[Congressional Record Volume 166, Number 42 (Tuesday, March 3, 2020)]
[Senate]
[Pages S1430-S1438]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 1461. Ms. MURKOWSKI (for Ms. Collins (for herself, Mr. Casey, Mr.
Alexander, Mrs. Murray, Ms. McSally, Mr. Jones, Mrs. Capito, Ms. Smith,
Mr. Gardner, Mr. Peters, Mr. Daines, Mr. Reed, Mr. Roberts, Ms. Hassan,
Mr. Kaine, Mr. Tillis, Ms. Murkowski, Mrs. Gillibrand, Mr. Grassley,
Mr. Sullivan, Ms. Sinema, Ms. Rosen, Mr. Scott of Florida, and Mrs.
Shaheen)) proposed an amendment to the bill H.R. 4334, to amend the
Older Americans Act of 1965 to authorize appropriations for fiscal
years 2020 through 2024, and for other purposes; as follows:
Strike all after the enacting clause and insert the
following:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Supporting Older Americans
Act of 2020''.
SEC. 2. TABLE OF CONTENTS.
The table of contents of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.
TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION
ON AGING
Sec. 101. Reauthorization.
Sec. 102. Person-centered, trauma-informed services.
Sec. 103. Aging and Disability Resource Centers.
Sec. 104. Assistive technology.
Sec. 105. Vaccination.
Sec. 106. Malnutrition.
Sec. 107. Sexually transmitted diseases.
Sec. 108. Addressing chronic pain management.
Sec. 109. Screening for suicide risk.
Sec. 110. Screening for fall-related traumatic brain injury; addressing
public health emergencies and emerging health threats;
negative health effects associated with social isolation.
Sec. 111. Clarification regarding board and care facilities.
Sec. 112. Person-centered, trauma-informed services definition.
Sec. 113. Traumatic brain injury.
Sec. 114. Modernizing the review of applications and providing
technical assistance for disasters.
Sec. 115. Increased focus of Assistant Secretary on negative health
effects associated with social isolation.
Sec. 116. Notification of availability of or updates to policies,
practices, and procedures through a uniform e-format.
Sec. 117. Evidence-based program adaptation.
Sec. 118. Business acumen provisions and clarification regarding
outside funding for area agencies on aging.
Sec. 119. Demonstration on direct care workers.
Sec. 120. National resource center for older individuals experiencing
the long-term and adverse consequences of trauma.
Sec. 121. National Resource Center for Women and Retirement.
Sec. 122. Family caregivers.
Sec. 123. Interagency coordination.
Sec. 124. Modernizing the Interagency Coordinating Committee on Healthy
Aging and Age-Friendly Communities.
Sec. 125. Professional standards for a nutrition official under the
Assistant Secretary.
Sec. 126. Report on social isolation.
Sec. 127. Research and evaluation.
TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING
Sec. 201. Social determinants of health.
Sec. 202. Younger onset Alzheimer's disease.
Sec. 203. Reauthorization.
Sec. 204. Hold harmless formula.
Sec. 205. Outreach efforts.
Sec. 206. State Long-Term Care Ombudsman program minimum funding and
maintenance of effort.
Sec. 207. Coordination with resource centers.
Sec. 208. Senior legal hotlines.
Sec. 209. Increase in limit on use of allotted funds for State
administrative costs.
Sec. 210. Improvements to nutrition programs.
Sec. 211. Review of reports.
Sec. 212. Other practices.
Sec. 213. Screening for negative health effects associated with social
isolation and traumatic brain injury.
Sec. 214. Supportive services and senior centers.
Sec. 215. Culturally appropriate, medically tailored meals.
Sec. 216. Nutrition services study.
Sec. 217. National Family Caregiver Support program.
Sec. 218. National Family Caregiver Support program cap.
TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND
LONGEVITY
Sec. 301. Reauthorization.
Sec. 302. Public awareness of traumatic brain injury.
Sec. 303. Falls prevention and chronic disease self-management
education.
Sec. 304. Demonstration to address negative health impacts associated
with social isolation.
Sec. 305. Technical assistance and innovation to improve transportation
for older individuals.
Sec. 306. Grant program for multigenerational collaboration.
TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM
Sec. 401. Priority for the senior community service employment program.
Sec. 402. Authorization of appropriations.
TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS
Sec. 501. Reauthorization.
TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION
ACTIVITIES AND OTHER PROGRAMS
Sec. 601. Reauthorization; vulnerable elder rights protection
activities.
Sec. 602. Volunteer State long-term care ombudsman representatives.
Sec. 603. Prevention of elder abuse, neglect, and exploitation.
Sec. 604. Principles for person-directed services and supports during
serious illness.
Sec. 605. Extension of the Supporting Grandparents Raising
Grandchildren Act.
Sec. 606. Best practices for home and community-based ombudsmen.
Sec. 607. Senior home modification assistance initiative.
TITLE VII--MISCELLANEOUS
Sec. 701. Technical corrections.
SEC. 3. REFERENCES.
Except as otherwise expressly provided in this Act,
wherever in this Act an amendment or repeal is expressed in
terms of an amendment to, or a repeal of, a section or other
provision, the reference shall be considered to be made to
that section or other provision of the Older Americans Act of
1965 (42 U.S.C. 3001 et seq.).
SEC. 4. DEFINITIONS.
In this Act, the terms ``area agency on aging'',
``Assistant Secretary'', ``greatest social need'', ``older
individual'', and ``Secretary'' have the meanings given such
terms in section 102 of the Older Americans Act of 1965 (42
U.S.C. 3002).
TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION
ON AGING
SEC. 101. REAUTHORIZATION.
Section 216 (42 U.S.C. 3020f) is amended to read as
follows:
``SEC. 216. AUTHORIZATION OF APPROPRIATIONS.
``(a) In General.--For purposes of carrying out this Act,
there are authorized to be appropriated for administration,
salaries, and expenses of the Administration $43,937,410 for
fiscal year 2020, $46,573,655 for fiscal year 2021,
$49,368,074 for fiscal year 2022, $52,330,158 for fiscal year
2023, and $55,469,968 for fiscal year 2024.
``(b) Additional Authorizations.--There are authorized to
be appropriated--
[[Page S1431]]
``(1) to carry out section 202(a)(21) (relating to the
National Eldercare Locator Service), $2,180,660 for fiscal
year 2020, $2,311,500 for fiscal year 2021, $2,450,190 for
fiscal year 2022, $2,597,201 for fiscal year 2023, and
$2,753,033 for fiscal year 2024;
``(2) to carry out section 215, $1,988,060 for fiscal year
2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal
year 2022, $2,367,811 for fiscal year 2023, and $2,509,880
for fiscal year 2024;
``(3) to carry out section 202 (relating to Elder Rights
Support Activities under this title), $1,371,740 for fiscal
year 2020, $1,454,044 for fiscal year 2021, $1,541,287 for
fiscal year 2022, $1,633,764 for fiscal year 2023, and
$1,731,790 for fiscal year 2024; and
``(4) to carry out section 202(b) (relating to the Aging
and Disability Resource Centers), $8,687,330 for fiscal year
2020, $9,208,570 for fiscal year 2021, $9,761,084 for fiscal
year 2022, $10,346,749 for fiscal year 2023, and $10,967,554
for fiscal year 2024.''.
SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES.
Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting
``(including access to person-centered, trauma-informed
services as appropriate)'' after ``health''.
SEC. 103. AGING AND DISABILITY RESOURCE CENTERS.
Section 102(4) (42 U.S.C. 3002(4)) is amended--
(1) in the matter preceding subparagraph (A), by inserting
``, in collaboration with (as appropriate) area agencies on
aging, centers for independent living (as described in part C
of chapter 1 of title VII of the Rehabilitation Act of 1973
(29 U.S.C. 796f et seq.)), and other aging or disability
entities'' after ``provides'';
(2) in subparagraph (B)--
(A) by inserting ``services, supports, and'' after ``plan
for long-term''; and
(B) by inserting ``and choices'' after ``desires''; and
(3) in subparagraph (D), by striking ``part C of title VII
of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.),
and other community-based entities,'' and inserting ``part C
of chapter 1 of title VII of the Rehabilitation Act of 1973,
and other community-based entities, including other aging or
disability entities,''.
SEC. 104. ASSISTIVE TECHNOLOGY.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the
end the following:
``(C) The term `State assistive technology entity' means
the agency, office, or other entity designated under
subsection (c)(1) of section 4 of the Assistive Technology
Act of 1998 (29 U.S.C. 3003) to carry out State activities
under such section.'';
(2) in section 306 (42 U.S.C. 3026)--
(A) in subsection (a)(6)--
(i) in subparagraph (G), by striking ``; and'' and
inserting a semicolon;
(ii) in subparagraph (H), by striking ``appropriate;'' and
inserting ``appropriate; and''; and
(iii) by adding at the end the following:
``(I) to the extent feasible, coordinate with the State
agency to disseminate information about the State assistive
technology entity and access to assistive technology options
for serving older individuals;''; and
(B) in subsection (b)(3)--
(i) in subparagraph (K)--
(I) by aligning the margins of the subparagraph with the
margins of subparagraph (J); and
(II) by striking ``; and'' and inserting a semicolon;
(ii) by redesignating subparagraph (L) as subparagraph (M);
and
(iii) by inserting after subparagraph (K) the following:
``(L) assistive technology devices and services; and''; and
(3) in section 411(a) (42 U.S.C. 3032(a))--
(A) in paragraph (2), by inserting ``, aligned with
evidence-based practice,'' after ``applied social research'';
and
(B) in paragraph (10), by inserting ``consistent with
section 508 of the Rehabilitation Act of 1973 (29 U.S.C.
794d)'' after ``other technologies''.
SEC. 105. VACCINATION.
Section 102(14) (42 U.S.C. 3002(14)) is amended--
(1) in subparagraph (B), by inserting ``immunization
status,'' after ``oral health,''; and
(2) in subparagraph (D), by inserting ``infectious disease,
and vaccine-preventable disease, as well as'' after
``cardiovascular disease),''.
SEC. 106. MALNUTRITION.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 102(14)(B), as amended by section 105(1), by
inserting ``(including screening for malnutrition)'' after
``nutrition screening''; and
(2) in section 330(1), by striking ``and food insecurity''
and inserting ``, food insecurity, and malnutrition''.
SEC. 107. SEXUALLY TRANSMITTED DISEASES.
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by
section 105(2), is further amended by inserting ``prevention
of sexually transmitted diseases,'' after ``vaccine-
preventable disease,''.
SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT.
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by
section 107, is further amended by inserting ``chronic pain
management,'' after ``substance abuse reduction,''.
SEC. 109. SCREENING FOR SUICIDE RISK.
Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by
inserting ``and screening for suicide risk'' after
``depression''.
SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY;
ADDRESSING PUBLIC HEALTH EMERGENCIES AND
EMERGING HEALTH THREATS; NEGATIVE HEALTH
EFFECTS ASSOCIATED WITH SOCIAL ISOLATION.
Section 102(14) (42 U.S.C. 3002(14)) is amended--
(1) by redesignating subparagraphs (H) through (J), and
subparagraphs (K) and (L), as subparagraphs (I) through (K),
and subparagraphs (M) and (O), respectively;
(2) by inserting after subparagraph (G) the following:
``(H) screening for fall-related traumatic brain injury and
other fall-related injuries, coordination of treatment,
rehabilitation and related services, and referral services
related to such injury or injuries;'';
(3) by inserting after subparagraph (K), as redesignated by
paragraph (1), the following:
``(L) services that are a part of responses to a public
health emergency or emerging health threat;''; and
(4) in subparagraph (M), as redesignated by paragraph (1),
by striking ``; and'' and inserting a semicolon;
(5) by inserting after subparagraph (M), as redesignated by
paragraph (1), the following:
``(N) screening for the prevention of negative health
effects associated with social isolation and coordination of
supportive services and health care to address negative
health effects associated with social isolation; and''; and
(6) in subparagraph (O), as redesignated, by striking ``(A)
through (K)'' and inserting ``(A) through (N)''.
SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES.
Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by
striking ``for purposes of sections 307(a)(12) and 712,''.
SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES
DEFINITION.
Section 102 (42 U.S.C. 3002) is amended--
(1) by redesignating paragraphs (41) through (54) as
paragraphs (42) through (55), respectively; and
(2) by inserting after paragraph (40) the following:
``(41) The term `person-centered, trauma-informed', with
respect to services, means services provided through an aging
program that--
``(A) use a holistic approach to providing services or
care;
``(B) promote the dignity, strength, and empowerment of
victims of trauma; and
``(C) incorporate evidence-based practices based on
knowledge about the role of trauma in trauma victims'
lives.''.
SEC. 113. TRAUMATIC BRAIN INJURY.
Section 102 (42 U.S.C. 3002), as amended by section 112, is
further amended--
(1) by redesignating paragraph (55) as paragraph (56); and
(2) by inserting after paragraph (54) the following:
``(55) The term `traumatic brain injury' has the meaning
given such term in section 393B(d) of the Public Health
Service Act (42 U.S.C. 280b-1c(d)).''.
SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS AND
PROVIDING TECHNICAL ASSISTANCE FOR DISASTERS.
(a) Review of Applications.--Section 202 (42 U.S.C. 3012)
is amended--
(1) by amending subsection (a)(4) to read as follows:
``(4) administer the grants provided by this Act, but not
approve an application submitted by an applicant for a grant
for an activity under a provision of this Act for which such
applicant previously received a grant under such provision
unless the Assistant Secretary determines--
``(A) the activity for which such application was submitted
is being operated, or was operated, effectively to achieve
its stated purpose; and
``(B) such applicant has complied with the assurances
provided to the Assistant Secretary with the application for
such previous grant.''; and
(2) by adding at the end the following:
``(h) The Assistant Secretary shall publish, on an annual
basis, a list of centers and demonstration projects funded
under each title of this Act. The Assistant Secretary shall
ensure that this information is also directly provided to
State agencies and area agencies on aging.''.
(b) Addressing the Needs of Older Individuals in
Disasters.--Section 202(a) (42 U.S.C. 3012(a)) is amended--
(1) in paragraph (30), by striking ``; and'' and inserting
a semicolon;
(2) in paragraph (31), by striking the period at the end
and inserting a semicolon; and
(3) by adding at the end the following:
``(32) provide technical assistance to, and share best
practices with, State agencies and area agencies on aging on
how to collaborate and coordinate activities and develop
long-range emergency preparedness plans with local and State
emergency response agencies, relief organizations, local and
State governments, Federal agencies as appropriate, and any
other institutions that have responsibility for disaster
relief service delivery;''.
[[Page S1432]]
SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON NEGATIVE
HEALTH EFFECTS ASSOCIATED WITH SOCIAL
ISOLATION.
Section 202(a) (42 U.S.C. 3012(a)), as amended by section
114(b), is further amended by adding at the end the
following:
``(33) with input from aging network stakeholders,
including caregivers, develop objectives, priorities, and a
long-term plan for supporting State and local efforts
involving education about prevention of, detection of, and
response to negative health effects associated with social
isolation among older individuals, and submit a report to
Congress on this effort by January 2021; and''.
SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES TO
POLICIES, PRACTICES, AND PROCEDURES THROUGH A
UNIFORM E-FORMAT.
Section 202(a) (42 U.S.C. 3012(a)), as amended by sections
114(b) and 115, is further amended by adding at the end the
following:
``(34) provide (to the extent practicable) a standardized
notification to State agencies, area agencies on aging,
providers of services under this Act, and grantees or
contract awardees under this Act, through an electronic
format (e-mail or other electronic notification), of the
availability of, or updates to, policies, practices, and
procedures under this Act.''.
SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION.
(a) Functions of the Assistant Secretary.--Section 202 (42
U.S.C. 3012) is amended--
(1) in subsection (a)(28), by inserting before the
semicolon ``, including information and technical assistance
on delivery of such services in different settings''; and
(2) in subsection (b)(9)(B), by inserting before the
semicolon ``, including delivery of such services in
different settings''.
(b) Evidence-based Disease Prevention and Health Promotion
Services.--Section 361(a) (42 U.S.C. 3030m(a)) is amended in
the second sentence by inserting ``provide technical
assistance on the delivery of evidence-based disease
prevention and health promotion services in different
settings and for different populations, and'' before
``consult''.
SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICATION
REGARDING OUTSIDE FUNDING FOR AREA AGENCIES ON
AGING.
(a) Assistance Relating to Growing and Sustaining
Capacity.--Section 202(b)(9) (42 U.S.C. 3012(b)(9)) is
amended--
(1) in subparagraph (A), by striking ``and'' after the
semicolon at the end;
(2) in subparagraph (B), as amended by section 117(a)(2),
by inserting ``and'' after the semicolon at the end; and
(3) by adding at the end the following:
``(C) activities for increasing business acumen, capacity
building, organizational development, innovation, and other
methods of growing and sustaining the capacity of the aging
network to serve older individuals and caregivers most
effectively;''.
(b) Clarifying Partnerships for Area Agencies on Aging.--
Section 306 (42 U.S.C. 3026) is amended by adding at the end
the following:
``(g) Nothing in this Act shall restrict an area agency on
aging from providing services not provided or authorized by
this Act, including through--
``(1) contracts with health care payers;
``(2) consumer private pay programs; or
``(3) other arrangements with entities or individuals that
increase the availability of home- and community-based
services and supports.''.
(c) Conforming Amendment.--Section 307(a) (42 U.S.C.
3027(a)) is amended--
(1) by striking paragraph (26); and
(2) by redesignating paragraphs (27) through (30) as
paragraphs (26) through (29).
SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS.
Section 411(a) (42 U.S.C. 3032(a)) is amended--
(1) by redesignating paragraphs (13) and (14) as paragraphs
(14) and (15), respectively; and
(2) by inserting after paragraph (12) the following:
``(13) in coordination with the Secretary of Labor, the
demonstration of new strategies for the recruitment,
retention, or advancement of direct care workers, and the
soliciting, development, and implementation of strategies--
``(A) to reduce barriers to entry for a diverse and high-
quality direct care workforce, including providing wages,
benefits, and advancement opportunities needed to attract or
retain direct care workers; and
``(B) to provide education and workforce development
programs for direct care workers that include supportive
services and career planning;''.
SEC. 120. NATIONAL RESOURCE CENTER FOR OLDER INDIVIDUALS
EXPERIENCING THE LONG-TERM AND ADVERSE
CONSEQUENCES OF TRAUMA.
Section 411(a) (42 U.S.C. 3032(a)), as amended by section
119, is further amended--
(1) by redesignating paragraphs (14) and (15) as paragraphs
(15) and (16), respectively; and
(2) by inserting after paragraph (13) the following:
``(14) the establishment and operation of a national
resource center that shall--
``(A) provide training and technical assistance to agencies
in the aging network delivering services to older individuals
experiencing the long-term and adverse consequences of
trauma;
``(B) share best practices with the aging network; and
``(C) make subgrants to the agencies best positioned to
advance and improve the delivery of person-centered, trauma-
informed services for older individuals experiencing the
long-term and adverse consequences of trauma;''.
SEC. 121. NATIONAL RESOURCE CENTER FOR WOMEN AND RETIREMENT.
Section 215 (42 U.S.C. 3020e-1) is amended by adding at the
end the following:
``(k)(1) The Assistant Secretary shall, directly or by
grant or contract, operate the National Resource Center for
Women and Retirement (in this subsection referred to as the
`Center').
``(2) The Center shall--
``(A) provide tools, such as basic financial management,
retirement planning, and other tools that promote financial
literacy and help to identify and prevent exploitation
(including fraud), and integrate these with information on
health and long-term care;
``(B) annually disseminate a summary of outreach activities
provided, including work to provide user-friendly consumer
information and public education materials;
``(C) develop targeted outreach strategies;
``(D) provide technical assistance to State agencies and to
other public and nonprofit private agencies and
organizations; and
``(E) develop partnerships and collaborations to address
program objectives.''.
SEC. 122. FAMILY CAREGIVERS.
(a) Administration.--Section 202 (42 U.S.C. 3012), as
amended by section 114, is further amended by adding at the
end the following:
``(i) The Assistant Secretary shall carry out the RAISE
Family Caregivers Act (42 U.S.C. 3030s note).''.
(b) Sunset.--Section 6 of the RAISE Family Caregivers Act
(42 U.S.C. 3030s note) is amended by striking ``3 years'' and
inserting ``4 years''.
(c) Conforming Amendment.--Section 2(3) of the RAISE Family
Caregivers Act (42 U.S.C. 3030s note) is amended by inserting
``, acting through the Assistant Secretary for Aging'' before
the period at the end.
SEC. 123. INTERAGENCY COORDINATION.
(a) In General.--The Assistant Secretary shall, in
performing the functions of the Administration on Aging under
section 202(a)(5) of the Older Americans Act of 1965 (42
U.S.C. 3012(a)(5)) related to health (including mental and
behavioral health) services, coordinate with the Assistant
Secretary for Mental Health and Substance Use and the
Director of the Centers for Disease Control and Prevention--
(1) in the planning, development, implementation, and
evaluation of evidence-based policies, programs, practices,
and other activities pertaining to the prevention of suicide
among older individuals, including the implementation of
evidence-based suicide prevention programs and strategies
identified by the National Center for Injury Prevention and
Control at the Centers for Disease Control and Prevention and
other entities, as applicable; and
(2) in providing and incorporating technical assistance for
the prevention of suicide among older individuals, including
technical assistance related to the Suicide Prevention
Technical Assistance Center established under section 520C of
the Public Health Service Act (42 U.S.C. 290bb-34).
(b) Program Design.--Section 202(a)(5) (42 U.S.C.
3012(a)(5)) is amended by inserting ``cultural experiences,
activities, and services, including in the arts,'' after
``education),''.
SEC. 124. MODERNIZING THE INTERAGENCY COORDINATING COMMITTEE
ON HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES.
(a) Federal Agency Consultation.--Section 203(b) (42 U.S.C.
3013(b)) is amended--
(1) in paragraph (18), by striking ``and'' at the end;
(2) in paragraph (19), by striking the period at the end
and inserting ``, and''; and
(3) by adding at the end the following:
``(20) section 393D of the Public Health Service Act (42
U.S.C. 280b-1f), relating to safety of seniors.''.
(b) Modernization.--Section 203(c) (42 U.S.C. 3013(c)) is
amended--
(1) in paragraph (1)--
(A) by striking ``the Federal officials'' and inserting
``other Federal officials'';
(B) by striking ``Committee on Aging'' and inserting
``Committee on Healthy Aging and Age-Friendly Communities'';
and
(C) by inserting ``and the development of a national set of
recommendations, in accordance with paragraph (6), to support
the ability of older individuals to age in place and access
homelessness prevention services, preventive health care,
promote age-friendly communities, and address the ability of
older individuals to access long-term care supports,
including access to caregivers and home- and community-based
health services'' before the period;
(2) in paragraph (4), by adding at the end the following:
``The first term, after the date of enactment of the
Supporting Older Americans Act of 2020, shall start not later
than 1 year after such date of enactment.'';
(3) in paragraph (6)--
(A) in the matter preceding subparagraph (A), by striking
``The Committee shall'' and inserting ``The recommendations
described in paragraph (1) may include recommendations for'';
(B) in subparagraph (A)--
(i) by striking ``share information with and establish an
ongoing system to'' and inserting ``ways to''; and
[[Page S1433]]
(ii) by striking ``for older individuals and recommend
improvements'' and all that follows through ``accessibility
of such programs and services'' and inserting ``that impact
older individuals'';
(C) in subparagraph (B)--
(i) by striking ``identify, promote, and implement (as
appropriate),'';
(ii) in clause (i), by striking ``and'' after the
semicolon;
(iii) in clause (ii), by inserting ``and'' after the
semicolon; and
(iv) by adding at the end the following:
``(iii) best practices identified in coordination with the
Centers for Disease Control and Prevention, the National
Institute on Aging, the Centers for Medicare & Medicaid
Services, the Office of Lead Hazard Control and Healthy Homes
of the Department of Housing and Urban Development, and other
Federal agencies, as appropriate, to reduce and prevent falls
among older individuals, that incorporate evidence-based
falls prevention programs and home modifications, which
recommendations shall supplement and not unnecessarily
duplicate activities authorized under section 393D of the
Public Health Service Act (42 U.S.C. 280b-1f), relating to
safety of seniors;'';
(D) in subparagraph (C)--
(i) by inserting ``ways to'' before ``collect'';
(ii) by striking ``older individuals and''; and
(iii) by striking ``the individuals to ensure'' and all
that follows through ``information'' and inserting ``older
individuals to ensure that such information is accessible'';
(E) in subparagraph (D), by striking ``work with'' and all
that follows through ``member agencies to ensure'' and
inserting ``ways to ensure'';
(F) in subparagraph (E), by striking ``seek input'' and all
that follows through ``foundations'' and inserting ``seeking
input from and consulting with nonprofit organizations,
academic or research institutions, community-based
organizations, philanthropic organizations, or other entities
supporting age-friendly communities'';
(G) in subparagraph (F), by striking ``identify'' and
inserting ``identifying''; and
(H) by amending subparagraph (G) to read as follows:
``(G) ways to improve coordination to provide housing,
health care, and other supportive services to older
individuals.'';
(4) in paragraph (7)(A)(i), by striking ``services for
older individuals'' and inserting ``services that impact
older individuals''; and
(5) by adding at the end the following:
``(9) In this subsection, the term `age-friendly community'
means a community that--
``(A) is taking measurable steps to--
``(i) include adequate and accessible housing, public
spaces and buildings, safe and secure paths, variable route
transportation services, and programs and services designed
to support health and well-being;
``(ii) respect and include older individuals in social
opportunities, civic participation, volunteerism, and
employment; and
``(iii) facilitate access to supportive services for older
individuals;
``(B) is not an assisted living facility or long-term care
facility; and
``(C) has a plan in place to meet local needs for housing,
transportation, civic participation, social connectedness,
and accessible public spaces.''.
(c) Administration of the Act.--Section 205(a)(2) (42
U.S.C. 3016(a)(2)) is amended--
(1) by redesignating subparagraph (C) as subparagraph (D);
and
(2) by inserting after subparagraph (B) the following:
``(C) The Assistant Secretary may provide technical
assistance, including through the regional offices of the
Administration, to State agencies, area agencies on aging,
local government agencies, or leaders in age-friendly
communities (as defined, for purposes of this subparagraph,
in section 203(c)(9)) regarding--
``(i) dissemination of, or consideration of ways to
implement, best practices and recommendations from the
Interagency Coordinating Committee on Healthy Aging and Age-
Friendly Communities established under section 203(c); and
``(ii) methods for managing and coordinating existing
programs to meet the needs of growing age-friendly
communities.''.
SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION OFFICIAL
UNDER THE ASSISTANT SECRETARY.
Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as
redesignated by section 124(c)(1), is amended to read as
follows:
``(ii) be a registered dietitian or registered dietitian
nutritionist.''.
SEC. 126. REPORT ON SOCIAL ISOLATION.
(a) Preparation of Report.--
(1) In general.--The Secretary shall, in carrying out
activities under section 206(a) of the Older Americans Act of
1965 (42 U.S.C. 3017(a)), prepare a report on programs
authorized by such Act (42 U.S.C. 3001 et seq.), and
supported or funded by the Administration on Aging, that
include a focus on addressing the negative health effects
associated with social isolation through targeting older
individuals identified as being in greatest social need, as
appropriate.
(2) Impact.--Such report shall identify--
(A) whether social isolation is being adequately addressed
under such programs, including, to the extent practicable--
(i) the prevalence of social isolation in rural areas and
in urban areas;
(ii) the negative public health effects associated with
social isolation; and
(iii) the role of preventive measures or of services,
including nutrition services, in addressing the negative
health effects associated with social isolation among older
individuals; and
(B) public awareness of and efforts to address the negative
health effects associated with social isolation.
(3) Types of programs.--Such report shall identify whether
programs described in paragraph (1)--
(A) support projects in local communities and involve
diverse sectors associated with such communities to decrease
the negative health effects associated with social isolation
among older individuals and caregivers;
(B) support outreach activities to screen older individuals
for negative health effects associated with social isolation;
and
(C) include a focus on decreasing the negative health
effects associated with social isolation.
(4) Recommendations.--Such report shall, as appropriate,
include recommendations for reducing the negative health
effects associated with social isolation and to address any
negative health effects identified under clauses (ii) and
(iii) of subparagraph (A), and subparagraph (B), of paragraph
(2).
(b) Submission of Report.--
(1) Interim status report.--Not later than 2 years after
the date of enactment of this Act, the Secretary shall submit
an interim report, to the committees of the Senate and of the
House of Representatives with jurisdiction over the Older
Americans Act of 1965 (42 U.S.C. 3001 et seq.), and the
Special Committee on Aging of the Senate, on the status of
the evaluation underway to develop the final report required
under this section.
(2) Final report.--Not later than 5 years after the date of
enactment of this Act, the Secretary shall submit a final
report that meets the requirements of this section to the
committees of the Senate and of the House of Representatives
with jurisdiction over the Older Americans Act of 1965 (42
U.S.C. 3001 et seq.), and the Special Committee on Aging of
the Senate.
SEC. 127. RESEARCH AND EVALUATION.
(a) Center.--Section 201 (42 U.S.C. 3011) is amended by
adding at the end the following:
``(g)(1) The Assistant Secretary shall, as appropriate,
coordinate the research and evaluation functions of this Act
under a Research, Demonstration, and Evaluation Center for
the Aging Network (in this subsection referred to as the
`Center'), which shall be headed by a director designated by
the Assistant Secretary from individuals described in
paragraph (4).
``(2) The purpose of the Center shall be--
``(A) to coordinate, as appropriate, research, research
dissemination, evaluation, demonstration projects, and
related activities carried out under this Act;
``(B) to provide assessment of the programs and
interventions authorized under this Act; and
``(C) to increase the repository of information on
evidence-based programs and interventions available to the
aging network, which information shall be applicable to
existing programs and interventions and help in the
development of new evidence-based programs and interventions.
``(3) Activities of the Center shall include, as
appropriate, conducting, promoting, coordinating, and
providing support for--
``(A) research and evaluation activities that support the
objectives of this Act, including--
``(i) evaluation of new and existing programs and
interventions authorized by this Act; and
``(ii) research on and assessment of the relationship
between programs and interventions under this Act and the
health outcomes, social determinants of health, quality of
life, and independence of individuals served under this Act;
``(B) demonstration projects that support the objectives of
this Act, including activities to bring effective
demonstration projects to scale with a prioritization of
projects that address the needs of underserved populations,
and promote partnerships among aging services, community-
based organizations, and Medicare and Medicaid providers,
plans, and health (including public health) systems;
``(C) outreach and dissemination of research findings; and
``(D) technical assistance related to the activities
described in this paragraph.
``(4) The director shall be an individual with substantial
knowledge of and experience in aging and health policy, and
research administration.
``(5) Not later than October 1, 2020, and at 5-year
intervals thereafter, the director shall prepare and publish
in the Federal Register for public comment a draft of a 5-
year plan that--
``(A) outlines priorities for research, research
dissemination, evaluation, demonstration projects, and
related activities;
``(B) explains the basis for such priorities; and
``(C) describes how the plan will meet the needs of
underserved populations.
``(6) The director shall coordinate, as appropriate,
research, research dissemination, evaluation, and
demonstration projects, and related activities with
appropriate agency program staff, and, as appropriate, with
other Federal departments and agencies involved in research
in the field of aging.
``(7) Not later than December 31, 2020, and annually
thereafter, the director shall prepare, and submit to the
Secretary, the Committee on Health, Education, Labor, and
[[Page S1434]]
Pensions of the Senate, the Special Committee on Aging of the
Senate, and the Committee on Education and Labor of the House
of Representatives, a report on the activities funded under
this section and title IV.
``(8) The director shall, as appropriate, consult with
experts on aging research and evaluation and aging network
stakeholders on the implementation of the activities
described under paragraph (3) of this subsection.
``(9) The director shall coordinate, as appropriate, all
research and evaluation authorities under this Act.''.
(b) Evaluation.--Section 206 (42 U.S.C. 3017) is amended--
(1) by redesignating subsections (b) through (g) as
subsections (c) through (h), respectively; and
(2) by inserting after subsection (a) the following:
``(b) Not later than July 1, 2020, the Secretary shall
provide, directly or through grant or contract, for an
evaluation of programs under this Act, which shall include,
to the extent practicable, an analysis of the relationship of
such programs, including demonstration projects under title
IV of this Act, to health care expenditures under the
Medicare program established under title XVIII of the Social
Security Act (42 U.S.C. 1395 et seq.) and the Medicaid
program established under title XIX of the Social Security
Act (42 U.S.C. 1396 et seq.). The Secretary shall oversee
analyses of data obtained in connection with program
evaluation to evaluate, where feasible, the relationship of
programs under this Act to health care expenditures,
including under the Medicare and Medicaid programs.''.
(c) Report on Health Care Expenditures.--Section 207 (42
U.S.C. 3018) is amended by adding at the end the following:
``(d) The Assistant Secretary shall provide the evaluation
required under section 206(b) to--
``(1) the Committee on Health, Education, Labor, and
Pensions of the Senate;
``(2) the Committee on Appropriations of the Senate;
``(3) the Special Committee on Aging of the Senate;
``(4) the Committee on Education and Labor of the House of
Representatives; and
``(5) the Committee on Appropriations of the House of
Representatives.''.
TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING
SEC. 201. SOCIAL DETERMINANTS OF HEALTH.
Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amended--
(1) in subparagraph (C), by striking ``and'' at the end;
(2) in subparagraph (D), by striking the period at the end
and inserting ``; and''; and
(3) by adding at the end the following:
``(E) measure impacts related to social determinants of
health of older individuals.''.
SEC. 202. YOUNGER ONSET ALZHEIMER'S DISEASE.
The Act (42 U.S.C. 3001 et seq.) is amended--
(1) in section 302(3) (42 U.S.C. 3022(3)), by inserting
``of any age'' after ``an individual''; and
(2) in section 711(6) (42 U.S.C. 3058f(6)), by inserting
``of any age'' after ``individual''.
SEC. 203. REAUTHORIZATION.
(a) Grants for State and Community Programs on Aging.--
Subsections (a) through (e) of section 303 (42 U.S.C. 3023)
are amended to read as follows:
``(a)(1) There are authorized to be appropriated to carry
out part B (relating to supportive services) $412,029,180 for
fiscal year 2020, $436,750,931 for fiscal year 2021,
$462,955,987 for fiscal year 2022, $490,733,346 for fiscal
year 2023, and $520,177,347 for fiscal year 2024.
``(2) Funds appropriated under paragraph (1) shall be
available to carry out section 712.
``(b)(1) There are authorized to be appropriated to carry
out subpart 1 of part C (relating to congregate nutrition
services) $530,015,940 for fiscal year 2020, $561,816,896 for
fiscal year 2021, $595,525,910 for fiscal year 2022,
$631,257,465 for fiscal year 2023, and $669,132,913 for
fiscal year 2024.
``(2) There are authorized to be appropriated to carry out
subpart 2 of part C (relating to home delivered nutrition
services) $268,935,940 for fiscal year 2020, $285,072,096 for
fiscal year 2021, $302,176,422 for fiscal year 2022,
$320,307,008 for fiscal year 2023, and $339,525,428 for
fiscal year 2024.
``(c) Grants made under part B, and subparts 1 and 2 of
part C, of this title may be used for paying part of the cost
of--
``(1) the administration of area plans by area agencies on
aging designated under section 305(a)(2)(A), including the
preparation of area plans on aging consistent with section
306 and the evaluation of activities carried out under such
plans; and
``(2) the development of comprehensive and coordinated
systems for supportive services, and congregate and home
delivered nutrition services under subparts 1 and 2 of part
C, the development and operation of multipurpose senior
centers, and the delivery of legal assistance.
``(d) There are authorized to be appropriated to carry out
part D (relating to disease prevention and health promotion
services) $26,587,360 for fiscal year 2020, $28,182,602 for
fiscal year 2021, $29,873,558 for fiscal year 2022,
$31,665,971 for fiscal year 2023, and $33,565,929 for fiscal
year 2024.
``(e) There are authorized to be appropriated to carry out
part E (relating to family caregiver support) $193,869,020
for fiscal year 2020, $205,501,161 for fiscal year 2021,
$217,831,231 for fiscal year 2022, $230,901,105 for fiscal
year 2023, and $244,755,171 for fiscal year 2024.''.
(b) Nutrition Services Incentive Program.--Section 311(e)
(42 U.S.C. 3030a(e)) is amended to read as follows:
``(e) There are authorized to be appropriated to carry out
this section (other than subsection (c)(1)) $171,273,830 for
fiscal year 2020, $181,550,260 for fiscal year 2021,
$192,443,275 for fiscal year 2022, $203,989,872 for fiscal
year 2023, and $216,229,264 for fiscal year 2024.''.
SEC. 204. HOLD HARMLESS FORMULA.
(a) In General.--Section 304(a)(3)(D) (42 U.S.C.
3024(a)(3)(D)) is amended to read as follows:
``(D)(i) In this subparagraph and paragraph (5)--
``(I) the term `allot' means allot under this subsection
from a sum appropriated under section 303(a) or 303(b)(1), as
the case may be; and
``(II) the term `covered fiscal year' means any of fiscal
years 2020 through 2029.
``(ii) If the sum appropriated under section 303(a) or
303(b)(1) for a particular covered fiscal year is less than
or equal to the sum appropriated under section 303(a) or
303(b)(1), respectively, for fiscal year 2019, amounts shall
be allotted to States from the sum appropriated for the
particular year in accordance with paragraphs (1) and (2),
and subparagraphs (A) through (C) as applicable, but no State
shall be allotted an amount that is less than--
``(I) for fiscal year 2020, 99.75 percent of the State's
allotment from the corresponding sum appropriated for fiscal
year 2019;
``(II) for fiscal year 2021, 99.50 percent of that
allotment;
``(III) for fiscal year 2022, 99.25 percent of that
allotment;
``(IV) for fiscal year 2023, 99.00 percent of that
allotment;
``(V) for fiscal year 2024, 98.75 percent of that
allotment;
``(VI) for fiscal year 2025, 98.50 percent of that
allotment;
``(VII) for fiscal year 2026, 98.25 percent of that
allotment;
``(VIII) for fiscal year 2027, 98.00 percent of that
allotment;
``(IX) for fiscal year 2028, 97.75 percent of that
allotment; and
``(X) for fiscal year 2029, 97.50 percent of that
allotment.
``(iii) If the sum appropriated under section 303(a) or
303(b)(1) for a particular covered fiscal year is greater
than the sum appropriated under section 303(a) or 303(b)(1),
respectively, for fiscal year 2019, the allotments to States
from the sum appropriated for the particular year shall be
calculated as follows:
``(I) From the portion equal to the corresponding sum
appropriated for fiscal year 2019, amounts shall be allotted
in accordance with paragraphs (1) and (2), and subparagraphs
(A) through (C) as applicable, but no State shall be allotted
an amount that is less than the percentage specified in
clause (ii), for that particular year, of the State's
allotment from the corresponding sum appropriated for fiscal
year 2019.
``(II) From the remainder, amounts shall be allotted in
accordance with paragraph (1), subparagraphs (A) through (C)
as applicable, and paragraph (2) to the extent needed to meet
the requirements of those subparagraphs.''.
(b) Repeal.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D))
is repealed, effective October 1, 2029.
(c) Conforming Amendment.--Section 304(a)(5) (42 U.S.C.
3024(a)(5)) is amended by striking ``of the prior year'' and
inserting ``as required by paragraph (3)''.
SEC. 205. OUTREACH EFFORTS.
Section 306(a)(4)(B) (42 U.S.C. 3026(a)(4)(B)) is amended--
(1) in clause (i)(VII), by inserting ``, specifically
including survivors of the Holocaust'' after ``placement'';
and
(2) in clause (ii), by striking ``(VI)'' and inserting
``(VII)''.
SEC. 206. STATE LONG-TERM CARE OMBUDSMAN PROGRAM MINIMUM
FUNDING AND MAINTENANCE OF EFFORT.
The Act (42 U.S.C. 3001 et seq.) is amended--
(1) by amending section 306(a)(9) (42 U.S.C. 3026(a)(9)) to
read as follows:
``(9) provide assurances that--
``(A) the area agency on aging, in carrying out the State
Long-Term Care Ombudsman program under section 307(a)(9),
will expend not less than the total amount of funds
appropriated under this Act and expended by the agency in
fiscal year 2019 in carrying out such a program under this
title; and
``(B) funds made available to the area agency on aging
pursuant to section 712 shall be used to supplement and not
supplant other Federal, State, and local funds expended to
support activities described in section 712;''; and
(2) by amending section 307(a)(9) (42 U.S.C. 3027(a)(9)) to
read as follows:
``(9) The plan shall provide assurances that--
``(A) the State agency will carry out, through the Office
of the State Long-Term Care Ombudsman, a State Long-Term Care
Ombudsman program in accordance with section 712 and this
title, and will expend for such purpose an amount that is not
less than the amount expended by the State agency with funds
received under this title for fiscal year 2019, and an amount
that is not less
[[Page S1435]]
than the amount expended by the State agency with funds
received under title VII for fiscal year 2019; and
``(B) funds made available to the State agency pursuant to
section 712 shall be used to supplement and not supplant
other Federal, State, and local funds expended to support
activities described in section 712.''.
SEC. 207. COORDINATION WITH RESOURCE CENTERS.
(a) Area Plans.--Section 306(a) (42 U.S.C. 3026(a)) is
amended--
(1) in paragraph (16), by striking ``and'' at the end;
(2) in paragraph (17), by striking the period at the end
and inserting a semicolon; and
(3) by adding at the end the following:
``(18) provide assurances that the area agency on aging
will collect data to determine--
``(A) the services that are needed by older individuals
whose needs were the focus of all centers funded under title
IV in fiscal year 2019; and
``(B) the effectiveness of the programs, policies, and
services provided by such area agency on aging in assisting
such individuals; and
``(19) provide assurances that the area agency on aging
will use outreach efforts that will identify individuals
eligible for assistance under this Act, with special emphasis
on those individuals whose needs were the focus of all
centers funded under title IV in fiscal year 2019.''.
(b) State Plans.--Section 307(a) (42 U.S.C. 3027(a)), as
amended by section 118(c), is further amended by adding at
the end the following:
``(30) The plan shall contain an assurance that the State
shall prepare and submit to the Assistant Secretary annual
reports that describe--
``(A) data collected to determine the services that are
needed by older individuals whose needs were the focus of all
centers funded under title IV in fiscal year 2019;
``(B) data collected to determine the effectiveness of the
programs, policies, and services provided by area agencies on
aging in assisting such individuals; and
``(C) outreach efforts and other activities carried out to
satisfy the assurances described in paragraphs (18) and (19)
of section 306(a).''.
SEC. 208. SENIOR LEGAL HOTLINES.
Not later than 4 years after the date of enactment of this
Act, the Assistant Secretary shall prepare and submit to
Congress a report containing--
(1) information on which States or localities operate
senior legal hotlines;
(2) information on how such hotlines operated by States or
localities are funded;
(3) information on the usefulness of senior legal hotlines
in the coordination and provision of legal assistance; and
(4) recommendations on additional actions that should be
taken related to senior legal hotlines.
SEC. 209. INCREASE IN LIMIT ON USE OF ALLOTTED FUNDS FOR
STATE ADMINISTRATIVE COSTS.
Section 308 (42 U.S.C. 3028) is amended--
(1) in subsection (a), in paragraphs (1) and (2), by
striking ``subsection (b)(1)'' and inserting ``subsection
(b)''; and
(2) in subsection (b)--
(A) in each of paragraphs (1) and (2)--
(i) in subparagraph (A)--
(I) by striking ``clause (ii)'' and inserting
``subparagraph (B)''; and
(II) by striking ``greater of'' and all that follows
through ``or'' and inserting the following: ``greater of--
``(i) 5 percent of the total amount of the allotments made
to a State under sections 304(a)(1) and 373(f); or
``(ii)''; and
(ii) in subparagraph (B), by striking ``such allotment''
and inserting ``such total amount''; and
(B) in paragraph (2)(A), by striking ``$500,000'' and
inserting ``$750,000''.
SEC. 210. IMPROVEMENTS TO NUTRITION PROGRAMS.
Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by
adding at the end the following:
``(D) The State, in consultation with area agencies on
aging, shall ensure the process used by the State in
transferring funds under this paragraph (including
requirements relating to the authority and timing of such
transfers) is simplified and clarified to reduce
administrative barriers and direct limited resources to the
greatest nutrition service needs at the community level. Such
process shall be modified to attempt to lessen the
administrative barriers of such transfers, and help direct
limited resources to where they are needed the most as the
unmet need for nutrition services grows.''.
SEC. 211. REVIEW OF REPORTS.
Section 308(b) (42 U.S.C. 3028(b)) is amended by adding at
the end the following:
``(8) The Assistant Secretary shall review the reports
submitted under section 307(a)(30) and include aggregate data
in the report required by section 207(a), including data on--
``(A) the effectiveness of the programs, policies, and
services provided by area agencies on aging in assisting
older individuals whose needs were the focus of all centers
funded under title IV in fiscal year 2019; and
``(B) outreach efforts and other activities carried out to
satisfy the assurances described in paragraphs (18) and (19)
of section 306(a), to identify such older individuals and
their service needs.''.
SEC. 212. OTHER PRACTICES.
Section 315 (42 U.S.C. 3030c-2) is amended by adding at the
end the following:
``(e) Response to Area Agencies on Aging.--
``(1) In general.--Upon request from an area agency on
aging, the State shall make available any policies or
guidance pertaining to policies established under this
section.
``(2) Rule of construction.--Nothing in paragraph (1) shall
require a State to develop policies or guidance pertaining to
policies established under this section.''.
SEC. 213. SCREENING FOR NEGATIVE HEALTH EFFECTS ASSOCIATED
WITH SOCIAL ISOLATION AND TRAUMATIC BRAIN
INJURY.
Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is amended--
(1) by striking ``screening and'' and inserting
``screening, screening for negative health effects associated
with social isolation,''; and
(2) by inserting ``, and traumatic brain injury screening''
after ``falls prevention services screening''.
SEC. 214. SUPPORTIVE SERVICES AND SENIOR CENTERS.
(a) In General.--Section 321(a) (42 U.S.C. 3030d(a)) is
amended--
(1) in paragraph (24), by striking ``and'' at the end;
(2) by redesignating paragraph (25) as paragraph (26); and
(3) by inserting after paragraph (24) the following:
``(25) services that promote or support social
connectedness and reduce negative health effects associated
with social isolation; and''.
(b) Supportive Services.--Section 321(a)(7) (42 U.S.C.
3030d(a)(7)) is amended by inserting ``cultural experiences
(including the arts),'' after ``art therapy,''.
SEC. 215. CULTURALLY APPROPRIATE, MEDICALLY TAILORED MEALS.
Section 339(2)(A)(iii) (42 U.S.C. 3030g-21(2)(A)(iii)) is
amended by inserting ``, including meals adjusted for
cultural considerations and preferences and medically
tailored meals'' before the comma at the end.
SEC. 216. NUTRITION SERVICES STUDY.
Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et
seq.) is amended by adding at the end the following:
``SEC. 339B. NUTRITION SERVICES IMPACT STUDY.
``(a) Study.--
``(1) In general.--The Assistant Secretary shall perform a
study to assess how to measure and evaluate the discrepancy
between available services and the demand for such services
in the home delivered nutrition services program and the
congregate nutrition services program under this part, which
shall include assessing various methods (such as those that
States use) to measure and evaluate the discrepancy (such as
measurement through the length of waitlists).
``(2) Contents.--In performing the study, the Assistant
Secretary shall--
``(A) consider means of obtaining information in rural and
underserved communities; and
``(B) consider using existing tools (existing as of the
date the Assistant Secretary begins the study) such as the
tools developed through the Performance Outcome Measurement
Project.
``(3) Analysis.--The Assistant Secretary shall analyze and
determine which methods are the least burdensome and most
effective for measuring and evaluating the discrepancy
described in paragraph (1).
``(b) Recommendations.--
``(1) Preparation.--Not later than 3 years after the date
of enactment of the Supporting Older Americans Act of 2020,
the Assistant Secretary shall prepare recommendations--
``(A) on how to measure and evaluate, with the least burden
and the most effectiveness, the discrepancy described in
subsection (a)(1) (such as measurement through the length of
waitlists); and
``(B) about whether studies similar to the study described
in subsection (a) should be carried out for programs carried
out under this Act, other than this part.
``(2) Issuance.--The Assistant Secretary shall issue the
recommendations, and make the recommendations available as a
notification pursuant to section 202(a)(34) and to the
committees of the Senate and of the House of Representatives
with jurisdiction over this Act, and the Special Committee on
Aging of the Senate.''.
SEC. 217. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.
(a) Definitions for National Family Caregiver Support
Program.--Section 372(a) (42 U.S.C. 3030s(a)) is amended--
(1) by redesignating paragraphs (1) through (3) as
paragraphs (2) through (4), respectively; and
(2) by inserting before paragraph (2), as so redesignated,
the following:
``(1) Caregiver assessment.--The term `caregiver
assessment' means a defined process of gathering information
to identify the specific needs, barriers to carrying out
caregiving responsibilities, and existing supports of a
family caregiver or older relative caregiver, as identified
by the caregiver involved, to appropriately target
recommendations for support services described in section
373(b). Such assessment shall be administered through direct
contact with the caregiver, which may include contact through
a home visit, the Internet, telephone or teleconference, or
in-person interaction.''.
[[Page S1436]]
(b) General Authority.--Section 373 (42 U.S.C. 3030s-1) is
amended--
(1) in subsection (b), in the matter preceding paragraph
(1), by inserting ``which may be informed through the use of
caregiver assessments,'' after ``provided,'';
(2) in subsection (e)(3), in the first sentence, by
inserting ``, including caregiver assessments used in the
State,'' after ``mechanisms'';
(3) by redesignating subsections (e) through (g) as
subsections (f) through (h), respectively;
(4) by inserting after subsection (d) the following:
``(e) Best Practices.--Not later than 1 year after the date
of enactment of the Supporting Older Americans Act of 2020
and every 5 years thereafter, the Assistant Secretary shall--
``(1) identify best practices relating to the programs
carried out under this section and section 631, regarding--
``(A) the use of procedures and tools to monitor and
evaluate the performance of the programs carried out under
such sections;
``(B) the use of evidence-based caregiver support services;
and
``(C) any other issue determined relevant by the Assistant
Secretary; and
``(2) make available, including on the website of the
Administration and pursuant to section 202(a)(34), best
practices described in paragraph (1), to carry out the
programs under this section and section 631.''; and
(5) by adding at the end the following:
``(i) Activities of National Significance.--The Assistant
Secretary may award funds authorized under this section to
States, public agencies, private nonprofit agencies,
institutions of higher education, and organizations,
including tribal organizations, for conducting activities of
national significance that--
``(1) promote quality and continuous improvement in the
support provided to family caregivers and older relative
caregivers through programs carried out under this section
and section 631; and
``(2) include, with respect to such programs, program
evaluation, training, technical assistance, and research.
``(j) Technical Assistance for Caregiver Assessments.--Not
later than 1 year after the date of enactment of the
Supporting Older Americans Act of 2020, the Assistant
Secretary, in consultation with stakeholders with appropriate
expertise and, as appropriate, informed by the strategy
developed under the RAISE Family Caregivers Act (42 U.S.C.
3030s note), shall provide technical assistance to promote
and implement the use of caregiver assessments. Such
technical assistance may include sharing available tools or
templates, comprehensive assessment protocols, and best
practices concerning--
``(1) conducting caregiver assessments (including
reassessments) as needed;
``(2) implementing such assessments that are consistent
across a planning and service area, as appropriate; and
``(3) implementing caregiver support service plans,
including conducting referrals to and coordination of
activities with relevant State services.''.
(c) Report on Caregiver Assessments.--
(1) In general.--Not later than 3 years after the date of
enactment of this Act, the Assistant Secretary shall issue a
report on the use of caregiver assessments by area agencies
on aging, entities contracting with such agencies, and tribal
organizations. Such report shall include--
(A) an analysis of the current use of caregiver
assessments, as of the date of the report;
(B) an analysis of the potential impact of caregiver
assessments on--
(i) family caregivers and older relative caregivers; and
(ii) the older individuals to whom the caregivers described
in clause (i) provide care;
(C) an analysis of the potential impact of using caregiver
assessments on the aging network;
(D) an analysis of how caregiver assessments are being used
to identify the specific needs, barriers to carrying out
caregiving responsibilities, and existing supports of family
caregivers and older relative caregivers, with particular
consideration to supporting--
(i) a caregiver specified in this subparagraph who is
caring for individuals with disabilities, or, if appropriate,
with a serious illness; and
(ii) caregivers with disabilities;
(E) recommendations for furthering the use of caregiver
assessments, as appropriate, including in rural or
underserved areas; and
(F) recommendations for assisting State agencies and area
agencies on aging, particularly in rural or underserved
areas, in implementing the use of caregiver assessments.
(2) Submission.--Not later than 6 months after the issuance
of the report specified in paragraph (1), the Assistant
Secretary shall submit the report to the committees of the
Senate and the House of Representatives with jurisdiction
over this Act, and the Special Committee on Aging of the
Senate.
(3) Definitions.--In this subsection--
(A) the terms ``caregiver assessment'' and ``older relative
caregiver'' have the meanings given such terms in section
372(a) of the Older Americans Act of 1965 (42 U.S.C.
3030s(a));
(B) the term ``family caregiver'' has the meaning given the
term in section 302 of such Act (42 U.S.C. 3022); and
(C) the terms ``State agency'' and ``tribal organization''
have the meanings given the terms in section 102 of such Act
(42 U.S.C. 3002).
(d) Conforming Amendment.--Section 631(b) of such Act (42
U.S.C. 3057k-11(b)) is amended by striking ``(c), (d), and
(e)'' and inserting ``(c), (d), and (f)''.
SEC. 218. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM CAP.
(a) Federal Share.--Subsection (h)(2), as redesignated by
section 217(b)(3) of this Act, of section 373 (42 U.S.C.
3030s-1) is amended by striking subparagraph (C).
(b) Monitoring the Impact of the Elimination of the Cap on
Funds for Older Relative Caregivers.--
(1) Report.--Not later than 18 months after the date of
enactment of this Act, and annually thereafter, the Assistant
Secretary shall submit to the Committee on Health, Education,
Labor, and Pensions of the Senate and the Committee on
Education and Labor of the House of Representatives a report
on the impact of the amendment made by subsection (a) to
eliminate the limitation on funds that States may allocate to
provide support services to older relative caregivers in the
National Family Caregiver Support Program established under
part E of title III of the Older Americans Act of 1965 (42
U.S.C. 3030s et seq.). Each such report shall also be made
available to the public.
(2) Contents.--For purposes of reports required by
paragraph (1), each State that receives an allotment under
such National Family Caregiver Support Program for fiscal
year 2020 or a subsequent fiscal year shall report to the
Assistant Secretary for the fiscal year involved the amount
of funds of the total Federal and non-Federal shares
described in section 373(h)(2) of the Older Americans Act of
1965 (42 U.S.C. 3030s-1(h)(2)) used by the State to provide
support services for older relative caregivers and the amount
of such funds so used for family caregivers.
TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND
LONGEVITY
SEC. 301. REAUTHORIZATION.
Section 411(b) (42 U.S.C. 3032(b)) is amended to read as
follows:
``(b) Authorization of Appropriations.--There are
authorized to be appropriated to carry out--
``(1) aging network support activities under this section,
$14,514,550 for fiscal year 2020, $15,385,423 for fiscal year
2021, $16,308,548 for fiscal year 2022, $17,287,061 for
fiscal year 2023, and $18,324,285 for fiscal year 2024; and
``(2) elder rights support activities under this section,
$15,613,440 for fiscal year 2020, $16,550,246 for fiscal year
2021, $17,543,261 for fiscal year 2022, $18,595,857 for
fiscal year 2023, and $19,711,608 for fiscal year 2024.''.
SEC. 302. PUBLIC AWARENESS OF TRAUMATIC BRAIN INJURY.
Section 411(a)(12) (42 U.S.C. 3032(a)(12)) is amended--
(1) by striking ``impairments'' and inserting
``impairments,''; and
(2) by striking ``, and mental disorders'' and inserting
``, mental disorders, and traumatic brain injury''.
SEC. 303. FALLS PREVENTION AND CHRONIC DISEASE SELF-
MANAGEMENT EDUCATION.
Section 411(a) (42 U.S.C. 3032(a)), as amended by sections
119 and 120, is further amended--
(1) by redesignating paragraphs (15) and (16) as paragraphs
(17) and (18), respectively; and
(2) by inserting after paragraph (14) the following:
``(15) bringing to scale and sustaining evidence-based
falls prevention programs that will reduce the number of
falls, fear of falling, and fall-related injuries in older
individuals, including older individuals with disabilities;
``(16) bringing to scale and sustaining evidence-based
chronic disease self-management programs that empower older
individuals, including older individuals with disabilities,
to better manage their chronic conditions;''.
SEC. 304. DEMONSTRATION TO ADDRESS NEGATIVE HEALTH IMPACTS
ASSOCIATED WITH SOCIAL ISOLATION.
Section 411(a)(42 U.S.C. 3032(a)), as amended by sections
119, 120, and 303, is further amended--
(1) in paragraph (17), by striking ``; and'' and inserting
a semicolon;
(2) by redesignating paragraph (18) as paragraph (19); and
(3) by inserting after paragraph (17), the following:
``(18) projects that address negative health effects
associated with social isolation among older individuals;
and''.
SEC. 305. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE
TRANSPORTATION FOR OLDER INDIVIDUALS.
Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amended--
(1) in subparagraph (B), by inserting before the semicolon
``, call center, website or Internet-based portal, mobile
application, or other technological tools'';
(2) in subparagraph (C), by striking ``; and'' and
inserting a semicolon;
(3) by redesignating subparagraph (D) as subparagraph (G);
and
(4) by inserting after subparagraph (C) the following:
``(D)(i) improving the aggregation, availability, and
accessibility of information on options for transportation
services for older individuals, including information on
public transit, on-demand transportation services, volunteer-
based transportation services, and other private
transportation providers; and
[[Page S1437]]
``(ii) providing older individuals with the ability to
schedule trips both in advance and on demand, as appropriate;
``(E) identifying opportunities to share resources and
reduce costs of transportation services for older
individuals;
``(F) coordinating individualized trip planning responses
to requests from older individuals for transportation
services; and''.
SEC. 306. GRANT PROGRAM FOR MULTIGENERATIONAL COLLABORATION.
Section 417 (42 U.S.C. 3032f) is amended--
(1) by amending subsection (a) to read as follows:
``(a) Grants and Contracts.--The Assistant Secretary shall
award grants to and enter into contracts with eligible
organizations to carry out projects, serving individuals in
younger generations and older individuals, to--
``(1) provide opportunities for older individuals to
participate in multigenerational activities and civic
engagement activities that contribute to the health and
wellness of older individuals and individuals in younger
generations by promoting--
``(A) meaningful roles for participants;
``(B) reciprocity in relationship building;
``(C) reduced social isolation and improved participant
social connectedness;
``(D) improved economic well-being for older individuals;
``(E) increased lifelong learning; or
``(F) support for caregivers of families by--
``(i) providing support for older relative caregivers (as
defined in section 372(a)) raising children (such as support
for kinship navigator programs); or
``(ii) involving volunteers who are older individuals who
provide support and information to families who have a child
with a disability or chronic illness, or other families in
need of such family support;
``(2) coordinate multigenerational activities and civic
engagement activities, including multigenerational nutrition
and meal service programs;
``(3) promote volunteerism, including by providing
opportunities for older individuals to become a mentor to
individuals in younger generations; and
``(4) facilitate development of, and participation in,
multigenerational activities and civic engagement
activities.'';
(2) by striking subsection (g);
(3) by redesignating subsections (b) through (f) as
subsections (c) through (g), respectively;
(4) by inserting after subsection (a) the following:
``(b) Grant and Contract Periods.--Each grant awarded and
contract entered into under subsection (a) shall be for a
period of not less than 36 months.'';
(5) by amending subsection (c), as so redesignated, to read
as follows:
``(c) Use of Funds.--
``(1) In general.--An eligible organization shall use funds
made available under a grant awarded, or a contract entered
into, under this section to carry out a project described in
subsection (a).
``(2) Provision of projects through grantees.--In awarding
grants and entering into contracts under this section, the
Assistant Secretary shall ensure that such grants and
contracts are for the projects that satisfy each requirement
under paragraphs (1) through (4) of subsection (a).'';
(6) in subsection (d), as so redesignated--
(A) in paragraph (1), by inserting ``, intent to carry out,
or intent to partner with local organizations or multiservice
organizations to carry out,'' after ``record of carrying
out'';
(B) in paragraph (3), by striking ``; and'' and inserting a
semicolon;
(C) in paragraph (4), by striking the period and inserting
``; and''; and
(D) by adding at the end the following:
``(5) eligible organizations proposing multigenerational
activity projects that utilize shared site programs, such as
collocated child care and long-term care facilities.'';
(7) by amending subsections (f) and (g), as so
redesignated, to read as follows:
``(f) Eligible Organizations.--Organizations eligible to
receive a grant or enter into a contract under subsection (a)
shall--
``(1) be a State, an area agency on aging, or an
organization that provides opportunities for older
individuals to participate in activities described in such
subsection; and
``(2) have the capacity to conduct the coordination,
promotion, and facilitation described in such subsection
through the use of multigenerational coordinators.
``(g) Evaluation.--
``(1) In general.--Not later than 3 years after the date of
enactment of the Supporting Older Americans Act of 2020, the
Assistant Secretary shall, through data submitted by
organizations carrying out projects through grants or
contracts under this section, evaluate the activities
supported through such grants and contracts to determine--
``(A) the effectiveness of such activities;
``(B) the impact of such activities on the community being
served and the organization providing the activities; and
``(C) the impact of such activities on older individuals
participating in such projects.
``(2) Report to congress.--Not later than 6 months after
the Assistant Secretary completes the evaluation under
paragraph (1), the Assistant Secretary shall prepare and
submit to the Speaker of the House of Representatives and the
President pro tempore of the Senate a report that assesses
such evaluation and contains, at a minimum--
``(A) the names or descriptive titles of the projects
funded under subsection (a);
``(B) a description of the nature and operation of such
projects;
``(C) the names and addresses of organizations that
conducted such projects;
``(D) a description of the methods and success of such
projects in recruiting older individuals as employees and as
volunteers to participate in the projects;
``(E) a description of the success of the projects in
retaining older individuals participating in such projects as
employees and as volunteers;
``(F) the rate of turnover of older individuals who are
employees or volunteers in such projects;
``(G) a strategy for disseminating the findings resulting
from such projects; and
``(H) any policy change recommendations relating to such
projects.''; and
(8) in subsection (h)(2)(B)(i), by striking ``individuals
from the generations with older individuals'' and inserting
``older individuals''.
TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM
SEC. 401. PRIORITY FOR THE SENIOR COMMUNITY SERVICE
EMPLOYMENT PROGRAM.
(a) Priority.--The Act (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 503(a)(4)(C) (42 U.S.C. 3056a(a)(4)(C))--
(A) in clause (iii), by striking ``and'' at the end;
(B) in clause (iv), by adding ``and'' at the end; and
(C) by adding at the end the following:
``(v) eligible individuals who have been incarcerated
within the last 5 years or are under supervision following
release from prison or jail within the last 5 years;'';
(2) in section 514(e)(1) (42 U.S.C. 3056l(e)(1)), by
inserting ``eligible individuals who have been incarcerated
or are under supervision following release from prison or
jail,'' after ``need,''; and
(3) in section 518 (42 U.S.C. 3056p)--
(A) in subsection (a)(3)(B)(ii)--
(i) in subclause (IV), by striking ``or'' at the end;
(ii) in subclause (V), by striking the period at the end
and inserting ``; or''; and
(iii) by adding at the end the following:
``(VI) have been incarcerated within the last 5 years or
are under supervision following release from prison or jail
within the last 5 years.''; and
(B) in subsection (b)(2)--
(i) in subparagraph (F), by striking ``or'' at the end;
(ii) in subparagraph (G), by striking the period at the end
and inserting ``; or''; and
(iii) by adding at the end the following:
``(H) has been incarcerated within the last 5 years or is
under supervision following release from prison or jail
within the last 5 years.''.
(b) Transition Period.--This section shall take effect 1
year after the date of enactment of this Act.
SEC. 402. AUTHORIZATION OF APPROPRIATIONS.
Section 517(a) (42 U.S.C. 3056o(a)) is amended to read as
follows:
``(a) In General.--There are authorized to be appropriated
to carry out this title $428,000,000 for fiscal year 2020,
$453,680,000 for fiscal year 2021, $480,900,800 for fiscal
year 2022, $509,754,848 for fiscal year 2023, and
$540,340,139 for fiscal year 2024.''.
TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS
SEC. 501. REAUTHORIZATION.
Title VI (42 U.S.C. 3057 et seq.) is amended--
(1) in part D (42 U.S.C. 3057l et seq.)--
(A) by amending section 643 (42 U.S.C. 3057n) to read as
follows:
``SEC. 643. AUTHORIZATION OF APPROPRIATIONS.
``There are authorized to be appropriated to carry out this
title--
``(1) for parts A and B, $37,102,560 for fiscal year 2020,
$39,298,714 for fiscal year 2021, $41,626,636 for fiscal year
2022, $44,094,235 for fiscal year 2023, and $46,709,889 for
fiscal year 2024; and
``(2) for part C, $10,759,920 for fiscal year 2020,
$11,405,515 for fiscal year 2021, $12,089,846 for fiscal year
2022, $12,815,237 for fiscal year 2023, and $13,584,151 for
fiscal year 2024.''; and
(B) by adding at the end the following:
``SEC. 644. FUNDING SET ASIDE.
``Of the funds appropriated under section 643(1) for a
fiscal year, not more than 5 percent shall be made available
to carry out part D for such fiscal year, provided that for
such fiscal year--
``(1) the funds appropriated for parts A and B are greater
than the funds appropriated for fiscal year 2019; and
``(2) the Assistant Secretary makes available for parts A
and B no less than the amount of resources made available for
fiscal year 2019.'';
(2) by redesignating part D, as so amended, as part E; and
(3) by inserting after part C the following:
``PART D--SUPPORTIVE SERVICES FOR HEALTHY AGING AND INDEPENDENCE
``SEC. 636. PROGRAM.
``(a) In General.--The Assistant Secretary may carry out a
competitive demonstration program for making grants to tribal
organizations or organizations serving Native Hawaiians with
applications approved under parts A and B, to pay for the
Federal share of carrying out programs, to enable the
organizations described in this subsection to
[[Page S1438]]
build their capacity to provide a wider range of in-home and
community supportive services to enable older individuals to
maintain their health and independence and to avoid long-term
care facility placement.
``(b) Supportive Services.--
``(1) In general.--Subject to paragraph (2), supportive
services described in subsection (a) may include any of the
activities described in section 321(a).
``(2) Priority.--The Assistant Secretary, in making grants
under this section, shall give priority to organizations that
will use the grant funds for supportive services described in
subsection (a) that are for in-home assistance,
transportation, information and referral, case management,
health and wellness programs, legal services, family
caregiver support services, and other services that directly
support the independence of the older individuals served.
``(3) Rule of construction.--Nothing in this section shall
be construed or interpreted to prohibit the provision of
supportive services under part A or B.''.
TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION
ACTIVITIES AND OTHER PROGRAMS
SEC. 601. REAUTHORIZATION; VULNERABLE ELDER RIGHTS PROTECTION
ACTIVITIES.
Section 702 (42 U.S.C. 3058a) is amended by striking
subsections (a) and (b) and inserting the following:
``(a) Ombudsman Program.--There are authorized to be
appropriated to carry out chapter 2, $18,066,950 for fiscal
year 2020, $19,150,967 for fiscal year 2021, $20,300,025 for
fiscal year 2022, $21,518,027 for fiscal year 2023, and
$22,809,108 for fiscal year 2024.
``(b) Other Programs.--There are authorized to be
appropriated to carry out chapters 3 and 4, $5,107,110 for
fiscal year 2020, $5,413,537 for fiscal year 2021, $5,738,349
for fiscal year 2022, $6,082,650 for fiscal year 2023, and
$6,447,609 for fiscal year 2024.''.
SEC. 602. VOLUNTEER STATE LONG-TERM CARE OMBUDSMAN
REPRESENTATIVES.
Section 712(a)(5) (42 U.S.C. 3058g(a)(5)) is amended by
adding at the end the following:
``(E) Rule of construction for volunteer ombudsman
representatives.--Nothing in this paragraph shall be
construed as prohibiting the program from providing and
financially supporting recognition for an individual
designated under subparagraph (A) as a volunteer to represent
the Ombudsman program, or from reimbursing or otherwise
providing financial support to such an individual for any
costs, such as transportation costs, incurred by the
individual in serving as such volunteer.''.
SEC. 603. PREVENTION OF ELDER ABUSE, NEGLECT, AND
EXPLOITATION.
Section 721(b)(12) (42 U.S.C. 3058i(b)(12)) is amended--
(1) in subparagraph (C), by inserting ``community outreach
and education,'' after ``technical assistance,''; and
(2) in subparagraph (F)--
(A) by striking ``studying'' and inserting
``implementing''; and
(B) by inserting ``, programs, and materials'' after
``practices''.
SEC. 604. PRINCIPLES FOR PERSON-DIRECTED SERVICES AND
SUPPORTS DURING SERIOUS ILLNESS.
(a) Definitions.--
(1) Administrator.--The term ``Administrator'' means the
Administrator of the Administration for Community Living.
(2) Covered agency.--The term ``covered agency'' means--
(A) a State agency or area agency on aging; and
(B) a Federal agency other than the Department of Health
and Human Services, and a unit of that Department other than
the Administration on Aging, that the Assistant Secretary
determines performs functions for which the principles are
relevant, and the Centers for Medicare & Medicaid Services.
(3) Principles.--The term ``principles'' means the
Principles for Person-directed Services and Supports during
Serious Illness, issued by the Administration for Community
Living on September 1, 2017, or an updated set of such
Principles.
(4) State agency.--The term ``State agency'' has the
meaning given the term in section 102 of the Older Americans
Act of 1965 (42 U.S.C. 3002).
(b) Dissemination.--The Administrator shall disseminate the
principles to appropriate stakeholders within the aging
network, as determined by the Assistant Secretary, and to
covered agencies. The covered agencies may use the principles
in setting priorities for service delivery and care plans in
programs carried out by the agencies.
(c) Feedback.--The Administrator shall solicit, on an
ongoing basis, feedback on the principles from covered
agencies, experts in the fields of aging and dementia, and
stakeholders who provide or receive disability services.
(d) Report.--Not less often than once, but not more often
than annually, during the 3 years after the date of enactment
of this Act, the Administrator shall prepare and submit to
Congress a report describing the feedback received under
subsection (c) and indicating if any changes or updates are
needed to the principles.
SEC. 605. EXTENSION OF THE SUPPORTING GRANDPARENTS RAISING
GRANDCHILDREN ACT.
Section 3(f) of the Supporting Grandparents Raising
Grandchildren Act (Public Law 115-196) is amended by striking
``3'' and inserting ``4''.
SEC. 606. BEST PRACTICES FOR HOME AND COMMUNITY-BASED
OMBUDSMEN.
Not later than 3 years after the date of enactment of this
Act, the Assistant Secretary shall issue a report updating
the best practices for home and community-based ombudsmen
that were included in the report entitled ``Best Practices
for Home and Community-Based Ombudsmen'', issued by the
National Direct Service Workforce Resource Center of the
Centers for Medicare & Medicaid Services and prepared by the
Research and Training Center at the University of Minnesota
and The Lewin Group (January 2013).
SEC. 607. SENIOR HOME MODIFICATION ASSISTANCE INITIATIVE.
Not later than 2 years after the date of enactment of this
Act, the Comptroller General of the United States shall
conduct a study and issue a report that includes--
(1) an inventory of Federal programs, administered by the
Department of Health and Human Services, the Department of
Housing and Urban Development, or any other Federal agency or
department determined appropriate by the Comptroller General,
that support evidence-based falls prevention, home
assessments, and home modifications for older individuals and
individuals with disabilities;
(2) statistical data, for recent fiscal years, on the
number of older individuals and individuals with disabilities
served by each Federal program described in paragraph (1) and
the approximate amount of Federal funding invested in each
such program;
(3) a demographic analysis of individuals served by each
such program for recent fiscal years;
(4) an analysis of duplication and gaps in populations
supported by the Federal programs described in paragraph (1);
(5) what is known about the impact of the Federal programs
described in paragraph (1) on health status and health
outcomes in populations supported by such programs;
(6) a review of Federal efforts to coordinate Federal
programs existing prior to the date of enactment of this Act
that support evidence-based falls prevention, home
assessments, and home modifications for older individuals and
individuals with disabilities and any considerations for
improving coordination, which may include an indication of
the Federal agency or department that is best suited to
coordinate such Federal programs; and
(7) information on the extent to which consumer-friendly
resources, such as a brochure, are available through the
National Eldercare Locator Service established under section
202(a)(21) of the Older Americans Act of 1965 (42 U.S.C.
3012(a)(21)), are accessible to all area agencies on aging,
and contain information on evidence-based falls prevention,
home assessments, and home modifications for older
individuals attempting to live independently and safely in
their homes and for the caregivers of such individuals.
TITLE VII--MISCELLANEOUS
SEC. 701. TECHNICAL CORRECTIONS.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 102(37)(A) (42 U.S.C. 3002(37)(A)), by
striking ``paragraph (5)'' and inserting ``paragraph (26)'';
(2) in section 202(a)(23) (42 U.S.C. 3012(a)(23)), by
striking ``sections 307(a)(18) and 731(b)(2)'' and inserting
``sections 307(a)(13) and 731'';
(3) in section 202(e)(1)(A) (42 U.S.C. 3012(e)(1)(A)), by
moving the left margin of clause (i) 2 ems to the left;
(4) in sections 203(c)(7) (42 U.S.C. 3013(c)(7)),
207(b)(2)(B) (42 U.S.C. 3018(b)(2)(B)), and 215(i) (42 U.S.C.
3020e-1(i)), by striking ``Committee on Education and the
Workforce'' each place it appears and inserting ``Committee
on Education and Labor'';
(5) in section 207(b)(3)(A) (42 U.S.C. 3018(b)(3)(A)), by
striking ``Administrator of the Health Care Finance
Administration'' and inserting ``Administrator of the Centers
for Medicare & Medicaid Services'';
(6) in section 304(a)(3)(C) (42 U.S.C. 3024(a)(3)(C)), by
striking ``term'' and all that follows through ``does'' and
inserting ``term `State' does'';
(7) in section 304(d)(1)(B), by striking ``(excluding'' and
all that follows through ``303(a)(3))'';
(8) in section 306(a) (42 U.S.C. 3026(a))--
(A) in paragraph (1), by inserting ``the number of older
individuals at risk for institutional placement residing in
such area,'' before ``and the number of older individuals who
are Indians''; and
(B) in paragraph (2)(B), by striking ``who are victims of''
and inserting ``with'';
(9) in section 339(2)(A)(ii)(I) (42 U.S.C. 3030g-
21(2)(A)(ii)(I)), by striking ``Institute of Medicine of the
National Academy of Sciences'' and inserting ``National
Academies of Sciences, Engineering, and Medicine'';
(10) in section 611 (42 U.S.C. 3057b), by striking ``(a)'';
(11) in section 614(c)(4) (42 U.S.C. 3057e(c)(4)), by
striking ``(a)(12)'' and inserting ``(a)(11)''; and
(12) in section 721(i) (42 U.S.C. 3058i(i), by striking
``section 206(g)'' and inserting ``section 206(h)''.
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