[116th Congress Public Law 131]
[From the U.S. Government Publishing Office]
[[Page 239]]
SUPPORTING OLDER AMERICANS ACT
OF 2020
[[Page 131 STAT. 240]]
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. <<NOTE: Mar. 25,
2020 - [H.R. 4334]>>
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled, <<NOTE: Supporting Older
Americans Act of 2020.>>
SECTION 1. <<NOTE: 42 USC 3001 note.>> 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.
[[Page 131 STAT. 241]]
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. <<NOTE: 42 USC 3001 note.>> DEFINITIONS.
In this Act, the terms ``area agency on aging'', ``Assistant
Secretary'', ``greatest social need'', ``older individual'', and
``Secretary''
[[Page 131 STAT. 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
[[Page 131 STAT. 243]]
(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--
[[Page 131 STAT. 244]]
(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:
[[Page 131 STAT. 245]]
``(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) <<NOTE: Lists.>> The Assistant Secretary shall publish, on an
annual basis, a list of centers and demonstration projects funded under
each title of this Act. The Assistant Secretary shall ensure that this
information is also directly provided to State agencies and area
agencies on aging.''.
(b) Addressing the Needs of Older Individuals in Disasters.--Section
202(a) (42 U.S.C. 3012(a)) is amended--
(1) in paragraph (30), by striking ``; and'' and inserting a
semicolon;
(2) in paragraph (31), by striking the period at the end and
inserting a semicolon; and
(3) by adding at the end the following:
``(32) provide technical assistance to, and share best
practices with, State agencies and area agencies on aging on how
to collaborate and coordinate activities and develop long-range
emergency preparedness plans with local and State emergency
response agencies, relief organizations, local and State
governments, Federal agencies as appropriate, and any other
institutions that have responsibility for disaster relief
service delivery;''.
[[Page 131 STAT. 246]]
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) <<NOTE: Reports.>> 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:
[[Page 131 STAT. 247]]
``(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) <<NOTE: Coordination.>> 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').
[[Page 131 STAT. 248]]
``(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) <<NOTE: Summary.>> 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. <<NOTE: 42 USC 3012 note.>> 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),''.
[[Page 131 STAT. 249]]
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 <<NOTE: Deadline.>> 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) <<NOTE: Coordination.>> 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 131 STAT. 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 131 STAT. 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) <<NOTE: Methodologies.>> 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 131 STAT. 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) <<NOTE: Coordination.>> to coordinate, as
appropriate, research, research dissemination, evaluation,
demonstration projects, and related activities carried out under
this Act;
``(B) <<NOTE: Assessment.>> 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 131 STAT. 253]]
``(4) The director shall be an individual with substantial knowledge
of and experience in aging and health policy, and research
administration.
``(5) <<NOTE: Deadline. Time period. Federal Register,
publication. Public information. Plan.>> 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) <<NOTE: Coordination.>> 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) <<NOTE: Reports.>> 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) <<NOTE: Consultation.>> 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) <<NOTE: Coordination.>> 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) <<NOTE: Deadline. Analyses.>> 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 131 STAT. 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) <<NOTE: Evaluation.>> 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 131 STAT. 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) <<NOTE: Definitions.>> 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 131 STAT. 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) <<NOTE: Effective date. 42 USC 3024 note.>> 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 131 STAT. 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) <<NOTE: Reports.>> 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. <<NOTE: Reports.>> 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) <<NOTE: Recommenda- tions.>> 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 131 STAT. 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 131 STAT. 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. <<NOTE: 42 USC 3030g-23.>> NUTRITION SERVICES IMPACT
STUDY.
``(a) Study.--
``(1) <<NOTE: Assessment.>> 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.-- <<NOTE: Determination.>> 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 131 STAT. 260]]
``(1) Preparation.-- <<NOTE: Deadline.>> 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) <<NOTE: Notification.>> 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) <<NOTE: Deadline. Time period.>> 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 131 STAT. 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) <<NOTE: Deadline. Consultation.>> 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.-- <<NOTE: Analyses.>> 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 131 STAT. 262]]
(ii) caregivers with disabilities;
(E) <<NOTE: Recommenda- tions.>> recommendations
for furthering the use of caregiver assessments, as
appropriate, including in rural or underserved areas;
and
(F) <<NOTE: Recommenda- tions.>> 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) <<NOTE: 42 USC 3030s-1 note.>> 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.). <<NOTE: Public information.>> 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 131 STAT. 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 131 STAT. 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 131 STAT. 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) <<NOTE: Deadline. Data.>> 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 131 STAT. 266]]
``(2) <<NOTE: Assessment.>> 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) <<NOTE: Strategy.>> a strategy for
disseminating the findings resulting from such projects;
and
``(H) <<NOTE: Recommenda- tions.>> 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 131 STAT. 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) <<NOTE: Time period.>> has been incarcerated
within the last 5 years or is under supervision
following release from prison or jail within the last 5
years.''.
(b) <<NOTE: Effective date. 42 USC 3056a note.>> 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. <<NOTE: 42 USC 3057o.>> 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 131 STAT. 268]]
``PART D--SUPPORTIVE SERVICES FOR HEALTHY AGING AND INDEPENDENCE
``SEC. 636. <<NOTE: 42 USC 3057k-21.>> 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 131 STAT. 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. <<NOTE: 42 USC 3001 note.>> 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 131 STAT. 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) <<NOTE: 132 Stat. 1513.>> is amended by
striking ``3'' and inserting ``4''.
SEC. 606. <<NOTE: Reports.>> 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.
<<NOTE: Reports.>> 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) <<NOTE: Data.>> 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) <<NOTE: Analysis>> 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) <<NOTE: Review.>> 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 131 STAT. 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 131 STAT. 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:
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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.
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