) be--
                    ``(A) a State agency, an area agency on aging, an 
                Indian tribe, a tribal organization, a nutrition 
                service provider, a multipurpose senior center, a 
                health care entity, an institution of higher education, 
                or an other public or nonprofit private entity; or
                    ``(B) a partnership between any entities described 
                in subparagraph (A); and
            ``(2) submit an application at such time and in such manner 
        as the Assistant Secretary may require, including--
                    ``(A) a description of an innovative approach 
                referred to in subsection (a) that the entity proposes 
                to implement under the grant;
                    ``(B) a plan for evaluating the effectiveness, 
                including cost-effectiveness, of the innovative 
                approach proposed; and
                    ``(C) as appropriate, plans for the publication of 
                the results of such evaluation.
    ``(c) Report.--Not later than 1 year after the date of enactment of 
the Older Americans Act Reauthorization Act of 2024 and annually 
thereafter, the Assistant Secretary shall submit a report to the 
Committee on Health, Education, Labor, and Pensions and the Special 
Committee on Aging of the Senate and the Committee on Education and the 
Workforce of the House of Representatives describing any activities 
carried out under subsection (a), an assessment of the outcomes of such 
activities, and recommendations for scaling implementation of any 
successful innovative approaches implemented under this section, 
through programs established under section 311, 331, or 336.
    ``(d) Reservation.--From the total of the amounts made available 
for a fiscal year under paragraphs (1) and (2) of section 303(b) and in 
section 311(e), the Assistant Secretary shall reserve an amount equal 
to not more than 1 percent, to carry out activities described in 
subsection (a).''.

                 TITLE IV--SUPPORTING FAMILY CAREGIVERS

SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) State Requirements for State and Community Programs on Aging 
Grants.--Section 305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E)) is amended--
            (1) in clause (i), by striking ``and'' at the end;
            (2) in clause (ii), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
                            ``(iii) available supports for family 
                        caregivers and older relative caregivers (as 
                        defined in section 372(a)).''.
    (b) Area Plan Requirements.--Section 306(a)(7)(D) (42 U.S.C. 
3026(a)(7)(D)) is amended--
            (1) in clause (i), by striking ``and'' at the end;
            (2) in clause (ii), by adding ``and'' after the semicolon; 
        and
            (3) by adding at the end the following:
                            ``(iii) available supports for family 
                        caregivers and older relative caregivers (as 
                        defined in section 372(a));''.
    (c) Definitions Relating to the National Family Caregiver Support 
Program.--
            (1) In general.--Section 372(a) (42 U.S.C. 3030s(a)) is 
        amended--
                    (A) in paragraph (1)--
                            (i) in the first sentence, by striking 
                        ``The term'' and inserting the following:
                    ``(A) In general.--The term''; and
                            (ii) in subparagraph (A) (as so 
                        designated), in the second sentence--
                                    (I) by striking the period at the 
                                end and inserting ``; and''; and
                                    (II) by striking ``Such assessment 
                                shall be administered through'' and 
                                inserting the following:
                    ``(B) Administration of assessments.--A caregiver 
                assessment under subparagraph (A) shall--
                            ``(i) be administered through''; and
                                    (III) by adding at the end the 
                                following:
                            ``(ii) take into account--
                                    ``(I) linguistic and cultural 
                                differences;
                                    ``(II) the ease for the caregiver 
                                to access information, supports, or 
                                services, and the timeliness of access 
                                to such information, supports, or 
                                services;
                                    ``(III) barriers to accessing 
                                information, supports, or services;
                                    ``(IV) the availability of 
                                information, supports, or services in 
                                accessible formats; and
                                    ``(V) the quality of information, 
                                supports, or services received, and the 
                                degree to which it is helpful to the 
                                caregiver.'';
                    (B) by striking paragraph (2) and inserting the 
                following:
            ``(2) Child or youth.--The term `child or youth' means an 
        individual who is not more than--
                    ``(A) 18 years of age; or
                    ``(B) 22 years of age, in the case of an individual 
                who is enrolled in any form of schooling (including on 
                a part-time basis), including--
                            ``(i) in high school or secondary school 
                        (as such terms are defined in section 8101 of 
                        the Elementary and Secondary Education Act of 
                        1965 (20 U.S.C. 7801)); or
                            ``(ii) in an institution of higher 
                        education (as defined in section 102 of the 
                        Higher Education Act of 1965 (20 U.S.C. 
                        1002)).''; and
                    (C) in paragraph (4)(B)(i), by inserting ``adult'' 
                after ``or other''.
            (2) Conforming amendments.--Part E of title III (42 U.S.C. 
        3030s et seq.) is amended--
                    (A) by inserting ``or youth'' after ``child'' each 
                place it appears (other than in section 372(a)(2) (as 
                amended by paragraph (1)(B)); and
                    (B) by inserting ``or youth'' after ``children'' 
                each place it appears (other than in section 
                373(c)(3)(A) (as amended by subsection (d)(2)(B)).
    (d) Program Authorized.--Section 373 (42 U.S.C. 3030s-1) is 
amended--
            (1) in subsection (b)(3)--
                    (A) by inserting ``which may include trauma-
                informed services, peer supports,'' after ``individual 
                counseling,''; and
                    (B) by inserting ``elder abuse prevention,'' after 
                ``nutrition,'';
            (2) in subsection (c)--
                    (A) in the subsection heading, by striking 
                ``Priority'' and inserting ``Priority; Consideration''; 
                and
                    (B) by adding at the end the following:
            ``(3) Consideration.--In providing services under this 
        part, the State shall consider--
                    ``(A) that older relative caregivers caring for 
                multiple children or youth may need greater resources 
                and supports; and
                    ``(B) the circumstances and unique needs of 
                different types of caregivers, including the needs of 
                children and their older relative caregivers whose 
                families have been affected by substance use disorder, 
                including opioid use disorder.'';
            (3) in subsection (e)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``Not later than'' and all that follows 
                through ``the Assistant Secretary shall'' and inserting 
                ``The Assistant Secretary shall, on a regular basis'';
                    (B) in paragraph (1)--
                            (i) in subparagraph (B)--
                                    (I) by inserting ``or evidence-
                                informed'' after ``evidence based''; 
                                and
                                    (II) by striking ``and'' at the 
                                end;
                            (ii) by redesignating subparagraph (C) as 
                        subparagraph (D); and
                            (iii) by inserting after subparagraph (B) 
                        the following:
                    ``(C) the use of caregiver assessments; and''; and
                    (C) in paragraph (2), by striking ``make 
                available'' and inserting ``prepare, publish, and 
                disseminate'';
            (4) in subsection (i)--
                    (A) in paragraph (1), by inserting ``, which may 
                include the improvement of the quality and consistency 
                of caregiver assessments and access to other 
                information, supports, or services'' after ``section 
                631''; and
                    (B) in paragraph (2), by inserting ``(including 
                outcome measures)'' after ``program evaluation''; and
            (5) in subsection (j)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``Not later than'' and all that follows 
                through ``shall provide technical assistance'' and 
                inserting ``Beginning not later than 1 year after the 
                date of enactment of the Older Americans Act 
                Reauthorization Act of 2024, the Assistant Secretary, 
                in consultation with stakeholders with appropriate 
                expertise and, as appropriate, informed by the most 
                recent strategy developed under the RAISE Family 
                Caregivers Act (42 U.S.C. 3030s note) and the most 
                recent report developed under the Supporting 
                Grandparents Raising Grandchildren Act (Public Law 115-
                196; 132 Stat. 1511), shall provide ongoing technical 
                assistance'';
                    (B) in paragraph (2), by striking ``and'' at the 
                end;
                    (C) by redesignating paragraph (3) as paragraph 
                (4); and
                    (D) by inserting after paragraph (2) the following:
            ``(3) the quality and consistency of caregiver assessments 
        used across States; and''.

SEC. 402. EMPHASIZING RESPITE CARE.

    Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is amended to read as 
follows:
            ``(19) services, which may include respite care through 
        various models, designed to support family members and other 
        persons providing voluntary care to older individuals that need 
        long-term care services, which may include older individuals 
        with cognitive impairments such as Alzheimer's disease and 
        related disorders with neurological and organic brain 
        dysfunction;''.

SEC. 403. CLARIFYING SUPPORTIVE SERVICES.

    Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is amended by striking 
``mentally impaired older individuals'' and inserting ``older 
individuals with cognitive, physical, or mental impairments''.

SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER.

    Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amended--
            (1) by striking subparagraph (B);
            (2) by striking ``(13)'' and all that follows through ``(A) 
        to'' and inserting the following:
            ``(13) in coordination with the Secretary of Labor and, as 
        appropriate, the heads of other relevant Federal departments 
        and agencies, the establishment and operation of a national 
        resource center that supports the growth and 
        professionalization of the direct care workforce necessary to 
        meet the needs of older individuals and individuals with 
        disabilities, and, in a manner that does not unnecessarily 
        duplicate the activities of other resource centers supported by 
        the Assistant Secretary, that addresses training and other 
        educational needs of family caregivers, which activities of the 
        center may include--
                    ``(A) the provision of training and technical 
                assistance, including through the development and 
                dissemination of educational materials, to direct care 
                workers and family caregivers; and
                    ``(B) supporting the demonstration of new, and 
                promoting existing, strategies for the recruitment, 
                retention, career development, or advancement of direct 
                care workers to''; and
            (3) in subparagraph (B), as so designated in paragraph (2), 
        by striking ``; and'' at the end and inserting a semicolon.

SEC. 405. SUPPORTING GRANDPARENTS RAISING GRANDCHILDREN ACT.

    (a) Findings.--The Supporting Grandparents Raising Grandchildren 
Act (Public Law 115-196; 132 Stat. 1511) is amended by striking section 
2.
    (b) Definitions.--The Supporting Grandparents Raising Grandchildren 
Act is amended by redesignating section 4 as section 2 and moving the 
section so as to follow section 1.
    (c) Advisory Council.--Section 3 of the Supporting Grandparents 
Raising Grandchildren Act is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) by redesignating subparagraphs (G) 
                        through (I) as subparagraphs (H) through (J);
                            (ii) by inserting after subparagraph (F) 
                        the following:
                    ``(G) The Assistant Secretary for Health.'';
                            (iii) in subparagraph (I), as so 
                        redesignated, by striking ``of children''; and
                            (iv) in subparagraph (J), as so 
                        redesignated, by striking ``relatives'' and 
                        inserting ``relative caregivers''; and
                    (B) by adding at the end the following:
            ``(3) Limitation on non-federal members.--Not more than 10 
        members of the Advisory Council may be individuals who are not 
        Federal officers or employees.'';
            (2) in subsection (c)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``relatives'' and 
                                inserting ``relative caregivers''; and
                                    (II) in clause (i)--
                                            (aa) by striking ``the 
                                        health,'' and inserting ``the 
                                        near- and long-term health, 
                                        including mental health,''; and
                                            (bb) by striking ``care; 
                                        and'' and inserting ``care, 
                                        including any needs related to 
                                        the circumstances that caused 
                                        such children to be raised by a 
                                        grandparent or older relative 
                                        caregiver; and''; and
                            (ii) in subparagraph (B)--
                                    (I) by striking ``(B)'' and all 
                                that follows through ``In'' and 
                                inserting the following:
                    ``(B) Considerations.--In''; and
                                    (II) by striking ``needs of those 
                                affected by the opioid crisis'' and 
                                inserting ``needs and challenges of 
                                individuals affected by substance use 
                                disorder, including opioid use 
                                disorder, or, as applicable and 
                                appropriate, needs and challenges of 
                                individuals related to other 
                                circumstances, which may include public 
                                health emergencies.'';
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), in the matter 
                        preceding clause (i), by striking ``enactment 
                        of this Act'' and inserting ``enactment of the 
                        Older Americans Act Reauthorization Act of 
                        2024''; and
                            (ii) in subparagraph (B)--
                                    (I) in clause (i)--
                                            (aa) by striking 
                                        ``relatives'' and inserting 
                                        ``relative caregivers''; and
                                            (bb) by striking ``needs of 
                                        children'' and all that follows 
                                        and inserting ``needs of 
                                        children and their older 
                                        relative caregivers who have 
                                        been affected by substance use 
                                        disorder, including opioid use 
                                        disorder;'';
                                    (II) in clause (ii), by striking 
                                the ``and'' at the end;
                                    (III) by redesignating clause (iii) 
                                as clause (iv); and
                                    (IV) by inserting after clause (ii) 
                                the following:
                            ``(iii) a description of any activities of 
                        the Department of Health and Human Services to 
                        evaluate the effectiveness of supportive 
                        services in addressing the needs of children 
                        and their older relative caregivers, including 
                        those who have been affected by substance use 
                        disorder, including opioid use disorder, and 
                        any related findings; and'';
                    (C) in paragraph (3)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by striking ``(3)'' and all 
                                that follows through ``Not'' and 
                                inserting the following:
            ``(3) Follow-up reports.--Not'';
                                    (II) by striking ``2 years'' and 
                                inserting ``180 days''; and
                                    (III) by inserting after 
                                ``submitted,'' the following: ``and 
                                every 2 years thereafter until the 
                                Advisory Council terminates under 
                                subsection (f),''; and
                    (D) in paragraph (4) by striking ``relatives'' each 
                place it appears and inserting ``relative caregivers'';
            (3) in subsection (d), by striking ``the Federal Advisory 
        Committee Act (5 U.S.C. App.).'' and inserting ``chapter 10 of 
        title 5, United States Code.''; and
            (4) in subsection (f), by striking ``terminate'' and all 
        that follows and inserting ``terminate on September 30, 
        2029.''.

SEC. 406. RAISE FAMILY CAREGIVERS ACT.

    (a) Strategy.--Section 3 of the RAISE Family Caregivers Act (42 
U.S.C. 3030s note) is amended--
            (1) in subsection (c)--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``(or the Secretary's designee)'' after ``The 
                Secretary''; and
                    (B) in paragraph (1), by inserting ``and made 
                publicly available by the Secretary,'' after 
                ``caregiver programs,''; and
            (2) in subsection (d)(2), by inserting ``in'' after 
        ``caregiver programs''.
    (b) Council.--Section 5(e) of that Act (42 U.S.C. 3030s note) is 
amended by striking ``The Federal Advisory Committee Act (5 U.S.C. 
App.)'' and inserting ``Chapter 10 of title 5, United States Code,''.
    (c) Sunset Extension.--Section 6 of that Act (42 U.S.C. 3030s note) 
is amended by striking ``terminate'' and all that follows and inserting 
``terminate on September 30, 2029.''.

          TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT

SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOYMENT PROGRAM.

    (a) Program.--Section 502(b)(1) (42 U.S.C. 3056(b)(1) is amended--
            (1) in subparagraph (C)(ii), by striking ``section 
        513(a)(2)(E)'' and inserting ``section 513(a)(2)(F)''; and
            (2) in subparagraph (E), by inserting ``older 
        individuals,'' after ``youth,''.
    (b) Performance.--Section 513 (42 U.S.C. 3056k) is amended--
            (1) in subsection (a)(2)--
                    (A) by redesignating subparagraph (E) as 
                subparagraph (F); and
                    (B) by inserting after subparagraph (D) the 
                following:
                    ``(E) Biennial report.--Not later than 2 years 
                after the date of enactment of the Older Americans Act 
                Reauthorization Act of 2024, and every 2 years 
                thereafter during the period of the program described 
                in section 502(a)(1), the Secretary shall prepare and 
                submit to the Committee on Health, Education, Labor, 
                and Pensions and the Special Committee on Aging of the 
                Senate and the Committee on Education and the Workforce 
                of the House of Representatives a report regarding the 
                methodology used to arrive at the expected levels of 
                performance described in subparagraph (B) for each 
                grantee, including the particular statistical model 
                used and other factors taken into account, as described 
                in subparagraph (D).'';
            (2) in subsection (c) and paragraphs (1)(A), (2)(A), (3)(A) 
        of subsection (d), by striking ``subsection (a)(2)(E)'' and 
        inserting ``subsection (a)(2)(F)''; and
            (3) in subsection (d)--
                    (A) in paragraph (2)(B)(iii), by adding at the end 
                the following: ``For grants awarded on or after the 
                date that is 2 years after the date of enactment of the 
                Older Americans Act Reauthorization Act of 2024, any 
                grantee who has failed to meet the expected levels of 
                performance for the 2 consecutive years prior to the 
                subsequent grant competition under section 514 shall 
                not be allowed to compete in the subsequent grant 
                competition under section 514 following the second 
                consecutive year of failure but may compete in the next 
                such grant competition after that subsequent 
                competition.''; and
                    (B) in paragraph (3)(B)(iii), by adding at the end 
                the following: ``For grants awarded on or after the 
                date that is 2 years after the date of enactment of the 
                Older Americans Act Reauthorization Act of 2024, if the 
                Secretary determines that the State fails to meet the 
                expected levels of performance described in 
                subparagraph (A) for 2 consecutive program years, the 
                Secretary shall provide for the conduct by the State of 
                a competition to award the funds allotted to the State 
                under section 506(e) for the first full program year 
                following the Secretary's determination.''.
    (c) Definitions.--Section 518(a)(1)(A) (42 U.S.C. 3056p(a)(1)(A)) 
is amended to read as follows:
                    ``(A) social, health, welfare, and educational 
                services (including literacy tutoring and services 
                provided by the aging network), legal and other 
                counseling services and assistance (including tax 
                counseling and assistance and financial counseling), 
                and library, recreational, and other similar 
                services;''.

SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COMMUNITY SERVICE 
              EMPLOYMENT PROGRAM.

    (a) Review.--Not later than 18 months after the date of enactment 
of this Act, the Comptroller General of the United States shall 
complete a review in which the Comptroller General--
            (1) evaluates--
                    (A) the distinct differences and similarities 
                between the older American community service employment 
                program as authorized under title V of the Older 
                Americans Act of 1965 (42 U.S.C. 3056 et seq.) and the 
                programs carried out under title I of the Workforce 
                Innovation and Opportunity Act (29 U.S.C. 3111 et 
                seq.); and
                    (B) how the programs described in subparagraph (A) 
                serve older individuals in seeking and obtaining 
                community service employment;
            (2) analyzes the efficacy and impacts of the indicators of 
        performance described in section 513(b) of the Older Americans 
        Act of 1965 (42 U.S.C. 3056k(b) and corrective measures 
        described in section 513(d) of the Older Americans Act of 1965 
        (42 U.S.C. 3056k(d)) for the older American community service 
        employment program, compared with the efficacy and impacts of 
        the indicators of performance and corrective measures described 
        in section 116 of the Workforce Innovation and Opportunity Act 
        (29 U.S.C. 3141) for programs authorized under title I of such 
        Act; and
            (3) evaluates how the Department of Labor coordinates 
        delivery of services with State and national grantees under 
        title V of the Older Americans Act of 1965 and States and local 
        workforce development areas under title I of the Workforce 
        Innovation Opportunity Act to serve older individuals.
    (b) Report to Congress.--Not later than 180 days after the date of 
enactment of this Act, the Comptroller General shall submit to the 
Committee on Health, Education, Labor, and Pensions and the Special 
Committee on Aging of the Senate and the Committee on Education and the 
Workforce of the House of Representatives a report on the results of 
such review.

             TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS

SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE.

    Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at the end 
the following:
            ``(4)(A) In addition to other methods of government-to-
        government consultation between the Administration and Indian 
        tribes and conferring with organizations representing Native 
        Hawaiians, the Assistant Secretary shall establish an advisory 
        committee, to be known as the `Older Americans Tribal Advisory 
        Committee' (referred to in this paragraph as the `Committee') 
        to provide advice and guidance to the Assistant Secretary on 
        matters relating to the needs of older individuals who are 
        Native Americans and implementation of related programs and 
        activities under this Act.
            ``(B) The Committee shall be composed of 11 voting, non-
        Federal members, including--
                    ``(i) geographically diverse individuals with 
                expertise on the range of issues affecting Indian 
                tribes, organizations representing Native Hawaiians, 
                and older individuals who are Native Americans;
                    ``(ii) not less than 1 member who is an Alaska 
                Native; and
                    ``(iii) not less than 1 member who is a Native 
                Hawaiian.
            ``(C) The Committee shall include non-voting, ex officio 
        representatives of relevant Federal departments and agencies, 
        including--
                    ``(i) the Administration;
                    ``(ii) the Indian Health Service;
                    ``(iii) the Centers for Medicare & Medicaid 
                Services;
                    ``(iv) the Department of the Interior;
                    ``(v) the Department of Labor; and
                    ``(vi) any other agency or office with subject 
                matter expertise that the Assistant Secretary 
                determines appropriate.
            ``(D) The Committee shall meet in person not less 
        frequently than twice each year.
            ``(E) The Committee shall coordinate, as appropriate, with 
        the Secretary's Tribal Advisory Committee of the Department of 
        Health and Human Services.
            ``(F)(i) Not less frequently than once each year, the 
        Committee shall submit to the Assistant Secretary and make 
        publicly available a report that describes--
                    ``(I) the activities of the Committee during the 
                previous year; and
                    ``(II) recommendations for administrative action, 
                including the identification of any statutory barriers 
                to carrying out such recommendations, for the following 
                year.
            ``(ii) Not later than 60 days after the date on which the 
        Assistant Secretary receives a report under clause (i), the 
        Assistant Secretary shall submit to the Committee a written 
        response to such report.
    ``(G) Chapter 10 of title 5, United States Code, shall not apply to 
the Committee.
    ``(H) In establishing, developing procedures for, and operating the 
Committee, the Assistant Secretary shall--
            ``(i) consult with Indian tribes and confer with 
        organizations representing Native Hawaiians; and
            ``(ii) take into consideration best practices of other 
        tribal advisory committees operated by the Department of Health 
        and Human Services before the date of enactment of the Older 
        Americans Act Reauthorization Act of 2024.''.

SEC. 602. SUPPORTIVE SERVICES; SET ASIDE.

    (a) Supportive Services.--Section 636 (42 U.S.C. 3057k-21) is 
amended--
            (1) in subsection (a), by striking ``may'' and inserting 
        ``shall, as practicable,''; and
            (2) in subsection (b)(2), by striking ``in-home 
        assistance'' and inserting ``in-home services''.
    (b) Funding Set Aside.--Section 644 (42 U.S.C. 3057o) is amended--
            (1) by striking ``Of'' and inserting ``(a) In General.--
        Of''; and
            (2) by adding at the end the following:
    ``(b) Report.--Not later than 1 year after the date of enactment of 
the Older Americans Act Reauthorization Act of 2024, the Assistant 
Secretary shall submit to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Education and the 
Workforce of the House of Representatives, a report on the use of funds 
under part D. Such report shall include--
            ``(1) the total amount of funds made available under 
        subsection (a) to carry out part D for each fiscal year;
            ``(2) a list of award recipients under part D; and
            ``(3) a summary of supportive services for healthy aging 
        and independence provided under part D.''.

SEC. 603. GAO REPORT ON TRIBAL SERVICES.

    Not later than 18 months after the date of enactment of this Act, 
the Comptroller General of the United States shall submit to Congress a 
report that--
            (1) evaluates and identifies barriers to Indian Tribes (as 
        defined in section 4 of the Indian Self-Determination and 
        Education Assistance Act (25 U.S.C. 5304)) and organizations 
        serving Native Hawaiians accessing programs under title VI of 
        the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.), and 
        coordination of such programs under such title VI with programs 
        funded under titles III and IV of such Act (42 U.S.C. 3021 et 
        seq., 42 U.S.C. 3031 et seq.), including by--
                    (A) estimating the number of Native Americans 
                unserved by programs under such title VI;
                    (B) identifying States making grants to Indian 
                Tribes under such title III; and
                    (C) providing estimates of funding necessary to 
                support programs under such title VI for all Tribal 
                organizations (as defined in section 4 of the Indian 
                Self-Determination and Education Assistance Act) and 
                organizations serving Native Hawaiians that are not 
                eligible under such title VI (as in effect on the date 
                of enactment of this Act); and
            (2) details how grantees under title V of the Older 
        Americans Act of 1965 (42 U.S.C. 3056 et seq.) are serving 
        older individuals who are Native Americans with funds received 
        under such title V, including by evaluating how the Secretary 
        of Labor coordinates with State and national grantees under 
        such title V to serve older individuals who are Native 
        Americans.

  TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND 
                         ELDER ABUSE PREVENTION

SEC. 701. DIRECTOR OF THE OFFICE OF LONG-TERM CARE OMBUDSMAN PROGRAMS.

    Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is amended in the 
second sentence by inserting ``serve on a full-time basis and'' after 
``shall''.

SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RELATING TO ELDER ABUSE 
              PREVENTION.

    Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is amended by 
striking clause (v) and inserting the following:
                            ``(v) establishing an information 
                        clearinghouse to collect, maintain, and 
                        disseminate information concerning best 
                        practices and resources for training, technical 
                        assistance, and other activities, which may 
                        include training resources for paralegals or 
                        law students who are under the direct 
                        supervision of an attorney, to assist Long-Term 
                        Care Ombudsman programs, adult protective 
                        services programs, and other legal services 
                        relating to defense of guardianship and the 
                        matters described in clause (ii)(I), to assist 
                        States and communities to carry out evidence-
                        based programs to prevent and address elder 
                        abuse, neglect, and exploitation;''.

SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER THE STATE LONG-TERM 
              CARE OMBUDSMAN PROGRAM.

    Section 712 (42 U.S.C. 3058g) is amended--
            (1) in subsection (h)(5)--
                    (A) in the matter preceding subparagraph (A)--
                            (i) by striking ``the representatives'' and 
                        inserting ``each type of representative''; and
                            (ii) by inserting ``types of'' before 
                        ``unpaid volunteers'';
                    (B) in subparagraph (A), by inserting ``for each 
                such type of representative'' before the semicolon at 
                the end;
                    (C) in subparagraph (B)(iii), by striking ``and'' 
                at the end;
                    (D) in subparagraph (C), by adding ``and'' at the 
                end; and
                    (E) by adding at the end the following:
                    ``(D) with respect to representatives of the Office 
                who are unpaid volunteers, take into consideration the 
                degree to which each such type of unpaid volunteer 
                performs activities requiring specialized training, 
                with a goal of reducing unnecessary training 
                requirements for prospective unpaid volunteers;''; and
            (2) by adding at the end the following:
    ``(k) Training Requirements for Unpaid Volunteers.--
            ``(1) In general.--In providing the model standards 
        described in subsection (h)(5), the Director of the Office of 
        Long-Term Care Ombudsman Programs shall review and, as 
        necessary, update such model standards on a regular basis to 
        tailor such model standards to the individualized training 
        needs of each type of representative of the Office, including 
        each type of unpaid volunteer.
            ``(2) Considerations.--In carrying out paragraph (1), the 
        Director of the Office of Long-Term Care Ombudsman Programs 
        shall take into consideration the degree to which each type of 
        representative of the Office performs activities that require 
        specialized training, with a goal of reducing unnecessary 
        training requirements for unpaid volunteers.''.

SEC. 704. REPORTING ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.

    Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f et seq.) is 
amended by adding at the end the following:

``SEC. 714. REPORTS TO CONGRESS.

    ``Each year, the Assistant Secretary shall submit, to the Committee 
on Health, Education, Labor, and Pensions and the Special Committee on 
Aging of the Senate and the Committee on Education and the Workforce of 
the House of Representatives, and make publicly available, a report 
that--
            ``(1) aggregates all reports submitted under section 712(h) 
        for such year; and
            ``(2) provides a summary of the findings of such 
        reports.''.

SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.

    (a) In General.--The Assistant Secretary shall seek to enter into a 
contract with the National Academies of Sciences, Engineering, and 
Medicine (referred to in this section as the ``National Academies'') to 
conduct a study on the State Long-Term Care Ombudsman programs carried 
out under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), 
including an assessment of the effectiveness of such programs and any 
related challenges, and recommendations. The study shall include an 
assessment of the current (as of the date on which the contract is 
entered into) recommended staff-to-bed ratio for such programs, as 
appropriate.
    (b) Report.--Not later than 18 months after the date on which a 
contract is entered into under subsection (a), the National Academies 
shall publicly issue a report on the findings of such study.

              TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS

SEC. 801. ADMINISTRATION ON AGING.

    Section 216 (42 U.S.C. 3020f) is amended--
            (1) in subsection (a), by striking ``$43,937,410'' and all 
        that follows through ``fiscal year 2024'' and 
        inserting``$55,469,968 for fiscal year 2025, $58,034,197 for 
        fiscal year 2026, $60,716,964 for fiscal year 2027, $63,523,747 
        for fiscal year 2028, and $66,460,281 for fiscal year 2029''; 
        and
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``$2,180,660'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$2,753,033 for fiscal year 2025, $2,880,298 
                for fiscal year 2026, $3,013,447 for fiscal year 2027, 
                $3,152,751 for fiscal year 2028, and $3,298,494 for 
                fiscal year 2029'';
                    (B) in paragraph (2), by striking ``$1,988,060'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$2,509,880 for fiscal year 2025, $2,625,905 
                for fiscal year 2026, $2,747,294 for fiscal year 2027, 
                $2,874,294 for fiscal year 2028, and $3,007,165 for 
                fiscal year 2029'';
                    (C) in paragraph (3), by striking ``$1,371,740'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$1,731,790 for fiscal year 2025, $1,811,846 
                for fiscal year 2026, $1,895,603 for fiscal year 2027, 
                $1,983,232 for fiscal year 2028, and $2,074,911 for 
                fiscal year 2029''; and
                    (D) in paragraph (4), by striking ``$8,687,330'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$10,967,554 for fiscal year 2025, 
                $11,474,555 for fiscal year 2026, $12,004,993 for 
                fiscal year 2027, $12,559,952 for fiscal year 2028, and 
                $13,140,565 for fiscal year 2029''.

SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING.

    (a) In General.--Section 303 (42 U.S.C. 3023) is amended--
            (1) in subsection (a)(1), by striking ``$412,029,180'' and 
        all that follows through ``fiscal year 2024'' and inserting 
        ``$520,177,347 for fiscal year 2025, $544,223,762 for fiscal 
        year 2026, $569,381,780 for fiscal year 2027, $595,702,785 for 
        fiscal year 2028, and $623,240,541 for fiscal year 2029'';
            (2) in subsection (b)--
                    (A) in paragraph (1), by striking ``$530,015,940'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$669,132,913 for fiscal year 2025, 
                $700,065,148 for fiscal year 2026, $732,427,298 for 
                fiscal year 2027, $766,285,465 for fiscal year 2028, 
                and $801,708,804 for fiscal year 2029''; and
                    (B) in paragraph (2), by striking ``$268,935,940'' 
                and all that follows through ``fiscal year 2024'' and 
                inserting ``$339,525,428 for fiscal year 2025, 
                $355,220,786 for fiscal year 2026, $371,641,698 for 
                fiscal year 2027, $388,821,705 for fiscal year 2028, 
                and $406,795,899 for fiscal year 2029'';
            (3) in subsection (d), by striking ``$26,587,360'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$33,565,929 for fiscal year 2025, $35,117,593 for fiscal year 
        2026, $36,740,986 for fiscal year 2027, $38,439,424 for fiscal 
        year 2028, and $40,216,376 for fiscal year 2029''; and
            (4) in subsection (e), by striking ``$193,869,020'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$244,755,171 for fiscal year 2025, $256,069,552 for fiscal 
        year 2026, $267,906,966 for fiscal year 2027, $280,291,593 for 
        fiscal year 2028, and $293,248,728 for fiscal year 2029''.
    (b) Nutrition Services Incentive Program.--Section 311 (42 U.S.C. 
3030a), as amended by section 304 of this Act, is amended in subsection 
(f), by striking ``$171,273,830'' and all that follows through ``fiscal 
year 2024'' and inserting ``$216,229,264 for fiscal year 2025, 
$226,224,968 for fiscal year 2026, $236,682,747 for fiscal year 2027, 
$247,623,961 for fiscal year 2028, and $259,070,958 for fiscal year 
2029''.

SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.

    Section 411(b) (42 U.S.C. 3032(b)) is amended--
            (1) in paragraph (1), by striking ``$14,514,550'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$18,324,285 for fiscal year 2025, $19,171,368 for fiscal year 
        2026, $20,057,609 for fiscal year 2027, $20,984,819 for fiscal 
        year 2028, and $21,954,892 for fiscal year 2029''; and
            (2) in paragraph (2), by striking ``$15,613,440'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$19,711,608 for fiscal year 2025, $20,622,823 for fiscal year 
        2026, $21,576,161 for fiscal year 2027, $22,573,570 for fiscal 
        year 2028, and $23,617,086 for fiscal year 2029''.

SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT.

    Section 517(a) (42 U.S.C. 3056o(a)) is amended by striking 
``$428,000,000'' and all that follows through ``fiscal year 2024'' and 
inserting ``$540,340,193 for fiscal year 2025, $565,318,627 for fiscal 
year 2026, $591,451,804 for fiscal year 2027, $618,793,048 for fiscal 
year 2028, and $647,398,205 for fiscal year 2029''.

SEC. 805. GRANTS FOR NATIVE AMERICANS.

    Section 643 (42 U.S.C. 3057n) is amended--
            (1) in paragraph (1), by striking ``$37,102,560'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$47,028,435 for fiscal year 2025, $49,202,434 for fiscal year 
        2026, $51,476,932 for fiscal year 2027, $53,856,574 for fiscal 
        year 2028, and $56,346,220 for fiscal year 2029''; and
            (2) in paragraph (2), by striking ``$10,759,920'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$13,584,151 for fiscal year 2025, $14,212,110 for fiscal year 
        2026, $14,869,098 for fiscal year 2027, $15,556,457 for fiscal 
        year 2028, and $16,275,591 for fiscal year 2029''.

SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION ACTIVITIES.

    Section 702 (42 U.S.C. 3058a) is amended--
            (1) in subsection (a), by striking ``$18,066,950'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$22,809,108 for fiscal year 2025, $23,863,512 for fiscal year 
        2026, $24,966,659 for fiscal year 2027, $26,120,801 for fiscal 
        year 2028, and $27,328,297 for fiscal year 2029''; and
            (2) in subsection (b), by striking ``$5,107,110'' and all 
        that follows through ``fiscal year 2024'' and inserting 
        ``$6,447,609 for fiscal year 2025, $6,745,665 for fiscal year 
        2026, $7,057,499 for fiscal year 2027, $7,383,748 for fiscal 
        year 2028, and $7,725,079 for fiscal year 2029''.
                                 <all>