    [United States Statutes at Large, Volume 134, 116th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    Public Law 116-131
    116th Congress

    An Act

    To amend the Older Americans Act of 1965 to authorize appropriations for
    fiscal years 2020 through 2024, and for other purposes. <>

    Be it enacted by the Senate and House of Representatives of the
    United States of America in Congress assembled, <>
    SECTION 1. <>  SHORT TITLE.

    This Act may be cited as the ``Supporting Older Americans Act of
    2020''.
    SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

    Sec. 1. Short title.
    Sec. 2. Table of contents.
    Sec. 3. References.
    Sec. 4. Definitions.

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

    Sec. 101. Reauthorization.
    Sec. 102. Person-centered, trauma-informed services.
    Sec. 103. Aging and Disability Resource Centers.
    Sec. 104. Assistive technology.
    Sec. 105. Vaccination.
    Sec. 106. Malnutrition.
    Sec. 107. Sexually transmitted diseases.
    Sec. 108. Addressing chronic pain management.
    Sec. 109. Screening for suicide risk.
    Sec. 110. Screening for fall-related traumatic brain injury; addressing
    public health emergencies and emerging health threats;
    negative health effects associated with social isolation.
    Sec. 111. Clarification regarding board and care facilities.
    Sec. 112. Person-centered, trauma-informed services definition.
    Sec. 113. Traumatic brain injury.
    Sec. 114. Modernizing the review of applications and providing technical
    assistance for disasters.
    Sec. 115. Increased focus of Assistant Secretary on negative health
    effects associated with social isolation.
    Sec. 116. Notification of availability of or updates to policies,
    practices, and procedures through a uniform e-format.
    Sec. 117. Evidence-based program adaptation.
    Sec. 118. Business acumen provisions and clarification regarding outside
    funding for area agencies on aging.
    Sec. 119. Demonstration on direct care workers.
    Sec. 120. National resource center for older individuals experiencing
    the long-term and adverse consequences of trauma.
    Sec. 121. National Resource Center for Women and Retirement.
    Sec. 122. Family caregivers.
    Sec. 123. Interagency coordination.
    Sec. 124. Modernizing the Interagency Coordinating Committee on Healthy
    Aging and Age-Friendly Communities.
    Sec. 125. Professional standards for a nutrition official under the
    Assistant Secretary.

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    Sec. 126. Report on social isolation.
    Sec. 127. Research and evaluation.

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

    Sec. 201. Social determinants of health.
    Sec. 202. Younger onset Alzheimer's disease.
    Sec. 203. Reauthorization.
    Sec. 204. Hold harmless formula.
    Sec. 205. Outreach efforts.
    Sec. 206. State Long-Term Care Ombudsman program minimum funding and
    maintenance of effort.
    Sec. 207. Coordination with resource centers.
    Sec. 208. Senior legal hotlines.
    Sec. 209. Increase in limit on use of allotted funds for State
    administrative costs.
    Sec. 210. Improvements to nutrition programs.
    Sec. 211. Review of reports.
    Sec. 212. Other practices.
    Sec. 213. Screening for negative health effects associated with social
    isolation and traumatic brain injury.
    Sec. 214. Supportive services and senior centers.
    Sec. 215. Culturally appropriate, medically tailored meals.
    Sec. 216. Nutrition services study.
    Sec. 217. National Family Caregiver Support program.
    Sec. 218. National Family Caregiver Support program cap.

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

    Sec. 301. Reauthorization.
    Sec. 302. Public awareness of traumatic brain injury.
    Sec. 303. Falls prevention and chronic disease self-management
    education.
    Sec. 304. Demonstration to address negative health impacts associated
    with social isolation.
    Sec. 305. Technical assistance and innovation to improve transportation
    for older individuals.
    Sec. 306. Grant program for multigenerational collaboration.

    TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

    Sec. 401. Priority for the senior community service employment program.
    Sec. 402. Authorization of appropriations.

    TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

    Sec. 501. Reauthorization.

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

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

    TITLE VII--MISCELLANEOUS

    Sec. 701. Technical corrections.

    SEC. 3. REFERENCES.

    Except as otherwise expressly provided in this Act, wherever in this
    Act an amendment or repeal is expressed in terms of an amendment to, or
    a repeal of, a section or other provision, the reference shall be
    considered to be made to that section or other provision of the Older
    Americans Act of 1965 (42 U.S.C. 3001 et seq.).
    SEC. 4. <>  DEFINITIONS.

    In this Act, the terms ``area agency on aging'', ``Assistant
    Secretary'', ``greatest social need'', ``older individual'', and
    ``Secretary''

    [[Page 242]]

    have the meanings given such terms in section 102 of the Older Americans
    Act of 1965 (42 U.S.C. 3002).

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

    SEC. 101. REAUTHORIZATION.

    Section 216 (42 U.S.C. 3020f) is amended to read as follows:
    ``SEC. 216. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--For purposes of carrying out this Act, there are
    authorized to be appropriated for administration, salaries, and expenses
    of the Administration $43,937,410 for fiscal year 2020, $46,573,655 for
    fiscal year 2021, $49,368,074 for fiscal year 2022, $52,330,158 for
    fiscal year 2023, and $55,469,968 for fiscal year 2024.
    ``(b) Additional Authorizations.--There are authorized to be
    appropriated--
    ``(1) to carry out section 202(a)(21) (relating to the
    National Eldercare Locator Service), $2,180,660 for fiscal year
    2020, $2,311,500 for fiscal year 2021, $2,450,190 for fiscal
    year 2022, $2,597,201 for fiscal year 2023, and $2,753,033 for
    fiscal year 2024;
    ``(2) to carry out section 215, $1,988,060 for fiscal year
    2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal
    year 2022, $2,367,811 for fiscal year 2023, and $2,509,880 for
    fiscal year 2024;
    ``(3) to carry out section 202 (relating to Elder Rights
    Support Activities under this title), $1,371,740 for fiscal year
    2020, $1,454,044 for fiscal year 2021, $1,541,287 for fiscal
    year 2022, $1,633,764 for fiscal year 2023, and $1,731,790 for
    fiscal year 2024; and
    ``(4) to carry out section 202(b) (relating to the Aging and
    Disability Resource Centers), $8,687,330 for fiscal year 2020,
    $9,208,570 for fiscal year 2021, $9,761,084 for fiscal year
    2022, $10,346,749 for fiscal year 2023, and $10,967,554 for
    fiscal year 2024.''.
    SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES.

    Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting
    ``(including access to person-centered, trauma-informed services as
    appropriate)'' after ``health''.
    SEC. 103. AGING AND DISABILITY RESOURCE CENTERS.

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

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    (3) in subparagraph (D), by striking ``part C of title VII
    of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and
    other community-based entities,'' and inserting ``part C of
    chapter 1 of title VII of the Rehabilitation Act of 1973, and
    other community-based entities, including other aging or
    disability entities,''.
    SEC. 104. ASSISTIVE TECHNOLOGY.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
    amended--
    (1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the
    end the following:

    ``(C) The term `State assistive technology entity' means the agency,
    office, or other entity designated under subsection (c)(1) of section 4
    of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to carry out
    State activities under such section.'';
    (2) in section 306 (42 U.S.C. 3026)--
    (A) in subsection (a)(6)--
    (i) in subparagraph (G), by striking ``; and''
    and inserting a semicolon;
    (ii) in subparagraph (H), by striking
    ``appropriate;'' and inserting ``appropriate;
    and''; and
    (iii) by adding at the end the following:
    ``(I) to the extent feasible, coordinate with the State
    agency to disseminate information about the State assistive
    technology entity and access to assistive technology options for
    serving older individuals;''; and
    (B) in subsection (b)(3)--
    (i) in subparagraph (K)--
    (I) by aligning the margins of the
    subparagraph with the margins of
    subparagraph (J); and
    (II) by striking ``; and'' and
    inserting a semicolon;
    (ii) by redesignating subparagraph (L) as
    subparagraph (M); and
    (iii) by inserting after subparagraph (K) the
    following:
    ``(L) assistive technology devices and services; and''; and
    (3) in section 411(a) (42 U.S.C. 3032(a))--
    (A) in paragraph (2), by inserting ``, aligned with
    evidence-based practice,'' after ``applied social
    research''; and
    (B) in paragraph (10), by inserting ``consistent
    with section 508 of the Rehabilitation Act of 1973 (29
    U.S.C. 794d)'' after ``other technologies''.
    SEC. 105. VACCINATION.

    Section 102(14) (42 U.S.C. 3002(14)) is amended--
    (1) in subparagraph (B), by inserting ``immunization
    status,'' after ``oral health,''; and
    (2) in subparagraph (D), by inserting ``infectious disease,
    and vaccine-preventable disease, as well as'' after
    ``cardiovascular disease),''.
    SEC. 106. MALNUTRITION.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
    amended--

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    (1) in section 102(14)(B), as amended by section 105(1), by
    inserting ``(including screening for malnutrition)'' after
    ``nutrition screening''; and
    (2) in section 330(1), by striking ``and food insecurity''
    and inserting ``, food insecurity, and malnutrition''.
    SEC. 107. SEXUALLY TRANSMITTED DISEASES.

    Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section
    105(2), is further amended by inserting ``prevention of sexually
    transmitted diseases,'' after ``vaccine-preventable disease,''.
    SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT.

    Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section
    107, is further amended by inserting ``chronic pain management,'' after
    ``substance abuse reduction,''.
    SEC. 109. SCREENING FOR SUICIDE RISK.

    Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting
    ``and screening for suicide risk'' after ``depression''.
    SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY;
    ADDRESSING PUBLIC HEALTH EMERGENCIES AND
    EMERGING HEALTH THREATS; NEGATIVE HEALTH
    EFFECTS ASSOCIATED WITH SOCIAL ISOLATION.

    Section 102(14) (42 U.S.C. 3002(14)) is amended--
    (1) by redesignating subparagraphs (H) through (J), and
    subparagraphs (K) and (L), as subparagraphs (I) through (K), and
    subparagraphs (M) and (O), respectively;
    (2) by inserting after subparagraph (G) the following:
    ``(H) screening for fall-related traumatic brain
    injury and other fall-related injuries, coordination of
    treatment, rehabilitation and related services, and
    referral services related to such injury or injuries;'';
    (3) by inserting after subparagraph (K), as redesignated by
    paragraph (1), the following:
    ``(L) services that are a part of responses to a
    public health emergency or emerging health threat;'';
    and
    (4) in subparagraph (M), as redesignated by paragraph (1),
    by striking ``; and'' and inserting a semicolon;
    (5) by inserting after subparagraph (M), as redesignated by
    paragraph (1), the following:
    ``(N) screening for the prevention of negative
    health effects associated with social isolation and
    coordination of supportive services and health care to
    address negative health effects associated with social
    isolation; and''; and
    (6) in subparagraph (O), as redesignated, by striking ``(A)
    through (K)'' and inserting ``(A) through (N)''.
    SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES.

    Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking
    ``for purposes of sections 307(a)(12) and 712,''.
    SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES DEFINITION.

    Section 102 (42 U.S.C. 3002) is amended--
    (1) by redesignating paragraphs (41) through (54) as
    paragraphs (42) through (55), respectively; and
    (2) by inserting after paragraph (40) the following:

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    ``(41) The term `person-centered, trauma-informed', with
    respect to services, means services provided through an aging
    program that--
    ``(A) use a holistic approach to providing services
    or care;
    ``(B) promote the dignity, strength, and empowerment
    of victims of trauma; and
    ``(C) incorporate evidence-based practices based on
    knowledge about the role of trauma in trauma victims'
    lives.''.
    SEC. 113. TRAUMATIC BRAIN INJURY.

    Section 102 (42 U.S.C. 3002), as amended by section 112, is further
    amended--
    (1) by redesignating paragraph (55) as paragraph (56); and
    (2) by inserting after paragraph (54) the following:
    ``(55) The term `traumatic brain injury' has the meaning
    given such term in section 393B(d) of the Public Health Service
    Act (42 U.S.C. 280b-1c(d)).''.
    SEC. 114. MODERNIZING THE REVIEW OF APPLICATIONS AND PROVIDING
    TECHNICAL ASSISTANCE FOR DISASTERS.

    (a) Review of Applications.--Section 202 (42 U.S.C. 3012) is
    amended--
    (1) by amending subsection (a)(4) to read as follows:
    ``(4) administer the grants provided by this Act, but not
    approve an application submitted by an applicant for a grant for
    an activity under a provision of this Act for which such
    applicant previously received a grant under such provision
    unless the Assistant Secretary determines--
    ``(A) the activity for which such application was
    submitted is being operated, or was operated,
    effectively to achieve its stated purpose; and
    ``(B) such applicant has complied with the
    assurances provided to the Assistant Secretary with the
    application for such previous grant.''; and
    (2) by adding at the end the following:

    ``(h) <>  The Assistant Secretary shall publish, on an
    annual basis, a list of centers and demonstration projects funded under
    each title of this Act. The Assistant Secretary shall ensure that this
    information is also directly provided to State agencies and area
    agencies on aging.''.

    (b) Addressing the Needs of Older Individuals in Disasters.--Section
    202(a) (42 U.S.C. 3012(a)) is amended--
    (1) in paragraph (30), by striking ``; and'' and inserting a
    semicolon;
    (2) in paragraph (31), by striking the period at the end and
    inserting a semicolon; and
    (3) by adding at the end the following:
    ``(32) provide technical assistance to, and share best
    practices with, State agencies and area agencies on aging on how
    to collaborate and coordinate activities and develop long-range
    emergency preparedness plans with local and State emergency
    response agencies, relief organizations, local and State
    governments, Federal agencies as appropriate, and any other
    institutions that have responsibility for disaster relief
    service delivery;''.

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    SEC. 115. INCREASED FOCUS OF ASSISTANT SECRETARY ON NEGATIVE
    HEALTH EFFECTS ASSOCIATED WITH SOCIAL
    ISOLATION.

    Section 202(a) (42 U.S.C. 3012(a)), as amended by section 114(b), is
    further amended by adding at the end the following:
    ``(33) <>  with input from aging network
    stakeholders, including caregivers, develop objectives,
    priorities, and a long-term plan for supporting State and local
    efforts involving education about prevention of, detection of,
    and response to negative health effects associated with social
    isolation among older individuals, and submit a report to
    Congress on this effort by January 2021; and''.
    SEC. 116. NOTIFICATION OF AVAILABILITY OF OR UPDATES TO POLICIES,
    PRACTICES, AND PROCEDURES THROUGH A
    UNIFORM E-FORMAT.

    Section 202(a) (42 U.S.C. 3012(a)), as amended by sections 114(b)
    and 115, is further amended by adding at the end the following:
    ``(34) provide (to the extent practicable) a standardized
    notification to State agencies, area agencies on aging,
    providers of services under this Act, and grantees or contract
    awardees under this Act, through an electronic format (e-mail or
    other electronic notification), of the availability of, or
    updates to, policies, practices, and procedures under this
    Act.''.
    SEC. 117. EVIDENCE-BASED PROGRAM ADAPTATION.

    (a) Functions of the Assistant Secretary.--Section 202 (42 U.S.C.
    3012) is amended--
    (1) in subsection (a)(28), by inserting before the semicolon
    ``, including information and technical assistance on delivery
    of such services in different settings''; and
    (2) in subsection (b)(9)(B), by inserting before the
    semicolon ``, including delivery of such services in different
    settings''.

    (b) Evidence-Based Disease Prevention and Health Promotion
    Services.--Section 361(a) (42 U.S.C. 3030m(a)) is amended in the second
    sentence by inserting ``provide technical assistance on the delivery of
    evidence-based disease prevention and health promotion services in
    different settings and for different populations, and'' before
    ``consult''.
    SEC. 118. BUSINESS ACUMEN PROVISIONS AND CLARIFICATION REGARDING
    OUTSIDE FUNDING FOR AREA AGENCIES ON
    AGING.

    (a) Assistance Relating To Growing and Sustaining Capacity.--Section
    202(b)(9) (42 U.S.C. 3012(b)(9)) is amended--
    (1) in subparagraph (A), by striking ``and'' after the
    semicolon at the end;
    (2) in subparagraph (B), as amended by section 117(a)(2), by
    inserting ``and'' after the semicolon at the end; and
    (3) by adding at the end the following:
    ``(C) activities for increasing business acumen,
    capacity building, organizational development,
    innovation, and other methods of growing and sustaining
    the capacity of the aging network to serve older
    individuals and caregivers most effectively;''.

    (b) Clarifying Partnerships for Area Agencies on Aging.--Section 306
    (42 U.S.C. 3026) is amended by adding at the end the following:

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    ``(g) Nothing in this Act shall restrict an area agency on aging
    from providing services not provided or authorized by this Act,
    including through--
    ``(1) contracts with health care payers;
    ``(2) consumer private pay programs; or
    ``(3) other arrangements with entities or individuals that
    increase the availability of home- and community-based services
    and supports.''.

    (c) Conforming Amendment.--Section 307(a) (42 U.S.C. 3027(a)) is
    amended--
    (1) by striking paragraph (26); and
    (2) by redesignating paragraphs (27) through (30) as
    paragraphs (26) through (29).
    SEC. 119. DEMONSTRATION ON DIRECT CARE WORKERS.

    Section 411(a) (42 U.S.C. 3032(a)) is amended--
    (1) by redesignating paragraphs (13) and (14) as paragraphs
    (14) and (15), respectively; and
    (2) by inserting after paragraph (12) the following:
    ``(13) <>  in coordination with the
    Secretary of Labor, the demonstration of new strategies for the
    recruitment, retention, or advancement of direct care workers,
    and the soliciting, development, and implementation of
    strategies--
    ``(A) to reduce barriers to entry for a diverse and
    high-quality direct care workforce, including providing
    wages, benefits, and advancement opportunities needed to
    attract or retain direct care workers; and
    ``(B) to provide education and workforce development
    programs for direct care workers that include supportive
    services and career planning;''.
    SEC. 120. NATIONAL RESOURCE CENTER FOR OLDER INDIVIDUALS
    EXPERIENCING THE LONG-TERM AND ADVERSE
    CONSEQUENCES OF TRAUMA.

    Section 411(a) (42 U.S.C. 3032(a)), as amended by section 119, is
    further amended--
    (1) by redesignating paragraphs (14) and (15) as paragraphs
    (15) and (16), respectively; and
    (2) by inserting after paragraph (13) the following:
    ``(14) the establishment and operation of a national
    resource center that shall--
    ``(A) provide training and technical assistance to
    agencies in the aging network delivering services to
    older individuals experiencing the long-term and adverse
    consequences of trauma;
    ``(B) share best practices with the aging network;
    and
    ``(C) make subgrants to the agencies best positioned
    to advance and improve the delivery of person-centered,
    trauma-informed services for older individuals
    experiencing the long-term and adverse consequences of
    trauma;''.
    SEC. 121. NATIONAL RESOURCE CENTER FOR WOMEN AND RETIREMENT.

    Section 215 (42 U.S.C. 3020e-1) is amended by adding at the end the
    following:
    ``(k)(1) The Assistant Secretary shall, directly or by grant or
    contract, operate the National Resource Center for Women and Retirement
    (in this subsection referred to as the `Center').

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    ``(2) The Center shall--
    ``(A) provide tools, such as basic financial management,
    retirement planning, and other tools that promote financial
    literacy and help to identify and prevent exploitation
    (including fraud), and integrate these with information on
    health and long-term care;
    ``(B) <>  annually disseminate a summary of
    outreach activities provided, including work to provide user-
    friendly consumer information and public education materials;
    ``(C) develop targeted outreach strategies;
    ``(D) provide technical assistance to State agencies and to
    other public and nonprofit private agencies and organizations;
    and
    ``(E) develop partnerships and collaborations to address
    program objectives.''.
    SEC. 122. FAMILY CAREGIVERS.

    (a) Administration.--Section 202 (42 U.S.C. 3012), as amended by
    section 114, is further amended by adding at the end the following:
    ``(i) The Assistant Secretary shall carry out the RAISE Family
    Caregivers Act (42 U.S.C. 3030s note).''.
    (b) Sunset.--Section 6 of the RAISE Family Caregivers Act (42 U.S.C.
    3030s note) is amended by striking ``3 years'' and inserting ``4
    years''.
    (c) Conforming Amendment.--Section 2(3) of the RAISE Family
    Caregivers Act (42 U.S.C. 3030s note) is amended by inserting ``, acting
    through the Assistant Secretary for Aging'' before the period at the
    end.
    SEC. 123. <>  INTERAGENCY COORDINATION.

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

    (b) Program Design.--Section 202(a)(5) (42 U.S.C. 3012(a)(5)) is
    amended by inserting ``cultural experiences, activities, and services,
    including in the arts,'' after ``education),''.

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    SEC. 124. MODERNIZING THE INTERAGENCY COORDINATING COMMITTEE ON
    HEALTHY AGING AND AGE-FRIENDLY
    COMMUNITIES.

    (a) Federal Agency Consultation.--Section 203(b) (42 U.S.C. 3013(b))
    is amended--
    (1) in paragraph (18), by striking ``and'' at the end;
    (2) in paragraph (19), by striking the period at the end and
    inserting ``, and''; and
    (3) by adding at the end the following:
    ``(20) section 393D of the Public Health Service Act (42
    U.S.C. 280b-1f), relating to safety of seniors.''.

    (b) Modernization.--Section 203(c) (42 U.S.C. 3013(c)) is amended--
    (1) in paragraph (1)--
    (A) by striking ``the Federal officials'' and
    inserting ``other Federal officials'';
    (B) by striking ``Committee on Aging'' and inserting
    ``Committee on Healthy Aging and Age-Friendly
    Communities''; and
    (C) by inserting ``and the development of a national
    set of recommendations, in accordance with paragraph
    (6), to support the ability of older individuals to age
    in place and access homelessness prevention services,
    preventive health care, promote age-friendly
    communities, and address the ability of older
    individuals to access long-term care supports, including
    access to caregivers and home- and community-based
    health services'' before the period;
    (2) in paragraph (4), by adding at the end the following:
    ``The <>  first term, after the date of
    enactment of the Supporting Older Americans Act of 2020, shall
    start not later than 1 year after such date of enactment.'';
    (3) in paragraph (6)--
    (A) in the matter preceding subparagraph (A), by
    striking ``The Committee shall'' and inserting ``The
    recommendations described in paragraph (1) may include
    recommendations for'';
    (B) in subparagraph (A)--
    (i) by striking ``share information with and
    establish an ongoing system to'' and inserting
    ``ways to''; and
    (ii) by striking ``for older individuals and
    recommend improvements'' and all that follows
    through ``accessibility of such programs and
    services'' and inserting ``that impact older
    individuals'';
    (C) in subparagraph (B)--
    (i) by striking ``identify, promote, and
    implement (as appropriate),'';
    (ii) in clause (i), by striking ``and'' after
    the semicolon;
    (iii) in clause (ii), by inserting ``and''
    after the semicolon; and
    (iv) by adding at the end the following:
    ``(iii) <>  best practices
    identified in coordination with the Centers for Disease
    Control and Prevention, the National Institute on Aging,
    the Centers for Medicare & Medicaid Services, the Office
    of Lead Hazard Control and Healthy

    [[Page 250]]

    Homes of the Department of Housing and Urban
    Development, and other Federal agencies, as appropriate,
    to reduce and prevent falls among older individuals,
    that incorporate evidence-based falls prevention
    programs and home modifications, which recommendations
    shall supplement and not unnecessarily duplicate
    activities authorized under section 393D of the Public
    Health Service Act (42 U.S.C. 280b-1f), relating to
    safety of seniors;'';
    (D) in subparagraph (C)--
    (i) by inserting ``ways to'' before
    ``collect'';
    (ii) by striking ``older individuals and'';
    and
    (iii) by striking ``the individuals to
    ensure'' and all that follows through
    ``information'' and inserting ``older individuals
    to ensure that such information is accessible'';
    (E) in subparagraph (D), by striking ``work with''
    and all that follows through ``member agencies to
    ensure'' and inserting ``ways to ensure'';
    (F) in subparagraph (E), by striking ``seek input''
    and all that follows through ``foundations'' and
    inserting ``seeking input from and consulting with
    nonprofit organizations, academic or research
    institutions, community-based organizations,
    philanthropic organizations, or other entities
    supporting age-friendly communities'';
    (G) in subparagraph (F), by striking ``identify''
    and inserting ``identifying''; and
    (H) by amending subparagraph (G) to read as follows:
    ``(G) ways to improve coordination to provide housing,
    health care, and other supportive services to older
    individuals.'';
    (4) in paragraph (7)(A)(i), by striking ``services for older
    individuals'' and inserting ``services that impact older
    individuals''; and
    (5) by adding at the end the following:

    ``(9) In this subsection, the term `age-friendly community' means a
    community that--
    ``(A) is taking measurable steps to--
    ``(i) include adequate and accessible housing,
    public spaces and buildings, safe and secure paths,
    variable route transportation services, and programs and
    services designed to support health and well-being;
    ``(ii) respect and include older individuals in
    social opportunities, civic participation, volunteerism,
    and employment; and
    ``(iii) facilitate access to supportive services for
    older individuals;
    ``(B) is not an assisted living facility or long-term care
    facility; and
    ``(C) has a plan in place to meet local needs for housing,
    transportation, civic participation, social connectedness, and
    accessible public spaces.''.

    (c) Administration of the Act.--Section 205(a)(2) (42 U.S.C.
    3016(a)(2)) is amended--
    (1) by redesignating subparagraph (C) as subparagraph (D);
    and
    (2) by inserting after subparagraph (B) the following:

    ``(C) The Assistant Secretary may provide technical assistance,
    including through the regional offices of the Administration, to

    [[Page 251]]

    State agencies, area agencies on aging, local government agencies, or
    leaders in age-friendly communities (as defined, for purposes of this
    subparagraph, in section 203(c)(9)) regarding--
    ``(i) dissemination of, or consideration of ways to
    implement, best practices and recommendations from the
    Interagency Coordinating Committee on Healthy Aging and Age-
    Friendly Communities established under section 203(c); and
    ``(ii) <>  methods for managing and
    coordinating existing programs to meet the needs of growing age-
    friendly communities.''.
    SEC. 125. PROFESSIONAL STANDARDS FOR A NUTRITION OFFICIAL UNDER
    THE ASSISTANT SECRETARY.

    Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as
    redesignated by section 124(c)(1), is amended to read as follows:
    ``(ii) be a registered dietitian or registered dietitian
    nutritionist.''.
    SEC. 126. REPORT ON SOCIAL ISOLATION.

    (a) Preparation of Report.--
    (1) In general.--The Secretary shall, in carrying out
    activities under section 206(a) of the Older Americans Act of
    1965 (42 U.S.C. 3017(a)), prepare a report on programs
    authorized by such Act (42 U.S.C. 3001 et seq.), and supported
    or funded by the Administration on Aging, that include a focus
    on addressing the negative health effects associated with social
    isolation through targeting older individuals identified as
    being in greatest social need, as appropriate.
    (2) Impact.--Such report shall identify--
    (A) whether social isolation is being adequately
    addressed under such programs, including, to the extent
    practicable--
    (i) the prevalence of social isolation in
    rural areas and in urban areas;
    (ii) the negative public health effects
    associated with social isolation; and
    (iii) the role of preventive measures or of
    services, including nutrition services, in
    addressing the negative health effects associated
    with social isolation among older individuals; and
    (B) public awareness of and efforts to address the
    negative health effects associated with social
    isolation.
    (3) Types of programs.--Such report shall identify whether
    programs described in paragraph (1)--
    (A) support projects in local communities and
    involve diverse sectors associated with such communities
    to decrease the negative health effects associated with
    social isolation among older individuals and caregivers;
    (B) support outreach activities to screen older
    individuals for negative health effects associated with
    social isolation; and
    (C) include a focus on decreasing the negative
    health effects associated with social isolation.
    (4) Recommendations.--Such report shall, as appropriate,
    include recommendations for reducing the negative health effects
    associated with social isolation and to address any negative
    health effects identified under clauses (ii) and (iii) of
    subparagraph (A), and subparagraph (B), of paragraph (2).

    (b) Submission of Report.--

    [[Page 252]]

    (1) Interim status report.--Not later than 2 years after the
    date of enactment of this Act, the Secretary shall submit an
    interim report, to the committees of the Senate and of the House
    of Representatives with jurisdiction over the Older Americans
    Act of 1965 (42 U.S.C. 3001 et seq.), and the Special Committee
    on Aging of the Senate, on the status of the evaluation underway
    to develop the final report required under this section.
    (2) Final report.--Not later than 5 years after the date of
    enactment of this Act, the Secretary shall submit a final report
    that meets the requirements of this section to the committees of
    the Senate and of the House of Representatives with jurisdiction
    over the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.),
    and the Special Committee on Aging of the Senate.
    SEC. 127. RESEARCH AND EVALUATION.

    (a) Center.--Section 201 (42 U.S.C. 3011) is amended by adding at
    the end the following:
    ``(g)(1) The Assistant Secretary shall, as appropriate, coordinate
    the research and evaluation functions of this Act under a Research,
    Demonstration, and Evaluation Center for the Aging Network (in this
    subsection referred to as the `Center'), which shall be headed by a
    director designated by the Assistant Secretary from individuals
    described in paragraph (4).
    ``(2) The purpose of the Center shall be--
    ``(A) <>  to coordinate, as
    appropriate, research, research dissemination, evaluation,
    demonstration projects, and related activities carried out under
    this Act;
    ``(B) <>  to provide assessment of the
    programs and interventions authorized under this Act; and
    ``(C) to increase the repository of information on evidence-
    based programs and interventions available to the aging network,
    which information shall be applicable to existing programs and
    interventions and help in the development of new evidence-based
    programs and interventions.

    ``(3) Activities of the Center shall include, as appropriate,
    conducting, promoting, coordinating, and providing support for--
    ``(A) research and evaluation activities that support the
    objectives of this Act, including--
    ``(i) evaluation of new and existing programs and
    interventions authorized by this Act; and
    ``(ii) research on and assessment of the
    relationship between programs and interventions under
    this Act and the health outcomes, social determinants of
    health, quality of life, and independence of individuals
    served under this Act;
    ``(B) demonstration projects that support the objectives of
    this Act, including activities to bring effective demonstration
    projects to scale with a prioritization of projects that address
    the needs of underserved populations, and promote partnerships
    among aging services, community-based organizations, and
    Medicare and Medicaid providers, plans, and health (including
    public health) systems;
    ``(C) outreach and dissemination of research findings; and
    ``(D) technical assistance related to the activities
    described in this paragraph.

    [[Page 253]]

    ``(4) The director shall be an individual with substantial knowledge
    of and experience in aging and health policy, and research
    administration.
    ``(5) <>  Not later than October 1,
    2020, and at 5-year intervals thereafter, the director shall prepare and
    publish in the Federal Register for public comment a draft of a 5-year
    plan that--
    ``(A) outlines priorities for research, research
    dissemination, evaluation, demonstration projects, and related
    activities;
    ``(B) explains the basis for such priorities; and
    ``(C) describes how the plan will meet the needs of
    underserved populations.

    ``(6) <>  The director shall coordinate, as
    appropriate, research, research dissemination, evaluation, and
    demonstration projects, and related activities with appropriate agency
    program staff, and, as appropriate, with other Federal departments and
    agencies involved in research in the field of aging.

    ``(7) <>  Not later than December 31, 2020, and
    annually thereafter, the director shall prepare, and submit to the
    Secretary, the Committee on Health, Education, Labor, and Pensions of
    the Senate, the Special Committee on Aging of the Senate, and the
    Committee on Education and Labor of the House of Representatives, a
    report on the activities funded under this section and title IV.

    ``(8) <>  The director shall, as appropriate,
    consult with experts on aging research and evaluation and aging network
    stakeholders on the implementation of the activities described under
    paragraph (3) of this subsection.

    ``(9) <>  The director shall coordinate, as
    appropriate, all research and evaluation authorities under this Act.''.

    (b) Evaluation.--Section 206 (42 U.S.C. 3017) is amended--
    (1) by redesignating subsections (b) through (g) as
    subsections (c) through (h), respectively; and
    (2) by inserting after subsection (a) the following:

    ``(b) <>  Not later than July 1, 2020,
    the Secretary shall provide, directly or through grant or contract, for
    an evaluation of programs under this Act, which shall include, to the
    extent practicable, an analysis of the relationship of such programs,
    including demonstration projects under title IV of this Act, to health
    care expenditures under the Medicare program established under title
    XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) and the
    Medicaid program established under title XIX of the Social Security Act
    (42 U.S.C. 1396 et seq.). The Secretary shall oversee analyses of data
    obtained in connection with program evaluation to evaluate, where
    feasible, the relationship of programs under this Act to health care
    expenditures, including under the Medicare and Medicaid programs.''.

    (c) Report on Health Care Expenditures.--Section 207 (42 U.S.C.
    3018) is amended by adding at the end the following:
    ``(d) The Assistant Secretary shall provide the evaluation required
    under section 206(b) to--
    ``(1) the Committee on Health, Education, Labor, and
    Pensions of the Senate;
    ``(2) the Committee on Appropriations of the Senate;
    ``(3) the Special Committee on Aging of the Senate;
    ``(4) the Committee on Education and Labor of the House of
    Representatives; and
    ``(5) the Committee on Appropriations of the House of
    Representatives.''.

    [[Page 254]]

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

    SEC. 201. SOCIAL DETERMINANTS OF HEALTH.

    Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amended--
    (1) in subparagraph (C), by striking ``and'' at the end;
    (2) in subparagraph (D), by striking the period at the end
    and inserting ``; and''; and
    (3) by adding at the end the following:
    ``(E) measure impacts related to social determinants
    of health of older individuals.''.
    SEC. 202. YOUNGER ONSET ALZHEIMER'S DISEASE.

    The Act (42 U.S.C. 3001 et seq.) is amended--
    (1) in section 302(3) (42 U.S.C. 3022(3)), by inserting ``of
    any age'' after ``an individual''; and
    (2) in section 711(6) (42 U.S.C. 3058f(6)), by inserting
    ``of any age'' after ``individual''.
    SEC. 203. REAUTHORIZATION.

    (a) Grants for State and Community Programs on Aging.--Subsections
    (a) through (e) of section 303 (42 U.S.C. 3023) are amended to read as
    follows:
    ``(a)(1) There are authorized to be appropriated to carry out part B
    (relating to supportive services) $412,029,180 for fiscal year 2020,
    $436,750,931 for fiscal year 2021, $462,955,987 for fiscal year 2022,
    $490,733,346 for fiscal year 2023, and $520,177,347 for fiscal year
    2024.
    ``(2) Funds appropriated under paragraph (1) shall be available to
    carry out section 712.
    ``(b)(1) There are authorized to be appropriated to carry out
    subpart 1 of part C (relating to congregate nutrition services)
    $530,015,940 for fiscal year 2020, $561,816,896 for fiscal year 2021,
    $595,525,910 for fiscal year 2022, $631,257,465 for fiscal year 2023,
    and $669,132,913 for fiscal year 2024.
    ``(2) There are authorized to be appropriated to carry out subpart 2
    of part C (relating to home delivered nutrition services) $268,935,940
    for fiscal year 2020, $285,072,096 for fiscal year 2021, $302,176,422
    for fiscal year 2022, $320,307,008 for fiscal year 2023, and
    $339,525,428 for fiscal year 2024.
    ``(c) Grants made under part B, and subparts 1 and 2 of part C, of
    this title may be used for paying part of the cost of--
    ``(1) <>  the administration of area
    plans by area agencies on aging designated under section
    305(a)(2)(A), including the preparation of area plans on aging
    consistent with section 306 and the evaluation of activities
    carried out under such plans; and
    ``(2) the development of comprehensive and coordinated
    systems for supportive services, and congregate and home
    delivered nutrition services under subparts 1 and 2 of part C,
    the development and operation of multipurpose senior centers,
    and the delivery of legal assistance.

    ``(d) There are authorized to be appropriated to carry out part D
    (relating to disease prevention and health promotion services)

    [[Page 255]]

    $26,587,360 for fiscal year 2020, $28,182,602 for fiscal year 2021,
    $29,873,558 for fiscal year 2022, $31,665,971 for fiscal year 2023, and
    $33,565,929 for fiscal year 2024.
    ``(e) There are authorized to be appropriated to carry out part E
    (relating to family caregiver support) $193,869,020 for fiscal year
    2020, $205,501,161 for fiscal year 2021, $217,831,231 for fiscal year
    2022, $230,901,105 for fiscal year 2023, and $244,755,171 for fiscal
    year 2024.''.
    (b) Nutrition Services Incentive Program.--Section 311(e) (42 U.S.C.
    3030a(e)) is amended to read as follows:
    ``(e) There are authorized to be appropriated to carry out this
    section (other than subsection (c)(1)) $171,273,830 for fiscal year
    2020, $181,550,260 for fiscal year 2021, $192,443,275 for fiscal year
    2022, $203,989,872 for fiscal year 2023, and $216,229,264 for fiscal
    year 2024.''.
    SEC. 204. HOLD HARMLESS FORMULA.

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

    [[Page 256]]

    303(b)(1), respectively, for fiscal year 2019, the
    allotments to States from the sum appropriated for the
    particular year shall be calculated as follows:
    ``(I) From the portion equal to the
    corresponding sum appropriated for fiscal year
    2019, amounts shall be allotted in accordance with
    paragraphs (1) and (2), and subparagraphs (A)
    through (C) as applicable, but no State shall be
    allotted an amount that is less than the
    percentage specified in clause (ii), for that
    particular year, of the State's allotment from the
    corresponding sum appropriated for fiscal year
    2019.
    ``(II) From the remainder, amounts shall be
    allotted in accordance with paragraph (1),
    subparagraphs (A) through (C) as applicable, and
    paragraph (2) to the extent needed to meet the
    requirements of those subparagraphs.''.

    (b) <>  Repeal.--Section
    304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is repealed, effective October 1,
    2029.

    (c) Conforming Amendment.--Section 304(a)(5) (42 U.S.C. 3024(a)(5))
    is amended by striking ``of the prior year'' and inserting ``as required
    by paragraph (3)''.
    SEC. 205. OUTREACH EFFORTS.

    Section 306(a)(4)(B) (42 U.S.C. 3026(a)(4)(B)) is amended--
    (1) in clause (i)(VII), by inserting ``, specifically
    including survivors of the Holocaust'' after ``placement''; and
    (2) in clause (ii), by striking ``(VI)'' and inserting
    ``(VII)''.
    SEC. 206. STATE LONG-TERM CARE OMBUDSMAN PROGRAM MINIMUM FUNDING
    AND MAINTENANCE OF EFFORT.

    The Act (42 U.S.C. 3001 et seq.) is amended--
    (1) by amending section 306(a)(9) (42 U.S.C. 3026(a)(9)) to
    read as follows:
    ``(9) provide assurances that--
    ``(A) the area agency on aging, in carrying out the
    State Long-Term Care Ombudsman program under section
    307(a)(9), will expend not less than the total amount of
    funds appropriated under this Act and expended by the
    agency in fiscal year 2019 in carrying out such a
    program under this title; and
    ``(B) funds made available to the area agency on
    aging pursuant to section 712 shall be used to
    supplement and not supplant other Federal, State, and
    local funds expended to support activities described in
    section 712;''; and
    (2) by amending section 307(a)(9) (42 U.S.C. 3027(a)(9)) to
    read as follows:
    ``(9) The plan shall provide assurances that--
    ``(A) the State agency will carry out, through the
    Office of the State Long-Term Care Ombudsman, a State
    Long-Term Care Ombudsman program in accordance with
    section 712 and this title, and will expend for such
    purpose an amount that is not less than the amount
    expended by the State agency with funds received under
    this title for fiscal year 2019, and an amount that is
    not less than the amount expended by the State agency
    with funds received under title VII for fiscal year
    2019; and
    ``(B) funds made available to the State agency
    pursuant to section 712 shall be used to supplement and
    not supplant

    [[Page 257]]

    other Federal, State, and local funds expended to
    support activities described in section 712.''.
    SEC. 207. COORDINATION WITH RESOURCE CENTERS.

    (a) Area Plans.--Section 306(a) (42 U.S.C. 3026(a)) is amended--
    (1) in paragraph (16), by striking ``and'' at the end;
    (2) in paragraph (17), by striking the period at the end and
    inserting a semicolon; and
    (3) by adding at the end the following:
    ``(18) provide assurances that the area agency on aging will
    collect data to determine--
    ``(A) the services that are needed by older
    individuals whose needs were the focus of all centers
    funded under title IV in fiscal year 2019; and
    ``(B) the effectiveness of the programs, policies,
    and services provided by such area agency on aging in
    assisting such individuals; and
    ``(19) provide assurances that the area agency on aging will
    use outreach efforts that will identify individuals eligible for
    assistance under this Act, with special emphasis on those
    individuals whose needs were the focus of all centers funded
    under title IV in fiscal year 2019.''.

    (b) State Plans.--Section 307(a) (42 U.S.C. 3027(a)), as amended by
    section 118(c), is further amended by adding at the end the following:
    ``(30) <>  The plan shall contain an
    assurance that the State shall prepare and submit to the
    Assistant Secretary annual reports that describe--
    ``(A) data collected to determine the services that
    are needed by older individuals whose needs were the
    focus of all centers funded under title IV in fiscal
    year 2019;
    ``(B) data collected to determine the effectiveness
    of the programs, policies, and services provided by area
    agencies on aging in assisting such individuals; and
    ``(C) outreach efforts and other activities carried
    out to satisfy the assurances described in paragraphs
    (18) and (19) of section 306(a).''.
    SEC. 208. <>  SENIOR LEGAL HOTLINES.

    Not later than 4 years after the date of enactment of this Act, the
    Assistant Secretary shall prepare and submit to Congress a report
    containing--
    (1) information on which States or localities operate senior
    legal hotlines;
    (2) information on how such hotlines operated by States or
    localities are funded;
    (3) information on the usefulness of senior legal hotlines
    in the coordination and provision of legal assistance; and
    (4) <>  recommendations on
    additional actions that should be taken related to senior legal
    hotlines.
    SEC. 209. INCREASE IN LIMIT ON USE OF ALLOTTED FUNDS FOR STATE
    ADMINISTRATIVE COSTS.

    Section 308 (42 U.S.C. 3028) is amended--
    (1) in subsection (a), in paragraphs (1) and (2), by
    striking ``subsection (b)(1)'' and inserting ``subsection (b)'';
    and
    (2) in subsection (b)--

    [[Page 258]]

    (A) in each of paragraphs (1) and (2)--
    (i) in subparagraph (A)--
    (I) by striking ``clause (ii)'' and
    inserting ``subparagraph (B)''; and
    (II) by striking ``greater of'' and
    all that follows through ``or'' and
    inserting the following: ``greater of--
    ``(i) 5 percent of the total amount of the
    allotments made to a State under sections
    304(a)(1) and 373(f); or
    ``(ii)''; and
    (ii) in subparagraph (B), by striking ``such
    allotment'' and inserting ``such total amount'';
    and
    (B) in paragraph (2)(A), by striking ``$500,000''
    and inserting ``$750,000''.
    SEC. 210. IMPROVEMENTS TO NUTRITION PROGRAMS.

    Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at the
    end the following:
    ``(D) The State, in consultation with area agencies on aging, shall
    ensure the process used by the State in transferring funds under this
    paragraph (including requirements relating to the authority and timing
    of such transfers) is simplified and clarified to reduce administrative
    barriers and direct limited resources to the greatest nutrition service
    needs at the community level. Such process shall be modified to attempt
    to lessen the administrative barriers of such transfers, and help direct
    limited resources to where they are needed the most as the unmet need
    for nutrition services grows.''.
    SEC. 211. REVIEW OF REPORTS.

    Section 308(b) (42 U.S.C. 3028(b)) is amended by adding at the end
    the following:
    ``(8) The Assistant Secretary shall review the reports submitted
    under section 307(a)(30) and include aggregate data in the report
    required by section 207(a), including data on--
    ``(A) the effectiveness of the programs, policies, and
    services provided by area agencies on aging in assisting older
    individuals whose needs were the focus of all centers funded
    under title IV in fiscal year 2019; and
    ``(B) outreach efforts and other activities carried out to
    satisfy the assurances described in paragraphs (18) and (19) of
    section 306(a), to identify such older individuals and their
    service needs.''.
    SEC. 212. OTHER PRACTICES.

    Section 315 (42 U.S.C. 3030c-2) is amended by adding at the end the
    following:
    ``(e) Response to Area Agencies on Aging.--
    ``(1) In general.--Upon request from an area agency on
    aging, the State shall make available any policies or guidance
    pertaining to policies established under this section.
    ``(2) Rule of construction.--Nothing in paragraph (1) shall
    require a State to develop policies or guidance pertaining to
    policies established under this section.''.

    [[Page 259]]

    SEC. 213. SCREENING FOR NEGATIVE HEALTH EFFECTS ASSOCIATED WITH
    SOCIAL ISOLATION AND TRAUMATIC BRAIN
    INJURY.

    Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is amended--
    (1) by striking ``screening and'' and inserting ``screening,
    screening for negative health effects associated with social
    isolation,''; and
    (2) by inserting ``, and traumatic brain injury screening''
    after ``falls prevention services screening''.
    SEC. 214. SUPPORTIVE SERVICES AND SENIOR CENTERS.

    (a) In General.--Section 321(a) (42 U.S.C. 3030d(a)) is amended--
    (1) in paragraph (24), by striking ``and'' at the end;
    (2) by redesignating paragraph (25) as paragraph (26); and
    (3) by inserting after paragraph (24) the following:
    ``(25) services that promote or support social connectedness
    and reduce negative health effects associated with social
    isolation; and''.

    (b) Supportive Services.--Section 321(a)(7) (42 U.S.C. 3030d(a)(7))
    is amended by inserting ``cultural experiences (including the arts),''
    after ``art therapy,''.
    SEC. 215. CULTURALLY APPROPRIATE, MEDICALLY TAILORED MEALS.

    Section 339(2)(A)(iii) (42 U.S.C. 3030g-21(2)(A)(iii)) is amended by
    inserting ``, including meals adjusted for cultural considerations and
    preferences and medically tailored meals'' before the comma at the end.
    SEC. 216. NUTRITION SERVICES STUDY.

    Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et seq.) is
    amended by adding at the end the following:
    ``SEC. 339B. <>  NUTRITION SERVICES IMPACT
    STUDY.

    ``(a) Study.--
    ``(1) <>  In general.--The Assistant
    Secretary shall perform a study to assess how to measure and
    evaluate the discrepancy between available services and the
    demand for such services in the home delivered nutrition
    services program and the congregate nutrition services program
    under this part, which shall include assessing various methods
    (such as those that States use) to measure and evaluate the
    discrepancy (such as measurement through the length of
    waitlists).
    ``(2) Contents.--In performing the study, the Assistant
    Secretary shall--
    ``(A) consider means of obtaining information in
    rural and underserved communities; and
    ``(B) consider using existing tools (existing as of
    the date the Assistant Secretary begins the study) such
    as the tools developed through the Performance Outcome
    Measurement Project.
    ``(3) Analysis.-- <> The Assistant
    Secretary shall analyze and determine which methods are the
    least burdensome and most effective for measuring and evaluating
    the discrepancy described in paragraph (1).

    ``(b) Recommendations.--

    [[Page 260]]

    ``(1) Preparation.-- <> Not later than 3
    years after the date of enactment of the Supporting Older
    Americans Act of 2020, the Assistant Secretary shall prepare
    recommendations--
    ``(A) on how to measure and evaluate, with the least
    burden and the most effectiveness, the discrepancy
    described in subsection (a)(1) (such as measurement
    through the length of waitlists); and
    ``(B) about whether studies similar to the study
    described in subsection (a) should be carried out for
    programs carried out under this Act, other than this
    part.
    ``(2) <>  Issuance.--The Assistant
    Secretary shall issue the recommendations, and make the
    recommendations available as a notification pursuant to section
    202(a)(34) and to the committees of the Senate and of the House
    of Representatives with jurisdiction over this Act, and the
    Special Committee on Aging of the Senate.''.
    SEC. 217. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.

    (a) Definitions for National Family Caregiver Support Program.--
    Section 372(a) (42 U.S.C. 3030s(a)) is amended--
    (1) by redesignating paragraphs (1) through (3) as
    paragraphs (2) through (4), respectively; and
    (2) by inserting before paragraph (2), as so redesignated,
    the following:
    ``(1) Caregiver assessment.--The term `caregiver assessment'
    means a defined process of gathering information to identify the
    specific needs, barriers to carrying out caregiving
    responsibilities, and existing supports of a family caregiver or
    older relative caregiver, as identified by the caregiver
    involved, to appropriately target recommendations for support
    services described in section 373(b). Such assessment shall be
    administered through direct contact with the caregiver, which
    may include contact through a home visit, the Internet,
    telephone or teleconference, or in-person interaction.''.

    (b) General Authority.--Section 373 (42 U.S.C. 3030s-1) is amended--
    (1) in subsection (b), in the matter preceding paragraph
    (1), by inserting ``which may be informed through the use of
    caregiver assessments,'' after ``provided,'';
    (2) in subsection (e)(3), in the first sentence, by
    inserting ``, including caregiver assessments used in the
    State,'' after ``mechanisms'';
    (3) by redesignating subsections (e) through (g) as
    subsections (f) through (h), respectively;
    (4) by inserting after subsection (d) the following:

    ``(e) <>  Best Practices.--Not later
    than 1 year after the date of enactment of the Supporting Older
    Americans Act of 2020 and every 5 years thereafter, the Assistant
    Secretary shall--
    ``(1) identify best practices relating to the programs
    carried out under this section and section 631, regarding--
    ``(A) the use of procedures and tools to monitor and
    evaluate the performance of the programs carried out
    under such sections;
    ``(B) the use of evidence-based caregiver support
    services; and
    ``(C) any other issue determined relevant by the
    Assistant Secretary; and

    [[Page 261]]

    ``(2) make available, including on the website of the
    Administration and pursuant to section 202(a)(34), best
    practices described in paragraph (1), to carry out the programs
    under this section and section 631.''; and
    (5) by adding at the end the following:

    ``(i) Activities of National Significance.--The Assistant Secretary
    may award funds authorized under this section to States, public
    agencies, private nonprofit agencies, institutions of higher education,
    and organizations, including tribal organizations, for conducting
    activities of national significance that--
    ``(1) promote quality and continuous improvement in the
    support provided to family caregivers and older relative
    caregivers through programs carried out under this section and
    section 631; and
    ``(2) include, with respect to such programs, program
    evaluation, training, technical assistance, and research.

    ``(j) <>  Technical Assistance for
    Caregiver Assessments.--Not later than 1 year after the date of
    enactment of the Supporting Older Americans Act of 2020, the Assistant
    Secretary, in consultation with stakeholders with appropriate expertise
    and, as appropriate, informed by the strategy developed under the RAISE
    Family Caregivers Act (42 U.S.C. 3030s note), shall provide technical
    assistance to promote and implement the use of caregiver assessments.
    Such technical assistance may include sharing available tools or
    templates, comprehensive assessment protocols, and best practices
    concerning--
    ``(1) conducting caregiver assessments (including
    reassessments) as needed;
    ``(2) implementing such assessments that are consistent
    across a planning and service area, as appropriate; and
    ``(3) implementing caregiver support service plans,
    including conducting referrals to and coordination of activities
    with relevant State services.''.

    (c) Report on Caregiver Assessments.--
    (1) In general.-- <> Not later than 3 years
    after the date of enactment of this Act, the Assistant Secretary
    shall issue a report on the use of caregiver assessments by area
    agencies on aging, entities contracting with such agencies, and
    tribal organizations. Such report shall include--
    (A) an analysis of the current use of caregiver
    assessments, as of the date of the report;
    (B) an analysis of the potential impact of caregiver
    assessments on--
    (i) family caregivers and older relative
    caregivers; and
    (ii) the older individuals to whom the
    caregivers described in clause (i) provide care;
    (C) an analysis of the potential impact of using
    caregiver assessments on the aging network;
    (D) an analysis of how caregiver assessments are
    being used to identify the specific needs, barriers to
    carrying out caregiving responsibilities, and existing
    supports of family caregivers and older relative
    caregivers, with particular consideration to
    supporting--
    (i) a caregiver specified in this subparagraph
    who is caring for individuals with disabilities,
    or, if appropriate, with a serious illness; and

    [[Page 262]]

    (ii) caregivers with disabilities;
    (E) <>  recommendations
    for furthering the use of caregiver assessments, as
    appropriate, including in rural or underserved areas;
    and
    (F) <>  recommendations
    for assisting State agencies and area agencies on aging,
    particularly in rural or underserved areas, in
    implementing the use of caregiver assessments.
    (2) Submission.--Not later than 6 months after the issuance
    of the report specified in paragraph (1), the Assistant
    Secretary shall submit the report to the committees of the
    Senate and the House of Representatives with jurisdiction over
    this Act, and the Special Committee on Aging of the Senate.
    (3) Definitions.--In this subsection--
    (A) the terms ``caregiver assessment'' and ``older
    relative caregiver'' have the meanings given such terms
    in section 372(a) of the Older Americans Act of 1965 (42
    U.S.C. 3030s(a));
    (B) the term ``family caregiver'' has the meaning
    given the term in section 302 of such Act (42 U.S.C.
    3022); and
    (C) the terms ``State agency'' and ``tribal
    organization'' have the meanings given the terms in
    section 102 of such Act (42 U.S.C. 3002).

    (d) Conforming Amendment.--Section 631(b) of such Act (42 U.S.C.
    3057k-11(b)) is amended by striking ``(c), (d), and (e)'' and inserting
    ``(c), (d), and (f)''.
    SEC. 218. NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM CAP.

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

    [[Page 263]]

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

    SEC. 301. REAUTHORIZATION.

    Section 411(b) (42 U.S.C. 3032(b)) is amended to read as follows:
    ``(b) Authorization of Appropriations.--There are authorized to be
    appropriated to carry out--
    ``(1) aging network support activities under this section,
    $14,514,550 for fiscal year 2020, $15,385,423 for fiscal year
    2021, $16,308,548 for fiscal year 2022, $17,287,061 for fiscal
    year 2023, and $18,324,285 for fiscal year 2024; and
    ``(2) elder rights support activities under this section,
    $15,613,440 for fiscal year 2020, $16,550,246 for fiscal year
    2021, $17,543,261 for fiscal year 2022, $18,595,857 for fiscal
    year 2023, and $19,711,608 for fiscal year 2024.''.
    SEC. 302. PUBLIC AWARENESS OF TRAUMATIC BRAIN INJURY.

    Section 411(a)(12) (42 U.S.C. 3032(a)(12)) is amended--
    (1) by striking ``impairments'' and inserting
    ``impairments,''; and
    (2) by striking ``, and mental disorders'' and inserting ``,
    mental disorders, and traumatic brain injury''.
    SEC. 303. FALLS PREVENTION AND CHRONIC DISEASE SELF-MANAGEMENT
    EDUCATION.

    Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 119 and
    120, is further amended--
    (1) by redesignating paragraphs (15) and (16) as paragraphs
    (17) and (18), respectively; and
    (2) by inserting after paragraph (14) the following:
    ``(15) bringing to scale and sustaining evidence-based falls
    prevention programs that will reduce the number of falls, fear
    of falling, and fall-related injuries in older individuals,
    including older individuals with disabilities;
    ``(16) bringing to scale and sustaining evidence-based
    chronic disease self-management programs that empower older
    individuals, including older individuals with disabilities, to
    better manage their chronic conditions;''.
    SEC. 304. DEMONSTRATION TO ADDRESS NEGATIVE HEALTH IMPACTS
    ASSOCIATED WITH SOCIAL ISOLATION.

    Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 119, 120,
    and 303, is further amended--
    (1) in paragraph (17), by striking ``; and'' and inserting a
    semicolon;
    (2) by redesignating paragraph (18) as paragraph (19); and
    (3) by inserting after paragraph (17), the following:
    ``(18) projects that address negative health effects
    associated with social isolation among older individuals; and''.
    SEC. 305. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE
    TRANSPORTATION FOR OLDER INDIVIDUALS.

    Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amended--

    [[Page 264]]

    (1) in subparagraph (B), by inserting before the semicolon
    ``, call center, website or Internet-based portal, mobile
    application, or other technological tools'';
    (2) in subparagraph (C), by striking ``; and'' and inserting
    a semicolon;
    (3) by redesignating subparagraph (D) as subparagraph (G);
    and
    (4) by inserting after subparagraph (C) the following:
    ``(D)(i) improving the aggregation, availability,
    and accessibility of information on options for
    transportation services for older individuals, including
    information on public transit, on-demand transportation
    services, volunteer-based transportation services, and
    other private transportation providers; and
    ``(ii) providing older individuals with the ability
    to schedule trips both in advance and on demand, as
    appropriate;
    ``(E) identifying opportunities to share resources
    and reduce costs of transportation services for older
    individuals;
    ``(F) coordinating individualized trip planning
    responses to requests from older individuals for
    transportation services; and''.
    SEC. 306. GRANT PROGRAM FOR MULTIGENERATIONAL COLLABORATION.

    Section 417 (42 U.S.C. 3032f) is amended--
    (1) by amending subsection (a) to read as follows:

    ``(a) Grants and Contracts.--The Assistant Secretary shall award
    grants to and enter into contracts with eligible organizations to carry
    out projects, serving individuals in younger generations and older
    individuals, to--
    ``(1) provide opportunities for older individuals to
    participate in multigenerational activities and civic engagement
    activities that contribute to the health and wellness of older
    individuals and individuals in younger generations by
    promoting--
    ``(A) meaningful roles for participants;
    ``(B) reciprocity in relationship building;
    ``(C) reduced social isolation and improved
    participant social connectedness;
    ``(D) improved economic well-being for older
    individuals;
    ``(E) increased lifelong learning; or
    ``(F) support for caregivers of families by--
    ``(i) providing support for older relative
    caregivers (as defined in section 372(a)) raising
    children (such as support for kinship navigator
    programs); or
    ``(ii) involving volunteers who are older
    individuals who provide support and information to
    families who have a child with a disability or
    chronic illness, or other families in need of such
    family support;
    ``(2) coordinate multigenerational activities and civic
    engagement activities, including multigenerational nutrition and
    meal service programs;
    ``(3) promote volunteerism, including by providing
    opportunities for older individuals to become a mentor to
    individuals in younger generations; and

    [[Page 265]]

    ``(4) facilitate development of, and participation in,
    multigenerational activities and civic engagement activities.'';
    (2) by striking subsection (g);
    (3) by redesignating subsections (b) through (f) as
    subsections (c) through (g), respectively;
    (4) by inserting after subsection (a) the following:

    ``(b) Grant and Contract Periods.--Each grant awarded and contract
    entered into under subsection (a) shall be for a period of not less than
    36 months.'';
    (5) by amending subsection (c), as so redesignated, to read
    as follows:

    ``(c) Use of Funds.--
    ``(1) In general.--An eligible organization shall use funds
    made available under a grant awarded, or a contract entered
    into, under this section to carry out a project described in
    subsection (a).
    ``(2) Provision of projects through grantees.--In awarding
    grants and entering into contracts under this section, the
    Assistant Secretary shall ensure that such grants and contracts
    are for the projects that satisfy each requirement under
    paragraphs (1) through (4) of subsection (a).'';
    (6) in subsection (d), as so redesignated--
    (A) in paragraph (1), by inserting ``, intent to
    carry out, or intent to partner with local organizations
    or multiservice organizations to carry out,'' after
    ``record of carrying out'';
    (B) in paragraph (3), by striking ``; and'' and
    inserting a semicolon;
    (C) in paragraph (4), by striking the period and
    inserting ``; and''; and
    (D) by adding at the end the following:
    ``(5) eligible organizations proposing multigenerational
    activity projects that utilize shared site programs, such as
    collocated child care and long-term care facilities.'';
    (7) by amending subsections (f) and (g), as so redesignated,
    to read as follows:

    ``(f) Eligible Organizations.--Organizations eligible to receive a
    grant or enter into a contract under subsection (a) shall--
    ``(1) be a State, an area agency on aging, or an
    organization that provides opportunities for older individuals
    to participate in activities described in such subsection; and
    ``(2) have the capacity to conduct the coordination,
    promotion, and facilitation described in such subsection through
    the use of multigenerational coordinators.

    ``(g) Evaluation.--
    ``(1) <>  In general.--Not later than
    3 years after the date of enactment of the Supporting Older
    Americans Act of 2020, the Assistant Secretary shall, through
    data submitted by organizations carrying out projects through
    grants or contracts under this section, evaluate the activities
    supported through such grants and contracts to determine--
    ``(A) the effectiveness of such activities;
    ``(B) the impact of such activities on the community
    being served and the organization providing the
    activities; and
    ``(C) the impact of such activities on older
    individuals participating in such projects.

    [[Page 266]]

    ``(2) <>  Report to congress.--Not later
    than 6 months after the Assistant Secretary completes the
    evaluation under paragraph (1), the Assistant Secretary shall
    prepare and submit to the Speaker of the House of
    Representatives and the President pro tempore of the Senate a
    report that assesses such evaluation and contains, at a
    minimum--
    ``(A) the names or descriptive titles of the
    projects funded under subsection (a);
    ``(B) a description of the nature and operation of
    such projects;
    ``(C) the names and addresses of organizations that
    conducted such projects;
    ``(D) a description of the methods and success of
    such projects in recruiting older individuals as
    employees and as volunteers to participate in the
    projects;
    ``(E) a description of the success of the projects
    in retaining older individuals participating in such
    projects as employees and as volunteers;
    ``(F) the rate of turnover of older individuals who
    are employees or volunteers in such projects;
    ``(G) <>  a strategy for
    disseminating the findings resulting from such projects;
    and
    ``(H) <>  any policy
    change recommendations relating to such projects.''; and
    (8) in subsection (h)(2)(B)(i), by striking ``individuals
    from the generations with older individuals'' and inserting
    ``older individuals''.

    TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

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

    (a) Priority.--The Act (42 U.S.C. 3001 et seq.) is amended--
    (1) in section 503(a)(4)(C) (42 U.S.C. 3056a(a)(4)(C))--
    (A) in clause (iii), by striking ``and'' at the end;
    (B) in clause (iv), by adding ``and'' at the end;
    and
    (C) by adding at the end the following:
    ``(v) eligible individuals who have been
    incarcerated within the last 5 years or are under
    supervision following release from prison or jail
    within the last 5 years;'';
    (2) in section 514(e)(1) (42 U.S.C. 3056l(e)(1)), by
    inserting ``eligible individuals who have been incarcerated or
    are under supervision following release from prison or jail,''
    after ``need,''; and
    (3) in section 518 (42 U.S.C. 3056p)--
    (A) in subsection (a)(3)(B)(ii)--
    (i) in subclause (IV), by striking ``or'' at
    the end;
    (ii) in subclause (V), by striking the period
    at the end and inserting ``; or''; and
    (iii) by adding at the end the following:
    ``(VI) have been incarcerated within
    the last 5 years or are under
    supervision following release from
    prison or jail within the last 5
    years.''; and
    (B) in subsection (b)(2)--

    [[Page 267]]

    (i) in subparagraph (F), by striking ``or'' at
    the end;
    (ii) in subparagraph (G), by striking the
    period at the end and inserting ``; or''; and
    (iii) by adding at the end the following:
    ``(H) <>  has been incarcerated
    within the last 5 years or is under supervision
    following release from prison or jail within the last 5
    years.''.

    (b) <>  Transition
    Period.--This section shall take effect 1 year after the date of
    enactment of this Act.
    SEC. 402. AUTHORIZATION OF APPROPRIATIONS.

    Section 517(a) (42 U.S.C. 3056o(a)) is amended to read as follows:
    ``(a) In General.--There are authorized to be appropriated to carry
    out this title $428,000,000 for fiscal year 2020, $453,680,000 for
    fiscal year 2021, $480,900,800 for fiscal year 2022, $509,754,848 for
    fiscal year 2023, and $540,340,139 for fiscal year 2024.''.

    TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS

    SEC. 501. REAUTHORIZATION.

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

    ``There are authorized to be appropriated to carry out this title--
    ``(1) for parts A and B, $37,102,560 for fiscal year 2020,
    $39,298,714 for fiscal year 2021, $41,626,636 for fiscal year
    2022, $44,094,235 for fiscal year 2023, and $46,709,889 for
    fiscal year 2024; and
    ``(2) for part C, $10,759,920 for fiscal year 2020,
    $11,405,515 for fiscal year 2021, $12,089,846 for fiscal year
    2022, $12,815,237 for fiscal year 2023, and $13,584,151 for
    fiscal year 2024.''; and
    (B) by adding at the end the following:
    ``SEC. 644. <>  FUNDING SET ASIDE.

    ``Of the funds appropriated under section 643(1) for a fiscal year,
    not more than 5 percent shall be made available to carry out part D for
    such fiscal year, provided that for such fiscal year--
    ``(1) the funds appropriated for parts A and B are greater
    than the funds appropriated for fiscal year 2019; and
    ``(2) the Assistant Secretary makes available for parts A
    and B no less than the amount of resources made available for
    fiscal year 2019.'';
    (2) by redesignating part D, as so amended, as part E; and
    (3) by inserting after part C the following:

    [[Page 268]]

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

    ``SEC. 636. <>  PROGRAM.

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

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

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

    Section 702 (42 U.S.C. 3058a) is amended by striking subsections (a)
    and (b) and inserting the following:
    ``(a) Ombudsman Program.--There are authorized to be appropriated to
    carry out chapter 2, $18,066,950 for fiscal year 2020, $19,150,967 for
    fiscal year 2021, $20,300,025 for fiscal year 2022, $21,518,027 for
    fiscal year 2023, and $22,809,108 for fiscal year 2024.
    ``(b) Other Programs.--There are authorized to be appropriated to
    carry out chapters 3 and 4, $5,107,110 for fiscal year 2020, $5,413,537
    for fiscal year 2021, $5,738,349 for fiscal year 2022, $6,082,650 for
    fiscal year 2023, and $6,447,609 for fiscal year 2024.''.
    SEC. 602. VOLUNTEER STATE LONG-TERM CARE OMBUDSMAN
    REPRESENTATIVES.

    Section 712(a)(5) (42 U.S.C. 3058g(a)(5)) is amended by adding at
    the end the following:

    [[Page 269]]

    ``(E) Rule of construction for volunteer ombudsman
    representatives.--Nothing in this paragraph shall be
    construed as prohibiting the program from providing and
    financially supporting recognition for an individual
    designated under subparagraph (A) as a volunteer to
    represent the Ombudsman program, or from reimbursing or
    otherwise providing financial support to such an
    individual for any costs, such as transportation costs,
    incurred by the individual in serving as such
    volunteer.''.
    SEC. 603. PREVENTION OF ELDER ABUSE, NEGLECT, AND EXPLOITATION.

    Section 721(b)(12) (42 U.S.C. 3058i(b)(12)) is amended--
    (1) in subparagraph (C), by inserting ``community outreach
    and education,'' after ``technical assistance,''; and
    (2) in subparagraph (F)--
    (A) by striking ``studying'' and inserting
    ``implementing''; and
    (B) by inserting ``, programs, and materials'' after
    ``practices''.
    SEC. 604. <>  PRINCIPLES FOR PERSON-
    DIRECTED SERVICES AND SUPPORTS DURING
    SERIOUS ILLNESS.

    (a) Definitions.--
    (1) Administrator.--The term ``Administrator'' means the
    Administrator of the Administration for Community Living.
    (2) Covered agency.--The term ``covered agency'' means--
    (A) a State agency or area agency on aging; and
    (B) a Federal agency other than the Department of
    Health and Human Services, and a unit of that Department
    other than the Administration on Aging, that the
    Assistant Secretary determines performs functions for
    which the principles are relevant, and the Centers for
    Medicare & Medicaid Services.
    (3) Principles.--The term ``principles'' means the
    Principles for Person-directed Services and Supports during
    Serious Illness, issued by the Administration for Community
    Living on September 1, 2017, or an updated set of such
    Principles.
    (4) State agency.--The term ``State agency'' has the meaning
    given the term in section 102 of the Older Americans Act of 1965
    (42 U.S.C. 3002).

    (b) Dissemination.--The Administrator shall disseminate the
    principles to appropriate stakeholders within the aging network, as
    determined by the Assistant Secretary, and to covered agencies. The
    covered agencies may use the principles in setting priorities for
    service delivery and care plans in programs carried out by the agencies.
    (c) Feedback.--The Administrator shall solicit, on an ongoing basis,
    feedback on the principles from covered agencies, experts in the fields
    of aging and dementia, and stakeholders who provide or receive
    disability services.
    (d) Report.--Not less often than once, but not more often than
    annually, during the 3 years after the date of enactment of this Act,
    the Administrator shall prepare and submit to Congress a report
    describing the feedback received under subsection (c) and indicating if
    any changes or updates are needed to the principles.

    [[Page 270]]

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

    Section 3(f) of the Supporting Grandparents Raising Grandchildren
    Act (Public Law 115-196) <>  is amended by
    striking ``3'' and inserting ``4''.
    SEC. 606. <>  BEST PRACTICES FOR HOME AND
    COMMUNITY-BASED OMBUDSMEN.

    Not later than 3 years after the date of enactment of this Act, the
    Assistant Secretary shall issue a report updating the best practices for
    home and community-based ombudsmen that were included in the report
    entitled ``Best Practices for Home and Community-Based Ombudsmen'',
    issued by the National Direct Service Workforce Resource Center of the
    Centers for Medicare & Medicaid Services and prepared by the Research
    and Training Center at the University of Minnesota and The Lewin Group
    (January 2013).
    SEC. 607. SENIOR HOME MODIFICATION ASSISTANCE INITIATIVE.

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

    [[Page 271]]

    attempting to live independently and safely in their homes and
    for the caregivers of such individuals.

    TITLE VII--MISCELLANEOUS

    SEC. 701. TECHNICAL CORRECTIONS.

    The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
    amended--
    (1) in section 102(37)(A) (42 U.S.C. 3002(37)(A)), by
    striking ``paragraph (5)'' and inserting ``paragraph (26)'';
    (2) in section 202(a)(23) (42 U.S.C. 3012(a)(23)), by
    striking ``sections 307(a)(18) and 731(b)(2)'' and inserting
    ``sections 307(a)(13) and 731'';
    (3) in section 202(e)(1)(A) (42 U.S.C. 3012(e)(1)(A)), by
    moving the left margin of clause (i) 2 ems to the left;
    (4) in sections 203(c)(7) (42 U.S.C. 3013(c)(7)),
    207(b)(2)(B) (42 U.S.C. 3018(b)(2)(B)), and 215(i) (42 U.S.C.
    3020e-1(i)), by striking ``Committee on Education and the
    Workforce'' each place it appears and inserting ``Committee on
    Education and Labor'';
    (5) in section 207(b)(3)(A) (42 U.S.C. 3018(b)(3)(A)), by
    striking ``Administrator of the Health Care Finance
    Administration'' and inserting ``Administrator of the Centers
    for Medicare & Medicaid Services'';
    (6) in section 304(a)(3)(C) (42 U.S.C. 3024(a)(3)(C)), by
    striking ``term'' and all that follows through ``does'' and
    inserting ``term `State' does'';
    (7) in section 304(d)(1)(B), by striking ``(excluding'' and
    all that follows through ``303(a)(3))'';
    (8) in section 306(a) (42 U.S.C. 3026(a))--
    (A) in paragraph (1), by inserting ``the number of
    older individuals at risk for institutional placement
    residing in such area,'' before ``and the number of
    older individuals who are Indians''; and
    (B) in paragraph (2)(B), by striking ``who are
    victims of'' and inserting ``with'';
    (9) in section 339(2)(A)(ii)(I) (42 U.S.C. 3030g-
    21(2)(A)(ii)(I)), by striking ``Institute of Medicine of the
    National Academy of Sciences'' and inserting ``National
    Academies of Sciences, Engineering, and Medicine'';
    (10) in section 611 (42 U.S.C. 3057b), by striking ``(a)'';
    (11) in section 614(c)(4) (42 U.S.C. 3057e(c)(4)), by
    striking ``(a)(12)'' and inserting ``(a)(11)''; and

    [[Page 272]]

    (12) in section 721(i) (42 U.S.C. 3058i(i), by striking
    ``section 206(g)'' and inserting ``section 206(h)''.

    Approved March 25, 2020.

    LEGISLATIVE HISTORY--H.R. 4334:
    ---------------------------------------------------------------------------

    HOUSE REPORTS: No. 116-258 (Comm. on Education and Labor).
    CONGRESSIONAL RECORD:
    Vol. 165 (2019):
    Oct. 28, considered and passed
    House.
    Vol. 166 (2020):
    Mar. 3, considered and passed
    Senate, amended.
    Mar. 11, House concurred in Senate
    amendment.
    DAILY COMPILATION OF PRESIDENTIAL DOCUMENTS (2020):
    Mar. 25, Presidential statement.