[Congressional Record Volume 172, Number 114 (Tuesday, July 14, 2026)]
[Senate]
[Pages S4077-S4087]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
OLDER AMERICANS ACT REAUTHORIZATION ACT OF 2025
Mr. BOOZMAN. Mr. President, I ask unanimous consent that the Senate
Committee on Health, Education, Labor, and Pensions be discharged from
further consideration of S. 2120 and the Senate proceed to its
immediate consideration.
The PRESIDING OFFICER. The clerk will report the bill by title.
The bill clerk read as follows:
A bill (S. 2120) to amend the Older Americans Act of 1965
to authorize appropriations for fiscal years 2026 through
2030, and for other purposes.
There being no objection, the committee was discharged, and the
Senate proceeded to consider the bill.
Mr. BOOZMAN. I ask unanimous consent that the bill be considered read
a third time and passed and that the motion to reconsider be considered
made and laid upon the table.
The PRESIDING OFFICER. Without objection, it is so ordered.
The bill (S. 2120) was ordered to be engrossed for a third reading,
was read the third time, and passed, as follows:
S. 2120
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Older Americans Act
Reauthorization Act of 2025''.
SEC. 2. TABLE OF CONTENTS.
The table of contents for this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.
TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER
INDIVIDUALS
Sec. 101. Declaration of objectives.
Sec. 102. Addressing mental health and substance use disorders and
cognitive impairments of older individuals.
Sec. 103. List of national resource centers.
Sec. 104. Awareness of relevant Federal programs.
Sec. 105. Evaluations and surveys.
Sec. 106. Contracting.
Sec. 107. Guidance on reallocation of funding between area agencies on
aging.
Sec. 108. Right to first refusal.
Sec. 109. Area agency on aging capabilities.
Sec. 110. Supporting older individuals with disabilities through
improved coordination.
Sec. 111. Business acumen, fiscal training, and technical assistance.
Sec. 112. Enhancing access to assistive technology.
Sec. 113. White House Conference on Aging.
Sec. 114. Technical amendments.
TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR
OLDER INDIVIDUALS
Sec. 201. Disease prevention and health promotion services.
Sec. 202. Improving health outcomes.
Sec. 203. Technical assistance on evidence-based programs.
Sec. 204. Enhancing multipurpose senior centers.
Sec. 205. Addressing home modifications.
Sec. 206. National resource center for engaging older adults.
Sec. 207. Multigenerational and civic engagement activities.
Sec. 208. Report relating to health outcomes for older individuals
living with or near family members.
Sec. 209. Improving broadband coordination and reducing social
isolation.
TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES
Sec. 301. Medically tailored meals.
Sec. 302. Grab-and-go meals.
Sec. 303. GAO study on Nutrition Services Incentive Program.
Sec. 304. Innovations in nutrition programs and services.
TITLE IV--SUPPORTING FAMILY CAREGIVERS
Sec. 401. Improving the National Family Caregiver Support Program.
Sec. 402. Emphasizing respite care.
Sec. 403. Clarifying supportive services.
Sec. 404. Direct care workforce resource center.
Sec. 405. Supporting Grandparents Raising Grandchildren Act.
Sec. 406. RAISE Family Caregivers Act.
TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT
Sec. 501. Improving the Community Service Employment Program.
[[Page S4078]]
Sec. 502. GAO report on alignment within the Community Service
Employment Program.
TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS
Sec. 601. Older Americans Tribal Advisory Committee.
Sec. 602. Supportive services; set aside.
Sec. 603. GAO report on Tribal services.
Sec. 604. Technical amendments.
TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND
ELDER ABUSE PREVENTION
Sec. 701. Director of the Office of Long-Term Care Ombudsman Programs.
Sec. 702. Legal assistance training resources relating to elder abuse
prevention.
Sec. 703. Improving training of volunteers under the State Long-Term
Care Ombudsman Program.
Sec. 704. Reporting on State Long-Term Care Ombudsman Programs.
Sec. 705. Study on State Long-Term Care Ombudsman Programs.
TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS
Sec. 801. Administration on Aging.
Sec. 802. Grants for State and community programs on aging.
Sec. 803. Activities for health, independence, and longevity.
Sec. 804. Community Service Senior Opportunities Act.
Sec. 805. Grants for Native Americans.
Sec. 806. Allotments for elder rights protection activities.
SEC. 3. REFERENCES.
Except as otherwise expressly provided in this Act,
wherever in this Act an amendment or repeal is expressed in
terms of an amendment to, or a repeal of, a section or other
provision, the reference shall be considered to be made to
that section or other provision of the Older Americans Act of
1965 (42 U.S.C. 3001 et seq.).
SEC. 4. DEFINITIONS.
In this Act, the terms ``area agency on aging'',
``Assistant Secretary'', ``older individual'', and
``Secretary'' have the meanings given such terms in section
102 of the Older Americans Act of 1965 (42 U.S.C. 3002).
TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER
INDIVIDUALS
SEC. 101. DECLARATION OF OBJECTIVES.
Section 101 (42 U.S.C. 3001) is amended--
(1) in the matter preceding paragraph (1), by striking ``of
the following objectives:'' and inserting ``of the objectives
of--'';
(2) in each of paragraphs (1) through (10), by amending the
first word so that it begins with a lowercase letter;
(3) in each of paragraphs (1) through (8), by striking the
period at the end and inserting a semicolon;
(4) in each of paragraphs (9) and (10), by striking the
period at the end and inserting ``; and'';
(5) in paragraph (2), by inserting ``to improve health
outcomes and reduce health care expenditures'' after
``economic status'';
(6) by redesignating paragraphs (1) through (10) as
subparagraphs (A) through (J), respectively, and adjusting
the margins accordingly;
(7) in the matter preceding subparagraph (A) (as so
redesignated), by striking ``our democratic society, the
older people'' and inserting the following: ``our democratic
society--
``(1) the older people''; and
(8) by adding at the end the following:
``(2) the families of older individuals and community-based
organizations, including faith-based organizations, also play
a vital role in supporting and honoring older individuals and
their happiness, dignity, and independence.''.
SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE USE
DISORDERS AND COGNITIVE IMPAIRMENTS OF OLDER
INDIVIDUALS.
Section 201(f) (42 U.S.C. 3011(f)) is amended to read as
follows:
``(f)(1) The Assistant Secretary may designate an officer
or employee who shall be responsible for the administration
of services for mental health and substance use disorders and
cognitive impairments authorized under this Act and serve as
an effective and visible advocate for the related needs of
older individuals within the Department of Health and Human
Services, including by ensuring that relevant information
disseminated and research conducted or supported by the
Department takes into consideration such services.
``(2) It shall be the duty of the Assistant Secretary,
acting through the individual designated under paragraph (1),
and in consultation with the heads of relevant agencies
within the Department of Health and Human Services, including
the Substance Abuse and Mental Health Services
Administration, to develop objectives, priorities, and a
long-term plan for supporting State and local efforts under
this Act involving education about, and prevention,
detection, and treatment of, mental health and substance use
disorders and cognitive impairments, including age-related
dementia, depression, and Alzheimer's disease and related
neurological disorders with neurological and organic brain
dysfunction.
``(3) Not later than 2 years after the date of enactment of
the Older Americans Act Reauthorization Act of 2025, the
Assistant Secretary shall report to the Committee on Health,
Education, Labor, and Pensions of the Senate, the Special
Committee on Aging of the Senate, and the Committee on
Education and Workforce of the House of Representatives on
the activities of the officer or employee designated under
paragraph (1) in carrying out the requirements under this
subsection, including any activities to identify and reduce
duplication and gaps across the Department in such
information disseminated and research conducted or supported
by the Department.''.
SEC. 103. LIST OF NATIONAL RESOURCE CENTERS.
Section 202 (42 U.S.C. 3012) is amended--
(1) in subsection (d)(4), by striking ``Resource Center on
Elder Abuse'' and inserting ``Center''; and
(2) by striking subsection (h) and inserting the following:
``(h)(1) The Assistant Secretary shall publish online in a
publicly accessible format, on an annual basis, a list of
national resource centers and demonstration projects
authorized under, or administratively established through
funds provided under, this Act.
``(2) The Assistant Secretary shall ensure that the list
published pursuant to paragraph (1)--
``(A) includes--
``(i) a description of each such center and demonstration
project, including the projected goals and activities of each
such center and demonstration project;
``(ii) a citation to the statutory authorization of each
such center and demonstration project, or a citation to the
statutory authority that the Assistant Secretary relies upon
to administratively establish each such center and
demonstration project;
``(iii) the award amount for each such center and
demonstration project; and
``(iv) a summary of any evaluations required under this Act
for each such center, including a description of any measures
of effectiveness; and
``(B) is directly provided to State agencies, area agencies
on aging, and the Committee on Health, Education, Labor, and
Pensions and the Special Committee on Aging of the Senate and
the Committee on Education and Workforce of the House of
Representatives.''.
SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS.
Title II (42 U.S.C. 3011 et seq.) is amended by inserting
after section 203A (42 U.S.C. 3013a) the following:
``SEC. 203B. AWARENESS OF RELEVANT FEDERAL PROGRAMS.
``In carrying out section 203(a)(1), the Assistant
Secretary shall coordinate with the heads of relevant Federal
departments and agencies to ensure that the aging network and
individuals served under this Act are aware of, and, subject
to applicable eligibility criteria, have access to, Federal
programs that may advance the objectives of this Act,
including programs described in section 203(b) and other
programs to meet housing, health care, and other supportive
service needs to help such individuals age in place.''.
SEC. 105. EVALUATIONS AND SURVEYS.
Section 206 (42 U.S.C. 3017) is amended--
(1) by striking subsection (d) and inserting the following:
``(d)(1) In carrying out evaluations under this section,
the Secretary shall--
``(A) award grants to, or enter into contracts with, public
or nonprofit private organizations or academic or research
institutions to survey State agencies, area agencies on
aging, and other program and project participants about the
strengths and weaknesses of the programs and projects; and
``(B) conduct, where appropriate, evaluations that compare
the effectiveness of related programs in achieving common
objectives.
``(2) The surveys and evaluations under paragraph (1) shall
include information on programs, services, use and sources of
funding (including any transfer of funding between area
agencies on aging), identified unmet need for services and
related indicators, and any other challenges faced by State
agencies and area agencies on aging in carrying out the
activities of this Act.
``(3) The Secretary shall, in carrying out the evaluations
under paragraph (1), consult with organizations concerned
with older individuals, including organizations that
represent minority individuals, older individuals residing in
rural areas, and older individuals with disabilities.''; and
(2) in subsection (g), by striking ``him'' and inserting
``the Secretary''.
SEC. 106. CONTRACTING.
(a) In General.--Section 212 (42 U.S.C. 3020c) is amended--
(1) in the section heading, by striking ``and grant
authority'';
(2) by striking subsection (a) and inserting the following:
``(a) In General.--Subject to subsection (b), this Act
shall not be construed to prevent a recipient of a grant or a
contract under this Act (other than title V) from entering
into a contract, commercial relationship, or other business
arrangement (referred to in this section as an `agreement')
with a profitmaking organization for the recipient to provide
services to individuals or entities not otherwise receiving
services under this Act, provided that--
``(1) in the case funds provided under this Act are used in
developing or carrying out the agreement--
``(A) such agreement guarantees that the cost is reimbursed
to the recipient;
``(B) if such agreement provides for the provision of 1 or
more services, of the type
[[Page S4079]]
provided under this Act by or on behalf of such recipient, to
an individual or entity seeking to receive such services--
``(i) the individuals and entities may only purchase such
services at their fair market rate;
``(ii) all costs incurred by the recipient in providing
such services (and not otherwise reimbursed under
subparagraph (A)), are reimbursed to such recipient; and
``(iii) except in the case of an agreement with a health
plan or health care provider, the recipient reports the rates
for providing such services under such agreement in
accordance with subsection (c) and the rates are consistent
with the prevailing market rate for provision of such
services in the relevant geographic area as determined by the
State agency or area agency on aging (as applicable); and
``(C) any amount of payment to the recipient under the
agreement that exceeds reimbursement under this subsection of
the recipient's costs is used to provide, or support the
provision of, services under this Act; and
``(2) subject to subsection (e), in the case no funds
provided under this Act are used in developing or carrying
out the agreement--
``(A) not later than 45 days after the agreement first goes
into effect, and annually thereafter until the termination of
such agreement, the recipient of a grant or contract under
this Act shall, in writing--
``(i) notify the State agency of--
``(I) the existence of the agreement; and
``(II) the services provided and populations served under
the agreement; and
``(ii) provide assurances to the State agency that--
``(I) nothing in the agreement--
``(aa) undermines--
``(AA) the duties of the recipient under this Act; or
``(BB) the provision of services in accordance with this
Act; or
``(bb) violates any other terms and conditions of an award
received by the recipient under this Act; and
``(II) any potential real or perceived conflict of interest
with respect to the agreement has been prevented, mitigated,
or otherwise addressed, including providing a description of
any such conflicts of interest and a description of the
actions taken to mitigate such conflicts of interest; and
``(B) not later than 45 days after the population or
services under the agreement substantially change due to an
amendment to the agreement, the recipient shall, in writing--
``(i) notify the State agency of such change; and
``(ii) provide the assurances described in subparagraph
(A)(ii) with respect to such change.'';
(3) by striking subsection (b) and inserting the following:
``(b) Ensuring Appropriate Use of Funds.--An agreement--
``(1) described in subsection (a)(1) may not--
``(A) be made without the prior approval of the State
agency (or, in the case of a grantee under title VI, without
the prior recommendation of the Director of the Office for
American Indian, Alaskan Native, and Native Hawaiian Aging
and the prior approval of the Assistant Secretary), after
timely submission of all relevant documents related to the
agreement including information on all costs incurred; or
``(B) directly or indirectly provide for, or have the
effect of, paying, reimbursing, subsidizing, or otherwise
compensating an individual or entity in an amount that
exceeds the fair market value of the services subject to such
agreement; and
``(2) described in subsection (a) may not--
``(A) result in the displacement of services otherwise
available to an older individual with greatest social need,
an older individual with greatest economic need, or an older
individual who is at risk for institutional placement; or
``(B) in any other way compromise, undermine, or be
inconsistent with the objective of serving the needs of older
individuals, as determined by the Assistant Secretary.'';
(4) by striking subsection (c) and inserting the following:
``(c) Monitoring and Reporting.--To ensure that any
agreement described in subsection (a)(1) complies with the
requirements of this section and other applicable provisions
of this Act, the Assistant Secretary shall develop and
implement uniform monitoring procedures and reporting
requirements consistent with the provisions of subparagraphs
(A) through (E) of section 306(a)(13) in consultation with
the State agencies and area agencies on aging. The Assistant
Secretary shall conduct a review on the impact of such
agreements on the provision of services under this Act,
including the number of agreements per State, summaries of
such agreements, and the impact of such agreements on access
to services consistent with the goals of this Act. The
Assistant Secretary shall annually prepare and submit to the
Committee on Health, Education, Labor, and Pensions of the
Senate, the Special Committee on Aging of the Senate, and the
Committee on Education and Workforce of the House of
Representatives the findings of such review.''; and
(5) by striking subsection (e) and inserting the following:
``(e) Requesting Additional Information for Certain Non-OAA
Agreements.--
``(1) In general.--In the case of an agreement described in
subsection (a)(2), if the State agency has a reasonable
belief that an agreement may violate the assurances provided
under subsection (a)(2)(A)(ii), the State agency may request
additional information from the recipient of funds under this
Act that is a party to such agreement, which may include a
request for a copy of such agreement. Such recipient shall
make a good faith effort to address such request for
additional information, except that such recipient shall not
provide agreements or other data that are restricted under
the terms of a non-disclosure agreement signed by such
recipient. If such recipient declines to provide a copy of an
agreement to a State agency, such recipient shall provide a
justification to the State agency within 30 days of receiving
such request.
``(2) Confidentiality.--A State agency shall keep
confidential, as required by applicable Federal and State
law, all information received under this subsection that is--
``(A) a trade secret;
``(B) commercial or financial information; and
``(C) information obtained from an individual that is
privileged and confidential.
``(f) Definitions.--In this section:
``(1) Cost.--The term `cost' means an expense, including an
administrative expense, incurred by a recipient in developing
or carrying out an agreement described in subsection (a),
whether the recipient contributed funds, staff time, or other
plant, equipment, or services to meet the expense.
``(2) Recipient.--The term `recipient' means an area agency
on aging in a State with multiple planning and service
areas.''.
(b) Area Plans.--Section 306 (42 U.S.C. 3026) is amended--
(1) in subsection (a)(13)--
(A) in subparagraph (B)(i), by striking ``any service to
older individuals'' and inserting ``any service under this
Act to older individuals or caregivers''; and
(B) in subparagraph (E), by inserting ``or caregivers under
this Act'' after ``older individuals''; and
(2) in subsection (g), by inserting ``, except as provided
under section 212(a)(2),'' after ``Nothing in this Act''.
SEC. 107. GUIDANCE ON REALLOCATION OF FUNDING BETWEEN AREA
AGENCIES ON AGING.
(a) In General.--Not later than 1 year after the date of
enactment of this Act, the Assistant Secretary shall
disseminate one-time guidance to State agencies (as defined
in section 102 of the Older Americans Act of 1965 (42 U.S.C.
3002)) and area agencies on aging on circumstances under
which funds appropriated pursuant to part B and subparts 1
and 2 of part C of title III of the Older Americans Act (42
U.S.C. 3030d et seq., 42 U.S.C. 3030e et seq., 42 U.S.C.
3030f et seq.) may be appropriate to reallocate between area
agencies on aging within a single State, with the approval of
the State agency and the concurrence of any involved area
agencies on aging, within a budget year.
(b) Considerations.--In disseminating the guidance under
subsection (a), the Assistant Secretary may consider
circumstances that affect the expenditure of the funds
described in such subsection.
SEC. 108. RIGHT TO FIRST REFUSAL.
Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is amended
to read as follows:
``(B) Whenever a State agency designates a new area agency
on aging after the date of enactment of the Older Americans
Act Reauthorization Act of 2025, the State agency shall give
the right to first refusal to a unit of general purpose local
government if--
``(i) such unit can meet the requirements of subsection
(c);
``(ii)(I) such unit has demonstrated experience
administering services for older individuals; or
``(II) the State agency determines that there is not
another entity eligible under subsection (c)(1) within the
planning and service area with such demonstrated experience;
and
``(iii) the boundaries of such unit and the boundaries of
the planning and service area are reasonably contiguous.''.
SEC. 109. AREA AGENCY ON AGING CAPABILITIES.
(a) Organization.--Section 305(c) (42 U.S.C. 3025(c)) is
amended--
(1) by redesignating paragraphs (1) through (5) as
subparagraphs (A) through (E), respectively, and moving such
subparagraphs 2 ems to the right;
(2) by striking ``shall be'' and inserting the following:
``shall--
``(1) be--'';
(3) in subparagraph (E), as so redesignated--
(A) by striking ``(b)(5)'' and inserting ``(b)(5)(A)''; and
(B) by inserting ``and'' after the semicolon; and
(4) by striking ``and shall provide assurance,'' and all
that follows through ``the area plan.'' and inserting the
following:
``(2) provide assurance, determined adequate by the State
agency, that the area agency on aging will have the ability,
and maintain the capabilities necessary, to develop an area
plan as required under section 306(a), and carry out,
directly or through contractual or other arrangements, and
oversee activities in accordance with--
``(A) the plan within the planning and service area;
``(B) any other relevant requirements of this Act;
``(C) other applicable Federal and State laws; and
``(D) other terms and conditions of awards received under
this Act.
[[Page S4080]]
In designating an area agency on aging within the planning
and service area or within any unit of general purpose local
government designated as a planning and service area, the
State shall give preference to an established office on
aging, unless the State agency finds that no such office
within the planning and service area will have the capacity
to carry out the area plan.''.
(b) Plans.--Section 306(f)(1) (42 U.S.C. 3026(f)(1)) is
amended--
(1) by inserting ``the assurances required under section
305(c)(2),'' after ``of this section,''; and
(2) by striking the period at the end and inserting ``, and
if the State agency determines, in the discretion of the
State agency, that an area agency on aging failed in 2
successive years to comply with the requirements under this
title, then the State agency may require the area agency on
aging to submit a plan for a 1-year period that meets such
requirements, for subsequent years until the State agency
determines that the area agency on aging is in compliance
with such requirements.''.
SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABILITIES
THROUGH IMPROVED COORDINATION.
(a) Area Plans.--Section 306(a)(5) (42 U.S.C. 3026(a)(5))
is amended by striking ``with agencies that develop or
provide services for individuals with disabilities'' and
inserting ``with entities that develop or provide services
for individuals with disabilities, which may include centers
for independent living, relevant service providers, and other
community-based organizations, as appropriate''.
(b) Supporting Older Individuals With Disabilities Through
Improved Coordination.--
(1) In general.--The Administrator of the Administration
for Community Living of the Department of Health and Human
Services (referred to in this section as the
``Administrator'') shall identify--
(A) opportunities to improve coordination between the aging
and disability networks, which may include the formation of
partnerships to serve individuals eligible for programs under
the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.);
(B) lessons learned from disability networks, including
centers for independent living, State developmental
disabilities councils, university centers for excellence in
developmental disabilities education, research, and service,
and State protection and advocacy agencies that could improve
operations and service delivery within the aging network; and
(C) any technical assistance needs related to subparagraphs
(A) and (B).
(2) Guidance.--Not later than 2 years after the date of
enactment of this Act, the Administrator shall issue guidance
to State agencies and area agencies on aging on strategies to
leverage disability networks, including centers for
independent living, State developmental disabilities
councils, university centers for excellence in developmental
disabilities, education, research, and service, and State
protection and advocacy agencies, as appropriate, to
strengthen the provision of services under the Older
Americans Act of 1965 (42 U.S.C. 3001 et seq.).
(3) Technical assistance.--The Administrator shall
coordinate across the Administration for Community Living to
address any technical assistance needs identified under
paragraph (1)(C) in a manner that does not unnecessarily
duplicate other technical assistance activities carried out
prior to the date of enactment of this Act.
(c) Definitions.--Section 102 (42 U.S.C. 3002) is amended--
(1) in paragraph (4), by striking ``(as defined in section
3 of the Americans with Disabilities Act of 1990 (42 U.S.C.
12102))'';
(2) in paragraph (13), by striking ``The term'' and all
that follows through ``adjustment.'' and inserting ``The term
`disability' has the meaning given such term in section 3 of
the Americans with Disabilities Act of 1990 (42 U.S.C.
12102).''; and
(3) in paragraph (49)(B), by striking ``of the major life
activities specified in subparagraphs (A) through (G) of
paragraph (8)'' and inserting ``major life activities
specified in section 3(2) of the Americans with Disabilities
Act of 1990 (42 U.S.C. 12102(2)).''.
SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECHNICAL
ASSISTANCE.
Section 307(a) (42 U.S.C. 3027(a)) is amended by adding at
the end the following:
``(31) The plan shall provide assurances that the State
agency, to the extent feasible and when applicable and
appropriate, provides technical assistance for area agencies
on aging related to the development of business acumen, sound
fiscal practices, capacity building, organizational
development, innovation, and other methods of growing and
sustaining the capacity of the aging network to carry out
activities funded under this Act to serve older individuals
and caregivers most effectively.''.
SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY.
Section 307(a) (42 U.S.C. 3027(a)), as amended by section
111 of this Act, is further amended by adding at the end the
following:
``(32) The plan shall provide assurances that the State
will coordinate services, to the extent feasible, with lead
agencies designated to carry out State assistive technology
programs under the Assistive Technology Act of 1998 (29
U.S.C. 3001 et seq.) and with area agencies on aging to
assist eligible older individuals, including older
individuals with disabilities, in accessing and acquiring
assistive technology.''.
SEC. 113. WHITE HOUSE CONFERENCE ON AGING.
The Older Americans Act Amendments of 1987 (42 U.S.C. 3001
note; Public Law 100-175) is amended by striking title II and
inserting the following:
``TITLE II--WHITE HOUSE CONFERENCE ON AGING
``SEC. 201. AUTHORIZATION OF THE CONFERENCE.
``(a) Authority To Call Conference.--Not earlier than
January 21, 2025 and not later than December 31, 2025, the
President shall convene the White House Conference on Aging
in order to fulfill the purpose set forth in subsection (c)
and to make fundamental policy recommendations regarding
programs that are important to older individuals and to the
families and communities of such individuals.
``(b) Planning and Direction.--The Conference described in
subsection (a) shall be planned and conducted under the
direction of the Secretary, in cooperation with the Assistant
Secretary for Aging, the Director of the National Institute
on Aging, the Administrator of the Centers for Medicare &
Medicaid Services, the Social Security Administrator, and the
heads of such other Federal agencies serving older
individuals as are appropriate. Planning and conducting the
Conference includes the assignment of personnel.
``(c) Purpose.--The purpose of the Conference described in
subsection (a) shall be to gather individuals representing
the spectrum of thought and experience in the field of aging
to--
``(1) evaluate the manner in which the objectives of the
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be
met by using the resources and talents of older individuals,
of families and communities of such individuals, and of
individuals from the public and private sectors;
``(2) evaluate the manner in which Federal policies,
programs, and activities meet and respond to the needs of
older individuals, including an examination of innovative and
fiscally responsible strategies relating to retirement
security, caregiving, nutrition and supportive services,
health care, elder justice, and long-term services and
supports;
``(3) be informed by the work and recommendations of the
Interagency Coordinating Committee on Healthy Aging and Age-
Friendly Communities, evaluate the recommendations of the
Committee, and, as appropriate, suggest implementation
strategies for such recommendations; and
``(4) develop recommendations to guide the President,
Congress, and Federal agencies in improving Federal programs
that serve older individuals, which may relate to the
prevention and mitigation of disease, injury, abuse, social
isolation, loneliness, and economic insecurity, including
food insecurity, and promotion of healthy aging in place.
``(d) Conference Participants and Delegates.--
``(1) Participants.--In order to carry out the purposes of
this section, the Conference shall bring together--
``(A) representatives of Federal, State, Tribal, and local
governments;
``(B) professionals and volunteers who are working in the
field of aging; and
``(C) representatives of the general public, particularly
older individuals.
``(2) Selection of delegates.--The delegates shall be
selected without regard to political affiliation or past
partisan activity and shall, to the best of the appointing
authority's ability, be representative of the spectrum of
thought in the field of aging. Delegates shall include older
individuals, individuals who are professionals in the field
of aging, individuals who are community leaders, minority
individuals, individuals from rural areas, low-income
individuals, and representatives of Federal, State, Tribal,
and local governments.
``SEC. 202. CONFERENCE ADMINISTRATION.
``(a) Administration.--In administering this section, the
Secretary shall--
``(1) consult with relevant State, Tribal, and local
officials, stakeholders, and subject matter experts in
planning the Conference;
``(2) request the cooperation and assistance of the heads
of such other Federal departments and agencies, including
such officials of the Interagency Coordinating Committee on
Healthy Aging and Age-Friendly Communities, as may be
appropriate in the carrying out of this section;
``(3) make available for public comment a proposed agenda
for the Conference, which will reflect to the greatest extent
possible the major issues facing older individuals,
consistent with the provisions of section 201(c);
``(4) prepare and make available such background materials
for the use of delegates to the Conference as the Secretary
deems necessary; and
``(5) engage such additional personnel as may be necessary
to carry out the provisions of this section without regard to
provisions of title 5, United States Code, governing
appointments in the competitive service, and without regard
to chapter 51 and subchapter III of chapter 53 of such title,
relating to classification and General Schedule pay rates.
``(b) Duties.--The Secretary shall, in carrying out the
Secretary's responsibilities and functions under this
section, and as part of the White House Conference on Aging,
ensure that--
[[Page S4081]]
``(1) the agenda prepared under subsection (a)(3) for the
Conference is published in the Federal Register not later
than 30 days after such agenda is approved by the Secretary;
``(2) the personnel engaged under subsection (a)(5) shall
be fairly balanced in terms of points of views represented
and shall be appointed without regard to political
affiliation or previous partisan activities;
``(3) the recommendations of the Conference are not
inappropriately influenced by any appointing authority or by
any special interest, but will instead be the result of the
independent judgment of the Conference; and
``(4) current and adequate statistical data, including
decennial census data, and other information on the well-
being of older individuals in the United States, are readily
available, in advance of the Conference, to the delegates of
the Conference, together with such information as may be
necessary to evaluate Federal programs and policies relating
to aging. In carrying out this subparagraph, the Secretary is
authorized to make grants to, and enter into cooperative
agreements with, public agencies and nonprofit private
organizations.
``(c) Gifts.--The Secretary may accept, on behalf of the
United States, gifts (in cash or in kind, including voluntary
and uncompensated services) that shall be available to carry
out this title. Gifts of cash shall be available in addition
to amounts appropriated to carry out this title. Gifts may be
earmarked by the donor for a specific purpose.
``(d) Records.--The Secretary shall maintain records
regarding--
``(1) the sources, amounts, and uses of gifts accepted
under subsection (c); and
``(2) the identity of each person receiving assistance to
carry out this title, and the amount of such assistance
received by each such person.
``SEC. 203. REPORT OF THE CONFERENCE.
``(a) Preliminary Report.--Not later than 100 days after
the date on which the Conference adjourns, the Secretary
shall publish and deliver to the States a preliminary report
on the Conference. Comments on the preliminary report of the
Conference shall be accepted by the Secretary.
``(b) Final Report.--Not later than 180 days after the date
on which the Conference adjourns, the Secretary shall publish
and transmit to the President and to Congress recommendations
resulting from the Conference and suggestions for any
administrative action and legislation necessary to implement
the recommendations contained within the report.
``SEC. 204. DEFINITIONS.
``In this title:
``(1) Conference.--The term `Conference' means the White
House Conference on Aging.
``(2) Secretary.--The term `Secretary' means the Secretary
of Health and Human Services.
``(3) State.--The term `State' means any of the several
States, the District of Columbia, the Commonwealth of Puerto
Rico, Guam, American Samoa, the Virgin Islands of the United
States, the Trust Territory of the Pacific Islands, or the
Commonwealth of the Northern Mariana Islands.''.
SEC. 114. TECHNICAL AMENDMENTS.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 201(d)(3)(J) (42 U.S.C. 3011(d)(3)(J)), by
striking ``Speaker of the House of Representatives and the
President pro tempore of the Senate'' and inserting
``Committee on Health, Education, Labor, and Pensions of the
Senate and the Committee on Education and Workforce of the
House of Representatives'';
(2) in section 202(b)(8)(E) (42 U.S.C. 3012(b)(8)(E)), by
striking ``preventative health benefits under the provisions
of, and amendments made by, the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003'' and inserting
``preventive health benefits under such program'';
(3) in section 203(c)(7) (42 U.S.C. 3013(c)(7))--
(A) in the matter preceding subparagraph (A), by striking
``the Committee on Education and Labor of the House of
Representatives'' and inserting ``the Committee on Education
and Workforce of the House of Representatives''; and
(B) in subparagraph (C), by striking ``chairman'' and
inserting ``chairperson'';
(4) in section 339 (42 U.S.C. 3030g-21), by striking ``this
chapter'' each place it appears and inserting ``this part'';
and
(5) in section 432(b)(1) (42 U.S.C. 3033a(b)(1)), by
striking ``Speaker of the House of Representatives and the
President pro tempore of the Senate'' and inserting
``Committee on Health, Education, Labor, and Pensions of the
Senate and the Committee on Education and Workforce of the
House of Representatives''.
TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR
OLDER INDIVIDUALS
SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION SERVICES.
Section 102(14) (42 U.S.C. 3002(14)) is amended--
(1) in subparagraph (B), by inserting ``heart rate,
respiratory function,'' after ``hearing,'';
(2) in subparagraph (K), by inserting ``providing'' before
``information'';
(3) by redesignating subparagraphs (L), (M), (N), and (O),
as subparagraphs (M), (N), (O), and (P), respectively;
(4) by inserting after subparagraph (K) the following:
``(L) providing information concerning testing, diagnosis,
and treatment of infectious diseases, taking into
consideration infectious diseases for which older individuals
are at increased risk of infection or serious health
outcomes;''; and
(5) in subparagraph (P), as so redesignated, by striking
``subparagraphs (A) through (N)'' and inserting
``subparagraphs (A) through (O)''.
SEC. 202. IMPROVING HEALTH OUTCOMES.
(a) Research and Evaluation Activities.--Section 201 (42
U.S.C. 3011) is amended--
(1) in subsection (c)(3)(B), by striking ``in behalf'' and
inserting ``on behalf''; and
(2) in subsection (g)--
(A) in paragraph (3)(A)(ii), by inserting ``reduction of
health care expenditures,'' after ``quality of life,''; and
(B) in paragraph (7), by inserting ``and recommendations
relating to further research, evaluation, and demonstration
projects conducted under this section'' after ``title IV''.
(b) Falls Prevention Programs.--Section 411(a)(15) (42
U.S.C. 3032(a)(15)) is amended to read as follows:
``(15) bringing to scale and sustaining evidence-based
falls prevention programs to reduce the number of falls, fear
of falling, and fall-related injuries affecting older
individuals, including older individuals with disabilities,
which shall--
``(A) provide training and technical assistance to the
aging network; and
``(B) share best practices with the aging network,
including the Aging and Disability Resource Centers;''.
(c) Interagency Coordinating Committee on Healthy Aging and
Age-Friendly Communities.--Section 203(c) (42 U.S.C. 3013(c))
is amended--
(1) in paragraph (6)(B)--
(A) in clause (ii), by striking ``and'' after the
semicolon;
(B) in clause (iii), by inserting ``and'' after the
semicolon; and
(C) by adding at the end the following:
``(iv) strategies to address social isolation, including by
promoting strong and stable connections across different
generations in a family and in the community;''; and
(2) in paragraph (7), as amended by section 114(3)--
(A) in subparagraph (B), by striking ``and'' at the end;
(B) by redesignating subparagraph (C) as subparagraph (D);
and
(C) by inserting after subparagraph (B) the following:
``(C) contains an assessment of the effectiveness of
relevant Federal efforts and programs, including
implementation of best practices described in paragraph
(6)(B); and''.
SEC. 203. TECHNICAL ASSISTANCE ON EVIDENCE-BASED PROGRAMS.
(a) Technical Assistance.--The Assistant Secretary, at the
request of a State agency (as defined in section 102 of the
Older Americans Act of 1965 (42 U.S.C. 3002)) or area
agencies on aging, may provide technical assistance on the
requirements of evidence-based programs under the Older
Americans Act of 1965 (42 U.S.C. 3001 et seq.).
(b) Consideration.--The Assistant Secretary may consider
whether there are evidence-informed practices, based on the
best available science, that may improve health outcomes.
SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS.
(a) In General.--Section 202(a)(30) (42 U.S.C. 3012(a)(30))
is amended by inserting ``, access to services provided at
multipurpose senior centers, and (where appropriate) the
establishment and maintenance of multipurpose senior
centers'' before the semicolon at the end.
(b) Area Agency on Aging Plans.--Section 306(a)(2)(A) (42
U.S.C. 3026(a)(2)(A)) is amended by inserting ``, including
those services provided at multipurpose senior centers, where
appropriate'' before the semicolon at the end.
(c) State Plans.--Section 307(a)(2)(A) (42 U.S.C.
3027(a)(2)(A)) is amended by inserting ``and, to the extent
feasible, make such evaluation public'' before the semicolon
at the end.
SEC. 205. ADDRESSING HOME MODIFICATIONS.
(a) Indoor Air Quality.--Section 361(c) (42 U.S.C.
3030m(c)) is amended by striking ``buildings'' and all that
follows and inserting ``buildings and residences where older
individuals congregate or live''.
(b) Weatherization.--Section 321(a)(4) (42 U.S.C.
3030d(a)(4)) is amended by striking subparagraph (A) and
inserting ``(A) to assist older individuals in obtaining and
maintaining adequate housing, including residential repair
and renovation projects, and (if assistance for
weatherization projects does not unnecessarily duplicate
other Federal assistance available) weatherization projects,
designed to enable older individuals to maintain their homes
in conformity with minimum housing and (as applicable and
appropriate) other relevant standards, in order to support
such older individuals in aging in place and maintaining
their health;''.
SEC. 206. NATIONAL RESOURCE CENTER FOR ENGAGING OLDER ADULTS.
Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is amended by
inserting ``, such as providing appropriate training,
resources, and best practices to the aging network'' after
``older individuals''.
SEC. 207. MULTIGENERATIONAL AND CIVIC ENGAGEMENT ACTIVITIES.
Section 417 (42 U.S.C. 3032f) is amended--
[[Page S4082]]
(1) in subsection (a)--
(A) in the matter preceding paragraph (1), by striking
``projects,'' and all that follows through ``to--'' and
inserting the following: ``projects to serve individuals in
younger generations and older individuals by developing,
carrying out, and promoting participation in
multigenerational activities to--'';
(B) in paragraph (2), by adding ``and'' at the end;
(C) in paragraph (3), by striking ``opportunities for older
individuals to become a mentor to individuals in younger
generations; and'' and inserting ``opportunities--
``(A) for older individuals to become mentors to
individuals in younger generations; and
``(B) at facilities that serve older individuals or
individuals in younger generations, at which
multigenerational activities might occur.''; and
(D) by striking paragraph (4);
(2) in subsection (c)(2), by striking ``(4)'' and inserting
``(3)'';
(3) in subsection (d)--
(A) by striking paragraph (1); and
(B) by redesignating paragraphs (2) through (5) as
paragraphs (1) through (4), respectively;
(4) in subsection (g)--
(A) in paragraph (1), in the matter preceding subparagraph
(A), by striking ``of enactment of the Supporting Older
Americans Act of 2020,'' and inserting ``on which the first
grant is awarded under this section following the date of
enactment of the Older Americans Act Reauthorization Act of
2025,''; and
(B) in paragraph (2), in the matter preceding subparagraph
(A), by striking ``the Speaker of the House of
Representatives and the President pro tempore of the Senate''
and inserting ``the Committee on Health, Education, Labor,
and Pensions of the Senate and the Committee on Education and
Workforce of the House of Representatives''; and
(5) in subsection (h)(1), by striking ``or a family support
program.'' and inserting ``or a family support program, or a
program at a multipurpose senior center, long-term care
facility, or any other residential facility for older
individuals.''.
SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR OLDER
INDIVIDUALS LIVING WITH OR NEAR FAMILY MEMBERS.
(a) In General.--The Secretary shall prepare a report that
assesses--
(1) the health outcomes for older individuals who live
with, on the same property as, or otherwise in the community
in close geographic proximity, relative to the area, to
family members; and
(2) the degree to which programs under the Older Americans
Act of 1965 (42 U.S.C. 3001 et seq.) promote living in the
settings described in paragraph (1), as appropriate.
(b) Inclusion.--The report described under subsection (a)
shall include--
(1) an assessment of physical and mental health outcomes of
older individuals who live in the settings described in
subsection (a)(1) in comparison to physical and mental health
outcomes of older individuals who do not live in such
settings;
(2) an assessment of the extent to which living in such
settings mitigates social isolation and loneliness in older
individuals; and
(3) a description of the different types of such settings
and whether, and to what extent, findings under paragraphs
(1) and (2) vary across such different types.
(c) Submission.--Not later than 2 years after the date of
enactment of this Act, the Secretary shall submit to the
Committee on Health, Education, Labor, and Pensions and the
Special Committee on Aging of the Senate and the Committee on
Education and Workforce of the House of Representatives the
report required by subsection (a).
SEC. 209. IMPROVING BROADBAND COORDINATION AND REDUCING
SOCIAL ISOLATION.
(a) In General.--The Assistant Secretary shall, as
appropriate, coordinate with the Assistant Secretary of
Commerce for Communications and Information of the National
Telecommunications and Information Administration to ensure
that the aging network (as defined in section 102 of the
Older Americans Act of 1965 (42 U.S.C. 3002)) and other
relevant stakeholders are aware of, and, subject to
applicable eligibility criteria, have access to, Federal
programs relating to digital literacy and the adoption of
broadband that may support healthy aging and aging in place
for older individuals.
(b) Report.--Not later than 90 days after the date of
enactment of this Act, the Assistant Secretary shall prepare,
and submit to the Committee on Health, Education, Labor, and
Pensions, the Special Committee on Aging, and the Committee
on Commerce, Science, and Transportation of the Senate and
the Committee on Education and Workforce of the House of
Representatives, a report regarding any coordination efforts
carried out pursuant to subsection (a).
TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES
SEC. 301. MEDICALLY TAILORED MEALS.
(a) Definitions.--Section 102(14) (42 U.S.C. 3002(14)) is
amended--
(1) in subparagraph (C), by inserting ``, which may include
counseling related to the provision of medically tailored
meals,'' after ``counseling''; and
(2) in subparagraph (D), by inserting ``(including from
medically tailored meals)'' after ``improved nutrition''.
(b) Administration of Nutrition Services.--Section
205(a)(2)(A) (42 U.S.C. 3016(a)(2)(A)) is amended--
(1) in clause (vi), by inserting ``, including through the
use of innovative approaches'' after ``systems''; and
(2) in clause (viii), by inserting ``and innovative
interventions'' after ``including strategies''.
(c) Nutrition Education.--Section 214(2)(C) (42 U.S.C.
3020e(2)(C)) is amended by inserting ``, including
interventions,'' after ``other activities''.
(d) Nutrition Services Purposes.--Section 330(3) (42 U.S.C.
3030d-21(3)) is amended by inserting ``, tailored to their
individual medical and nutritional needs to the extent
feasible,'' after ``services''.
SEC. 302. GRAB-AND-GO MEALS.
Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by
adding at the end the following:
``(E) A State may elect in its plan under section 307 to
allow use of not more than 25 percent of the funds received
by such State under subpart 1 of part C, calculated after any
transfers under subparagraphs (A) and (B) are completed, to
make meals available at congregate meal sites or other
community locations for consumption by older individuals
outside such sites and locations, such as carry-out or
similar meals. A State electing to allow use of funds under
the preceding sentence shall--
``(i) ensure that such allowable use complements the
delivery of services through the congregate meals program
under section 331; and
``(ii) notify the Assistant Secretary of such election,
including a description of the amount and percentage of funds
received by such State under subpart 1 of part C to be used
for such purposes.''.
SEC. 303. GAO STUDY ON NUTRITION SERVICES INCENTIVE PROGRAM.
(a) In General.--The Comptroller General of the United
States shall conduct a study to evaluate the Nutrition
Services Incentive Program under section 311 (42 U.S.C.
3030a) (referred to in this section as the ``Program'').
(b) Inclusions.--The study under this section--
(1) shall--
(A) include an assessment of how States and Tribal
organizations use funding provided under the Program,
including the degree to which States and Tribal organizations
use such funding to procure food products from local or
regional producers for meals supported under the Program; and
(B) identify any challenges or barriers to increasing the
use of local and regional producers under the Program; and
(2) may make recommendations related to improving the
effectiveness of the Program, including with respect to the
use of local and regional producers.
(c) Report to Congress.--Not later than 18 months after the
date of enactment of this Act, the Comptroller General of the
United States shall submit to the Committee on Health,
Education, Labor, and Pensions and the Special Committee on
Aging of the Senate and the Committee on Education and
Workforce of the House of Representatives a report on the
results of the study under this section.
SEC. 304. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.
Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et
seq.) is amended by adding at the end the following:
``SEC. 340. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.
``(a) Demonstration To Reduce Hunger, Food Insecurity, and
Malnutrition.--
``(1) In general.--From funds available under paragraph
(5), the Assistant Secretary shall make grants, on a
competitive basis, to eligible entities, to achieve the
purposes of section 330(1) by developing, testing,
implementing, and evaluating innovative local or regional
approaches to improve the quality, effectiveness, efficiency,
and outcomes of nutrition projects and services described in
sections 311, 331, and 336.
``(2) Eligibility.--In order to be eligible for a grant
under paragraph (1), an entity shall--
``(A) be--
``(i) a State agency, an area agency on aging, an Indian
Tribe, a Tribal organization, or another public or nonprofit
private entity, including a nutrition service provider, a
multipurpose senior center, a health care entity, or an
institution of higher education; or
``(ii) a partnership between any entities described in
clause (i); and
``(B) submit an application at such time and in such manner
as the Assistant Secretary may require, including--
``(i) a description of an innovative approach referred to
in paragraph (1) that the entity proposes to implement under
the grant;
``(ii) a plan for evaluating the effectiveness, including
cost-effectiveness, of the innovative approach proposed; and
``(iii) a plan for the publication of the results of such
evaluation.
``(3) Priority.--In selecting eligible entities for grants
under this subsection, the Assistant Secretary shall give
priority to eligible entities proposing to carry out a grant
in 1 or more rural areas.
``(4) Report.--Not later than 1 year after the date of
enactment of the Older Americans Act Reauthorization Act of
2025, and annually thereafter, the Assistant Secretary shall
submit a report to the Committee on Health, Education, Labor,
and Pensions and the Special Committee on Aging of the Senate
and the Committee on Education and
[[Page S4083]]
Workforce of the House of Representatives describing any
activities carried out under paragraph (1), an assessment of
the outcomes of such activities using rigorous methodologies,
and recommendations for inclusion of any successful
innovative approaches within nutrition programs established
under this Act.
``(5) Reservation.--From the total of the amounts made
available for a fiscal year under paragraphs (1) and (2) of
section 303(b) and in section 311(e), the Assistant Secretary
shall reserve an amount equal to not more than 1 percent to
carry out activities described in paragraph (1) of this
subsection.
``(b) Innovative Approaches To Reduce Hunger, Food
Insecurity, and Malnutrition.--
``(1) In general.--Subject to paragraph (6), in carrying
out nutrition projects established under this Act, a State
agency or title VI grantee may implement innovative
approaches, including any applicable approaches implemented
previously by the Assistant Secretary or pursuant to
subsection (a), that are demonstrated to be effective, to
achieve the purposes described in section 330(1) by
improving--
``(A) the quality, composition, preparation, modality,
delivery, or location of meals provided to older individuals
under this Act; or
``(B) the efficiency and effectiveness of distributing,
delivering, or otherwise making meals available to older
individuals under this Act.
``(2) Waiver.--At the request of a State agency
implementing an approach under paragraph (1), the Assistant
Secretary may waive any requirements of subpart 1 or 2 with
respect to such State agency if such requirements impede the
ability of such State agency to successfully implement such
an approach.
``(3) Flexibility.--The Secretary shall provide maximum
flexibility to a title VI grantee implementing an approach
under paragraph (1) in the same manner as the Secretary
provides maximum flexibility in accordance with section
614(c)(3).
``(4) Sunset.--The authority to carry out activities
described in paragraph (1) shall expire on October 1, 2030.
``(5) Report.--Not later than September 30, 2029, the
Assistant Secretary shall submit a report to the Committee on
Health, Education, Labor, and Pensions and the Special
Committee on Aging of the Senate and the Committee on
Education and Workforce of the House of Representatives
describing any activities carried out by State agencies or
title VI grantees under paragraph (1), an assessment of the
outcomes of such activities using rigorous methodologies, and
recommendations for inclusion of any successful innovative
approaches within nutrition programs established under this
Act.
``(6) Use of allotment.--If the amount appropriated to
carry out section 311 for a fiscal year exceeds the amount
appropriated to carry out section 311 for the prior fiscal
year or fiscal year 2024, whichever is greater, a State
agency and title VI grantee in receipt of an allotment under
section 311(b) may elect to use the difference between the
allotment received for the fiscal year and the allotment
received for the prior fiscal year or fiscal year 2024,
whichever is greater, for activities described in paragraph
(1).
``(7) Rule of construction.--Nothing in this subsection
shall be construed as limiting or prohibiting the
requirements described in section 339 from applying to
nutrition projects utilizing an innovative approach under
this subsection.''.
TITLE IV--SUPPORTING FAMILY CAREGIVERS
SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER SUPPORT
PROGRAM.
(a) State Requirements for State and Community Programs on
Aging Grants.--Section 305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E))
is amended--
(1) in clause (i), by striking ``and'' at the end;
(2) in clause (ii), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following:
``(iii) available supports for family caregivers and older
relative caregivers (as defined in section 372(a)).''.
(b) Area Plan Requirements.--Section 306(a)(7)(D) (42
U.S.C. 3026(a)(7)(D)) is amended--
(1) in clause (i), by striking ``and'' at the end;
(2) in clause (ii), by adding ``and'' after the semicolon;
and
(3) by adding at the end the following:
``(iii) available supports for family caregivers and older
relative caregivers (as defined in section 372(a));''.
(c) Definitions Relating to the National Family Caregiver
Support Program.--
(1) In general.--Section 372(a) (42 U.S.C. 3030s(a)) is
amended--
(A) in paragraph (1)--
(i) in the first sentence, by striking ``The term'' and
inserting the following:
``(A) In general.--The term''; and
(ii) in subparagraph (A) (as so designated), in the second
sentence--
(I) by striking the period at the end and inserting ``;
and'';
(II) by striking ``Such assessment shall be administered
through'' and inserting the following:
``(B) Administration of assessments.--A caregiver
assessment under subparagraph (A) shall--
``(i) be administered through''; and
(III) by adding at the end the following:
``(ii) take into account--
``(I) linguistic and cultural differences;
``(II) the ease for the caregiver to access information,
supports, or services, and the timeliness of access to such
information, supports, or services;
``(III) barriers to accessing information, supports, or
services;
``(IV) the availability of information, supports, or
services in accessible formats; and
``(V) the quality of information, supports, or services
received, and the degree to which it is helpful to the
caregiver.'';
(B) by striking paragraph (2) and inserting the following:
``(2) Child or youth.--The term `child or youth' means an
individual who is not more than--
``(A) 18 years of age; or
``(B) 22 years of age, in the case of an individual who is
enrolled in any form of schooling (including on a part-time
basis), including--
``(i) in high school or secondary school (as such terms are
defined in section 8101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801)); or
``(ii) in an institution of higher education (as defined in
section 102 of the Higher Education Act of 1965 (20 U.S.C.
1002)).''; and
(C) in paragraph (4)(B)--
(i) in clause (i), by inserting ``adult'' after ``or
other''; and
(ii) by amending clause (iii) to read as follows:
``(iii)(I) has a legal relationship to the child or youth,
such as legal custody, adoption, or guardianship, or is
raising the child or youth informally; and
``(II) in the case of a child or youth described in
paragraph (2)(B) who is 18 years of age or older, had
established such a legal relationship, or began raising such
child or youth informally, prior to the child or youth
reaching the age of 18; and''.
(2) Conforming amendments.--Part E of title III (42 U.S.C.
3030s et seq.) is amended--
(A) by inserting ``or youth'' after ``child'' each place it
appears (other than in sections 372(a)(2) (as amended by
paragraph (1)(B)) and 372(a)(4)(B)(iii) (as amended by
paragraph (1)(C)(ii))); and
(B) in section 373(c)(2)(B) (42 U.S.C. 3030s-1(c)(2)(B)),
by inserting ``or youth'' after ``children''.
(d) Program Authorized.--Section 373 (42 U.S.C. 3030s-1) is
amended--
(1) in subsection (b)(3)--
(A) by inserting ``which may include trauma-informed
services, peer supports,'' after ``individual counseling,'';
and
(B) by inserting ``elder abuse prevention,'' after
``nutrition,'';
(2) in subsection (c)--
(A) in the subsection heading, by striking ``Priority'' and
inserting ``Priority; Consideration''; and
(B) by adding at the end the following:
``(3) Consideration.--In providing services under this
part, the State shall consider--
``(A) that older relative caregivers caring for multiple
children or youth may need greater resources and supports;
and
``(B) the circumstances and unique needs of different types
of caregivers, including the needs of children or youth and
their older relative caregivers whose families have been
affected by substance use disorder, including opioid use
disorder.'';
(3) in subsection (e)--
(A) in the matter preceding paragraph (1), by striking
``Not later than'' and all that follows through ``the
Assistant Secretary shall'' and inserting ``The Assistant
Secretary shall, on a regular basis'';
(B) in paragraph (1)--
(i) in subparagraph (B), by striking ``and'' at the end;
(ii) by redesignating subparagraph (C) as subparagraph (D);
and
(iii) by inserting after subparagraph (B) the following:
``(C) the use of caregiver assessments; and''; and
(C) in paragraph (2), by striking ``make available'' and
inserting ``prepare, publish, and disseminate'';
(4) in subsection (i)--
(A) in paragraph (1), by inserting ``, which may include
the improvement of the quality and consistency of caregiver
assessments and access to other information, supports, or
services'' after ``section 631''; and
(B) in paragraph (2), by inserting ``(including outcome
measures)'' after ``program evaluation''; and
(5) in subsection (j)--
(A) in the matter preceding paragraph (1), by striking
``Not later than'' and all that follows through ``shall
provide technical assistance'' and inserting ``Beginning not
later than 1 year after the date of enactment of the Older
Americans Act Reauthorization Act of 2025, the Assistant
Secretary, in consultation with stakeholders with appropriate
expertise and, as appropriate, informed by the most recent
strategy developed under the RAISE Family Caregivers Act (42
U.S.C. 3030s note) and the most recent report developed under
the Supporting Grandparents Raising Grandchildren Act (Public
Law 115-196; 132 Stat. 1511), shall provide ongoing technical
assistance'';
(B) in paragraph (2), by striking ``and'' at the end;
(C) by redesignating paragraph (3) as paragraph (4); and
(D) by inserting after paragraph (2) the following:
[[Page S4084]]
``(3) the quality and consistency of caregiver assessments
used across States; and''.
SEC. 402. EMPHASIZING RESPITE CARE.
Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is amended to
read as follows:
``(19) services, which may include respite care through
various models, designed to support family members and other
persons providing voluntary care to older individuals that
need long-term care services, which may include older
individuals with cognitive impairments such as Alzheimer's
disease and related disorders with neurological and organic
brain dysfunction;''.
SEC. 403. CLARIFYING SUPPORTIVE SERVICES.
Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is amended by
striking ``mentally impaired older individuals'' and
inserting ``older individuals with cognitive, physical, or
mental impairments''.
SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER.
Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amended--
(1) in subparagraph (B), by adding ``and'' at the end;
(2) by redesignating subparagraphs (A) and (B) as clauses
(i) and (ii), respectively, and adjusting the margins
accordingly;
(3) in the matter preceding clause (i) (as so
redesignated)--
(A) by inserting ``and, as appropriate, the heads of other
relevant Federal departments and agencies'' after ``Labor'';
and
(B) by striking ``workers, and the soliciting,'' and
inserting the following: ``workers, including--
``(A) the soliciting,''; and
(4) by adding at the end the following:
``(B) the establishment and operation of a national
resource center that supports the growth and
professionalization of the direct care workforce necessary to
meet the needs of older individuals and individuals with
disabilities, and, in a manner that does not unnecessarily
duplicate the activities of other resource centers supported
by the Assistant Secretary, that addresses training and other
educational needs of family caregivers, which activities of
the center may include--
``(i) the provision of training and technical assistance,
including through the development and dissemination of
educational materials, to States, long-term services and
supports providers, direct care workers, and family
caregivers; and
``(ii) promoting existing, and supporting the demonstration
of new, strategies for the recruitment, retention, career
development, or advancement of direct care workers 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;''.
SEC. 405. SUPPORTING GRANDPARENTS RAISING GRANDCHILDREN ACT.
(a) Findings.--The Supporting Grandparents Raising
Grandchildren Act (Public Law 115-196; 132 Stat. 1511) is
amended by striking section 2.
(b) Definitions.--The Supporting Grandparents Raising
Grandchildren Act is amended by redesignating section 4 as
section 2 and moving the section so as to follow section 1.
(c) Advisory Council.--Section 3 of the Supporting
Grandparents Raising Grandchildren Act is amended--
(1) in subsection (b)--
(A) in paragraph (1)--
(i) by redesignating subparagraphs (G) through (I) as
subparagraphs (H) through (J);
(ii) by inserting after subparagraph (F) the following:
``(G) The Assistant Secretary for Health.'';
(iii) in subparagraph (I), as so redesignated, by striking
``of children''; and
(iv) in subparagraph (J), as so redesignated, by striking
``relatives'' and inserting ``relative caregivers''; and
(B) by adding at the end the following:
``(3) Limitation on non-federal members.--Not more than 10
members of the Advisory Council may be individuals who are
not Federal officers or employees.'';
(2) in subsection (c)--
(A) in paragraph (1)--
(i) in subparagraph (A)--
(I) in the matter preceding clause (i), by striking
``relatives'' and inserting ``relative caregivers''; and
(II) in clause (i)--
(aa) by striking ``the health,'' and inserting ``the near-
and long-term health, including mental health,''; and
(bb) by striking ``care; and'' and inserting ``care,
including any needs related to the circumstances that caused
such children to be raised by a grandparent or older relative
caregiver; and''; and
(ii) in subparagraph (B)--
(I) by striking ``(B)'' and all that follows through ``In''
and inserting the following:
``(B) Considerations.--In''; and
(II) by striking ``needs of those affected by the opioid
crisis'' and inserting ``needs and challenges of individuals
affected by substance use disorder, including opioid use
disorder, or, as applicable and appropriate, needs and
challenges of individuals related to other circumstances,
which may include public health emergencies'';
(B) in paragraph (2)--
(i) in subparagraph (A), in the matter preceding clause
(i), by striking ``enactment of this Act'' and inserting
``enactment of the Older Americans Act Reauthorization Act of
2025''; and
(ii) in subparagraph (B)--
(I) in clause (i)--
(aa) by striking ``relatives'' and inserting ``relative
caregivers''; and
(bb) by striking ``needs of children'' and all that follows
through ``epidemic;'' and inserting ``needs of children and
their older relative caregivers who have been affected by
substance use disorder, including opioid use disorder;'';
(II) in clause (ii), by striking ``and'' at the end;
(III) by redesignating clause (iii) as clause (iv); and
(IV) by inserting after clause (ii) the following:
``(iii) a description of any activities of the Department
of Health and Human Services to evaluate the effectiveness of
supportive services in addressing the needs of children and
their older relative caregivers, including those who have
been affected by substance use disorder, including opioid use
disorder, and any related findings; and'';
(C) in paragraph (3)--
(i) in the matter preceding subparagraph (A)--
(I) by striking ``(3)'' and all that follows through
``Not'' and inserting the following:
``(3) Follow-up reports.--Not'';
(II) by striking ``2 years'' and inserting ``180 days'';
and
(III) by inserting after ``submitted,'' the following:
``and every 2 years thereafter until the Advisory Council
terminates under subsection (f),''; and
(D) in paragraph (4) by striking ``relatives'' each place
it appears and inserting ``relative caregivers'';
(3) in subsection (d), by striking ``the Federal Advisory
Committee Act (5 U.S.C. App.).'' and inserting ``chapter 10
of title 5, United States Code.''; and
(4) in subsection (f), by striking ``terminate'' and all
that follows through ``Act.'' and inserting ``terminate on
September 30, 2030.''.
SEC. 406. RAISE FAMILY CAREGIVERS ACT.
(a) Strategy.--Section 3 of the RAISE Family Caregivers Act
(42 U.S.C. 3030s note) is amended--
(1) in subsection (c)--
(A) in the matter preceding paragraph (1), by inserting
``(or the Secretary's designee)'' after ``The Secretary'';
and
(B) in paragraph (1), by inserting ``and made publicly
available by the Secretary,'' after ``caregiver programs,'';
and
(2) in subsection (d)(2), by inserting ``in'' after
``caregiver programs''.
(b) Council.--Section 4(e) of that Act (42 U.S.C. 3030s
note) is amended by striking ``The Federal Advisory Committee
Act (5 U.S.C. App.)'' and inserting ``Chapter 10 of title 5,
United States Code,''.
(c) Sunset Extension.--Section 6 of that Act (42 U.S.C.
3030s note) is amended by striking ``terminate'' and all that
follows through ``Act.'' and inserting ``terminate on
September 30, 2030.''.
TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT
SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOYMENT PROGRAM.
(a) Program.--Section 502(b)(1) (42 U.S.C. 3056(b)(1)) is
amended--
(1) in subparagraph (C)(ii), by striking ``section
513(a)(2)(E)'' and inserting ``section 513(a)(2)(F)''; and
(2) in subparagraph (E), by inserting ``older
individuals,'' after ``youth,''.
(b) Performance.--Section 513 (42 U.S.C. 3056k) is
amended--
(1) in subsection (a)(2)--
(A) in subparagraph (D)(iii), by inserting ``, including
toward the long-term performance goals determined by the
Department of Labor under the Government Performance and
Results Act of 1993 (Public Law 103-62; 107 Stat. 285) and
the amendments made by such Act,'' after ``core measures'';
(B) by redesignating subparagraph (E) as subparagraph (F);
and
(C) by inserting after subparagraph (D) the following:
``(E) Biennial report.--Not later than 2 years after the
date of enactment of the Older Americans Act Reauthorization
Act of 2025, and every 2 years thereafter during the period
of the program described in section 502(a)(1), the Secretary
shall prepare, make publicly available, and submit to the
Committee on Health, Education, Labor, and Pensions and the
Special Committee on Aging of the Senate and the Committee on
Education and Workforce of the House of Representatives a
report regarding the methodology used to arrive at the
expected levels of performance described in subparagraph (B)
for each grantee, including the particular statistical model
used and other factors taken into account, as described in
subparagraph (D).'';
(2) in subsection (b)(1)(C), by striking ``fourth quarter
after exit from the project'' and inserting ``second quarter
after exit from the project and remain in unsubsidized
employment during the fourth quarter after exit from the
project'';
(3) in subsection (c) and paragraphs (1)(A), (2)(A), and
(3)(A) of subsection (d), by striking ``subsection
(a)(2)(E)'' and inserting ``subsection (a)(2)(F)''; and
(4) in subsection (d)--
(A) in paragraph (2)(B)(iii), by adding at the end the
following: ``For grants awarded on or after the date that is
2 years after the date of enactment of the Older Americans
Act Reauthorization Act of 2025, any grantee who has failed
to meet the expected levels of performance for the 2
consecutive years prior to the subsequent grant competition
under section 514 shall not be allowed to compete in the
subsequent grant competition under
[[Page S4085]]
section 514 following the second consecutive year of failure
but may compete in the next such grant competition after that
subsequent competition.''; and
(B) in paragraph (3)(B)(iii), by adding at the end the
following: ``For grants awarded on or after the date that is
2 years after the date of enactment of the Older Americans
Act Reauthorization Act of 2025, if the Secretary determines
that the State fails to meet the expected levels of
performance described in subparagraph (A) for 2 consecutive
program years, the Secretary shall provide for the conduct by
the State of a competition to award the funds allotted to the
State under section 506(e) for the first full program year
following the Secretary's determination.''.
(c) Definitions and Rule.--
(1) Definitions.--Section 518(a)(1)(A) (42 U.S.C.
3056p(a)(1)(A)) is amended to read as follows:
``(A) social, health, welfare, and educational services
(including literacy tutoring and services provided by the
aging network), legal and other counseling services and
assistance (including tax counseling and assistance and
financial counseling), and library, recreational, and other
similar services;''.
(2) Rule.--Section 518(b)(2)(F) (42 U.S.C. 3056p(b)(2)(F))
is amended to read as follows:
``(F) has failed to find employment after receiving any
combination of training services or the following career
services provided under title I of the Workforce Innovation
and Opportunity Act (29 U.S.C. 3111 et seq.)--
``(i) initial or comprehensive skills assessment;
``(ii) labor exchange services;
``(iii) provision of workforce and labor market information
or job search assistance;
``(iv) development of an individual employment plan;
``(v) group or individual counseling;
``(vi) career planning;
``(vii) internship, work experience, workforce preparation
activities, or prevocational services;
``(viii) English language acquisition and integrated
education and training; or
``(ix) followup services;''.
SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COMMUNITY
SERVICE EMPLOYMENT PROGRAM.
(a) Review.--Not later than 18 months after the date of
enactment of this Act, the Comptroller General of the United
States shall complete a review in which the Comptroller
General--
(1) evaluates--
(A) the distinct differences and similarities between the
older American community service employment program as
authorized under title V of the Older Americans Act of 1965
(42 U.S.C. 3056 et seq.) and the programs carried out under
title I of the Workforce Innovation and Opportunity Act (29
U.S.C. 3111 et seq.); and
(B) how the programs described in subparagraph (A) serve
older individuals in seeking and obtaining community service
employment;
(2) analyzes the expected levels of performance described
in section 513(a) of the Older Americans Act of 1965 (42
U.S.C. 3056k(a)), the efficacy and impacts of the indicators
of performance described in section 513(b) of the Older
Americans Act of 1965 (42 U.S.C. 3056k(b)), and corrective
measures described in section 513(d) of the Older Americans
Act of 1965 (42 U.S.C. 3056k(d)) for the older American
community service employment program, compared with the
expected levels of performance, efficacy and impacts of the
indicators of performance, and corrective measures described
in section 116 of the Workforce Innovation and Opportunity
Act (29 U.S.C. 3141) for programs authorized under title I of
such Act, including the efficacy of the indicators of
performance described in section 513(b) of the Older
Americans Act of 1965 (42 U.S.C. 3056k(b)) for individuals
described in subsection (a)(3)(B)(ii) or subsection (b) of
section 518 of the Older Americans Act of 1965 (42 U.S.C.
3056p);
(3) develops recommendations for any alternative measures
that may better measure the efficacy of the older American
community service employment program as authorized under
title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et
seq.) for individuals described in subsection (a)(3)(B)(ii)
or subsection (b) of section 518 of the Older Americans Act
of 1965 (42 U.S.C. 3056p) to achieve the objectives described
in section 101 of the Older Americans Act of 1965 (42 U.S.C.
3001); and
(4) evaluates how the Department of Labor coordinates
delivery of services with State and national grantees under
title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et
seq.) and with States and local workforce development areas
under title I of the Workforce Innovation and Opportunity Act
(29 U.S.C. 3111 et seq.) to serve older individuals.
(b) Report to Congress.--Not later than 180 days after the
review required under this section is completed, the
Comptroller General shall submit to the Committee on Health,
Education, Labor, and Pensions and the Special Committee on
Aging of the Senate and the Committee on Education and
Workforce of the House of Representatives a report on the
results of such review.
TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS
SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE.
Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at
the end the following:
``(4)(A) In addition to other methods of government-to-
government consultation between the Administration and Indian
Tribes and conferring with organizations representing Native
Hawaiians, the Assistant Secretary shall establish an
advisory committee, to be known as the `Older Americans
Tribal Advisory Committee' (referred to in this paragraph as
the `Committee') to provide advice and guidance to the
Assistant Secretary on matters relating to the needs of older
individuals who are Native Americans and implementation of
related programs and activities under this Act.
``(B) The Committee shall be composed of 11 voting, non-
Federal members, including--
``(i) geographically diverse individuals with expertise on
the range of issues affecting Indian Tribes, organizations
representing Native Hawaiians, and older individuals who are
Native Americans;
``(ii) not less than 1 member who is an Alaska Native; and
``(iii) not less than 1 member who is a Native Hawaiian.
``(C) The Committee shall include non-voting, ex officio
representatives of relevant Federal departments and agencies,
including--
``(i) the Administration;
``(ii) the Indian Health Service;
``(iii) the Centers for Medicare & Medicaid Services;
``(iv) the Department of the Interior;
``(v) the Department of Labor; and
``(vi) any other agency or office with subject matter
expertise that the Assistant Secretary determines
appropriate.
``(D) The Committee shall meet in person not less
frequently than twice each year.
``(E) The Committee shall coordinate, as appropriate, with
the Secretary's Tribal Advisory Committee of the Department
of Health and Human Services.
``(F)(i) Not less frequently than once each year, the
Committee shall submit to the Assistant Secretary and make
publicly available a report that describes--
``(I) the activities of the Committee during the previous
year; and
``(II) recommendations for administrative action, including
the identification of any statutory barriers to carrying out
such recommendations, for the following year.
``(ii) Not later than 60 days after the date on which the
Assistant Secretary receives a report under clause (i), the
Assistant Secretary shall submit to the Committee a written
response to such report.
``(G) Chapter 10 of title 5, United States Code, shall not
apply to the Committee.
``(H) In establishing, developing procedures for, and
operating the Committee, the Assistant Secretary shall--
``(i) consult with Indian Tribes and confer with
organizations representing Native Hawaiians; and
``(ii) take into consideration best practices of other
Tribal advisory committees operated by the Department of
Health and Human Services before the date of enactment of the
Older Americans Act Reauthorization Act of 2025.''.
SEC. 602. SUPPORTIVE SERVICES; SET ASIDE.
(a) Supportive Services.--Section 636 (42 U.S.C. 3057k-21)
is amended--
(1) in subsection (a), by striking ``may'' and inserting
``shall, as practicable,''; and
(2) in subsection (b)(2), by striking ``in-home
assistance'' and inserting ``in-home services''.
(b) Funding Set Aside.--Section 644 (42 U.S.C. 3057o) is
amended--
(1) by striking ``Of'' and inserting the following:
``(a) In General.--Of''; and
(2) by adding at the end the following:
``(b) Report.--Not later than 1 year after the date of
enactment of the Older Americans Act Reauthorization Act of
2025, the Assistant Secretary shall submit to the Committee
on Health, Education, Labor, and Pensions of the Senate and
the Committee on Education and Workforce of the House of
Representatives, a report on the use of funds under part D.
Such report shall include--
``(1) the total amount of funds made available under
subsection (a) to carry out part D for each fiscal year;
``(2) a list of award recipients under part D; and
``(3) a summary of supportive services for healthy aging
and independence provided under part D.''.
SEC. 603. GAO REPORT ON TRIBAL SERVICES.
Not later than 18 months after the date of enactment of
this Act, the Comptroller General of the United States shall
submit to Congress a report that--
(1) evaluates and identifies barriers to Indian Tribes (as
defined in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 5304)) and organizations
serving Native Hawaiians accessing programs under title VI of
the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.), and
coordination of such programs under such title VI with
programs funded under titles III and IV of such Act (42
U.S.C. 3021 et seq., 42 U.S.C. 3031 et seq.), including by--
(A) estimating the number of Native Americans unserved by
programs under such title VI;
(B) identifying States and area agencies on aging making
grants to Indian Tribes under such title III; and
(C) providing estimates of funding necessary to support
programs under such title VI for all Tribal organizations (as
defined in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 5304)) and organizations
serving Native Hawaiians that are not eligible under such
title
[[Page S4086]]
VI (as in effect on the date of enactment of this Act); and
(2) details how grantees under title V of the Older
Americans Act of 1965 (42 U.S.C. 3056 et seq.) are serving
older individuals who are Native Americans with funds
received under such title V, including by evaluating how the
Secretary of Labor coordinates with State and national
grantees under such title V to serve older individuals who
are Native Americans.
SEC. 604. TECHNICAL AMENDMENTS.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 102 (42 U.S.C. 3002)--
(A) in paragraph (27), by striking ``the term `Indian
tribe' means any tribe'' and inserting ``the term `Indian
Tribe' means any Tribe''; and
(B) in paragraph (56), by striking ``the term `tribal
organization' means'' and inserting ``the term `Tribal
organization' means'';
(2) in section 418(a)(2)(6) (42 U.S.C. 3032g(a)(2)(6)), by
striking ``Speaker of the House of Representatives and the
President pro tempore of the Senate'' and inserting
``Committee on Health, Education, Labor, and Pensions of the
Senate and the Committee on Education and Workforce of the
House of Representatives'';
(3) in section 612(c) (42 U.S.C. 3057c(c))--
(A) by striking ``terms `Indian tribe' and `tribal
organization' have'' and inserting ``terms `Indian Tribe' and
`Tribal organization' have''; and
(B) by striking ``(25 U.S.C. 450b)'' and inserting ``(25
U.S.C. 5304)''; and
(4) by striking ``tribe'', ``tribes'', and ``tribal'' each
place such terms appear and inserting ``Tribe'', ``Tribes'',
and ``Tribal'', respectively.
TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND
ELDER ABUSE PREVENTION
SEC. 701. DIRECTOR OF THE OFFICE OF LONG-TERM CARE OMBUDSMAN
PROGRAMS.
Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is amended,
in the second sentence, by inserting ``serve on a full-time
basis and'' after ``shall''.
SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RELATING TO
ELDER ABUSE PREVENTION.
Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is amended
by striking clause (v) and inserting the following:
``(v) establishing an information clearinghouse to collect,
maintain, and disseminate information concerning best
practices and resources for training, technical assistance,
and other activities, which may include training resources
for paralegals or law students who are under the direct
supervision of an attorney, to assist State Long-Term Care
Ombudsman programs, adult protective services programs, and
other legal services relating to defense of guardianship,
promotion of self-determination, and the matters described in
clause (ii)(I), and to assist States and communities to carry
out evidence-based programs to prevent and address elder
abuse, neglect, and exploitation;''.
SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER THE STATE
LONG-TERM CARE OMBUDSMAN PROGRAM.
Section 712 (42 U.S.C. 3058g) is amended--
(1) in subsection (h)(5)--
(A) in the matter preceding subparagraph (A)--
(i) by striking ``the representatives'' and inserting
``each type of representative''; and
(ii) by inserting ``types of'' before ``unpaid
volunteers'';
(B) in subparagraph (A), by inserting ``for each such type
of representative'' before the semicolon at the end;
(C) in subparagraph (B)(iii), by striking ``and'' at the
end;
(D) in subparagraph (C), by adding ``and'' at the end; and
(E) by adding at the end the following:
``(D) with respect to representatives of the Office who are
unpaid volunteers, take into consideration the degree to
which each such type of unpaid volunteer performs activities
requiring specialized training, with a goal of reducing
unnecessary training requirements for prospective unpaid
volunteers;''; and
(2) by adding at the end the following:
``(k) Training Requirements for Unpaid Volunteers.--
``(1) In general.--In providing the model standards
described in subsection (h)(5), the Director of the Office of
Long-Term Care Ombudsman Programs shall review and, as
necessary, update such model standards on a regular basis to
tailor such model standards to the individualized training
needs of each type of representative of the Office, including
each type of unpaid volunteer.
``(2) Considerations.--In carrying out paragraph (1), the
Director of the Office of Long-Term Care Ombudsman Programs
shall take into consideration the degree to which each type
of representative of the Office performs activities that
require specialized training, with a goal of reducing
unnecessary training requirements for unpaid volunteers.''.
SEC. 704. REPORTING ON STATE LONG-TERM CARE OMBUDSMAN
PROGRAMS.
Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f et
seq.) is amended by adding at the end the following:
``SEC. 714. REPORTS TO CONGRESS.
``Each year, the Assistant Secretary shall submit to the
Committee on Health, Education, Labor, and Pensions and the
Special Committee on Aging of the Senate and the Committee on
Education and Workforce of the House of Representatives, and
make publicly available, a report that--
``(1) aggregates all reports submitted under section 712(h)
for such year; and
``(2) provides a summary of the findings of such
reports.''.
SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.
(a) In General.--The Assistant Secretary shall seek to
enter into a contract with the National Academies of
Sciences, Engineering, and Medicine (referred to in this
section as the ``National Academies'') to conduct a study on
the State Long-Term Care Ombudsman programs carried out under
the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.),
including an assessment of the effectiveness of such programs
and any related challenges and recommendations. The study
shall include an assessment of the current (as of the date on
which the contract is entered into) recommended staff-to-bed
ratio for such programs, as appropriate.
(b) Report.--Not later than 18 months after the date on
which a contract is entered into under subsection (a), the
National Academies shall publicly issue a report on the
findings of the study under this section.
TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS
SEC. 801. ADMINISTRATION ON AGING.
Section 216 (42 U.S.C. 3020f) is amended--
(1) in subsection (a), by striking ``$43,937,410'' and all
that follows through ``fiscal year 2024'' and inserting
``$55,469,968 for fiscal year 2026, $58,034,197 for fiscal
year 2027, $60,716,964 for fiscal year 2028, $63,523,747 for
fiscal year 2029, and $66,460,281 for fiscal year 2030''; and
(2) in subsection (b)--
(A) in paragraph (1), by striking ``$2,180,660'' and all
that follows through ``fiscal year 2024'' and inserting
``$2,753,033 for fiscal year 2026, $2,880,298 for fiscal year
2027, $3,013,447 for fiscal year 2028, $3,152,751 for fiscal
year 2029, and $3,298,494 for fiscal year 2030'';
(B) in paragraph (2), by striking ``$1,988,060'' and all
that follows through ``fiscal year 2024'' and inserting
``$2,509,880 for fiscal year 2026, $2,625,905 for fiscal year
2027, $2,747,294 for fiscal year 2028, $2,874,294 for fiscal
year 2029, and $3,007,165 for fiscal year 2030'';
(C) in paragraph (3), by striking ``$1,371,740'' and all
that follows through ``fiscal year 2024'' and inserting
``$1,731,790 for fiscal year 2026, $1,811,846 for fiscal year
2027, $1,895,603 for fiscal year 2028, $1,983,232 for fiscal
year 2029, and $2,074,911 for fiscal year 2030''; and
(D) in paragraph (4), by striking ``$8,687,330'' and all
that follows through ``fiscal year 2024'' and inserting
``$10,967,554 for fiscal year 2026, $11,474,555 for fiscal
year 2027, $12,004,993 for fiscal year 2028, $12,559,952 for
fiscal year 2029, and $13,140,565 for fiscal year 2030''.
SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING.
(a) In General.--Section 303 (42 U.S.C. 3023) is amended--
(1) in subsection (a)(1), by striking ``$412,029,180'' and
all that follows through ``fiscal year 2024'' and inserting
``$520,177,347 for fiscal year 2026, $544,223,762 for fiscal
year 2027, $569,381,780 for fiscal year 2028, $595,702,785
for fiscal year 2029, and $623,240,541 for fiscal year
2030'';
(2) in subsection (b)--
(A) in paragraph (1), by striking ``$530,015,940'' and all
that follows through ``fiscal year 2024'' and inserting
``$669,132,913 for fiscal year 2026, $700,065,148 for fiscal
year 2027, $732,427,298 for fiscal year 2028, $766,285,465
for fiscal year 2029, and $801,708,804 for fiscal year
2030''; and
(B) in paragraph (2), by striking ``$268,935,940'' and all
that follows through ``fiscal year 2024'' and inserting
``$339,525,428 for fiscal year 2026, $355,220,786 for fiscal
year 2027, $371,641,698 for fiscal year 2028, $388,821,705
for fiscal year 2029, and $406,795,899 for fiscal year
2030'';
(3) in subsection (d), by striking ``$26,587,360'' and all
that follows through ``fiscal year 2024'' and inserting
``$33,565,929 for fiscal year 2026, $35,117,593 for fiscal
year 2027, $36,740,986 for fiscal year 2028, $38,439,424 for
fiscal year 2029, and $40,216,376 for fiscal year 2030''; and
(4) in subsection (e), by striking ``$193,869,020'' and all
that follows through ``fiscal year 2024'' and inserting
``$244,755,171 for fiscal year 2026, $256,069,552 for fiscal
year 2027, $267,906,966 for fiscal year 2028, $280,291,593
for fiscal year 2029, and $293,248,728 for fiscal year
2030''.
(b) Nutrition Services Incentive Program.--Section 311(e)
(42 U.S.C. 3030a(e)) is amended by striking ``$171,273,830''
and all that follows through ``fiscal year 2024'' and
inserting ``$216,229,264 for fiscal year 2026, $226,224,968
for fiscal year 2027, $236,682,747 for fiscal year 2028,
$247,623,961 for fiscal year 2029, and $259,070,958 for
fiscal year 2030''.
SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.
Section 411(b) (42 U.S.C. 3032(b)) is amended--
(1) in paragraph (1), by striking ``$14,514,550'' and all
that follows through ``fiscal year 2024'' and inserting
``$18,324,285 for fiscal year 2026, $19,171,368 for fiscal
year 2027, $20,057,609 for fiscal year 2028, $20,984,819 for
fiscal year 2029, and $21,954,892 for fiscal year 2030''; and
(2) in paragraph (2), by striking ``$15,613,440'' and all
that follows through ``fiscal year 2024'' and inserting
``$19,711,608
[[Page S4087]]
for fiscal year 2026, $20,622,823 for fiscal year 2027,
$21,576,161 for fiscal year 2028, $22,573,570 for fiscal year
2029, and $23,617,086 for fiscal year 2030''.
SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT.
Section 517(a) (42 U.S.C. 3056o(a)) is amended by striking
``$428,000,000'' and all that follows through ``fiscal year
2024'' and inserting ``$540,340,139 for fiscal year 2026,
$565,318,627 for fiscal year 2027, $591,451,804 for fiscal
year 2028, $618,793,048 for fiscal year 2029, and
$647,398,205 for fiscal year 2030''.
SEC. 805. GRANTS FOR NATIVE AMERICANS.
Section 643 (42 U.S.C. 3057n) is amended--
(1) in paragraph (1), by striking ``$37,102,560'' and all
that follows through ``fiscal year 2024'' and inserting
``$47,028,435 for fiscal year 2026, $49,202,434 for fiscal
year 2027, $51,476,932 for fiscal year 2028, $53,856,574 for
fiscal year 2029, and $56,346,220 for fiscal year 2030''; and
(2) in paragraph (2), by striking ``$10,759,920'' and all
that follows through ``fiscal year 2024'' and inserting
``$13,584,151 for fiscal year 2026, $14,212,110 for fiscal
year 2027, $14,869,098 for fiscal year 2028, $15,556,457 for
fiscal year 2029, and $16,275,591 for fiscal year 2030''.
SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION ACTIVITIES.
Section 702 (42 U.S.C. 3058a) is amended--
(1) in subsection (a), by striking ``$18,066,950'' and all
that follows through ``fiscal year 2024'' and inserting
``$22,809,108 for fiscal year 2026, $23,863,512 for fiscal
year 2027, $24,966,659 for fiscal year 2028, $26,120,801 for
fiscal year 2029, and $27,328,297 for fiscal year 2030''; and
(2) in subsection (b), by striking ``$5,107,110'' and all
that follows through ``fiscal year 2024'' and inserting
``$6,447,609 for fiscal year 2026, $6,745,665 for fiscal year
2027, $7,057,499 for fiscal year 2028, $7,383,748 for fiscal
year 2029, and $7,725,079 for fiscal year 2030''.
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