[Congressional Record Volume 166, Number 47 (Wednesday, March 11, 2020)]
[House]
[Pages H1640-H1648]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                              {time}  1745
                      DIGNITY IN AGING ACT OF 2019

  Ms. BONAMICI. Madam Speaker, I ask unanimous consent to take from the 
Speaker's table 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, with the Senate amendment thereto, and concur 
in the Senate amendment.
  The Clerk read the title of the bill.
  The SPEAKER pro tempore (Ms. Scanlon). The Clerk will report the 
Senate amendment.
  The Clerk read as follows:
  Senate amendment:
       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,

[[Page H1641]]

     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--
       ``(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

[[Page H1642]]

       (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;''.

     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
       (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)--

[[Page H1643]]

       (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 
     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

[[Page H1644]]

     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 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;

[[Page H1645]]

       ``(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.''.
       (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--

[[Page H1646]]

       ``(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
       ``(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).'';

[[Page H1647]]

       (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 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.

[[Page H1648]]

       (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)''.

  Ms. BONAMICI (during the reading). Madam Speaker, I ask unanimous 
consent to dispense with the reading.
  The SPEAKER pro tempore. Is there objection to the request of the 
gentlewoman from Oregon?
  There was no objection.
  The SPEAKER pro tempore. Is there objection to the original request 
of the gentlewoman from Oregon?
  There was no objection.
  A motion to reconsider was laid on the table.

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