Title IV — Activities for health, independence, and longevity

“(g) Authorization of appropriations—There is authorized to be appropriated to carry out this section $5,000,000 for each of fiscal years 2014 through 2018.”

“423. Multipurpose senior center modernization, training, and support

“(a) Program authorized—The Assistant Secretary shall award grants and enter into contracts with eligible entities to carry out projects to—

“(1) support and promote modern multipurpose senior center models which yield vibrant, multiservice, multigenerational centers for older individuals, families of older individuals, and others in the community to gain skills, resources, and connections needed to meet the challenges that occur with continuum of care and quality of life;

“(2) build an evidence base of modern, replicable practices that allow senior centers to serve a diverse array of older individuals, as well as their families and other caregivers, leveraging innovative partnerships and public and private resources to develop and expand programs; and

“(3) mobilize services and leverage resources to support the role of multipurpose senior centers as community focal points, as provided in section 306(a)(3), and for the establishment, construction, maintenance, and operation of centers, as described in sections 303(c)(2) and 306(a)(1), including development of intergenerational shared site models, consistent with the purposes of this Act.

“(b) Use of funds—An eligible entity shall use funds made available under a grant awarded, or a contract entered into, under subsection (a) to—

“(1) carry out a project described in subsection (a); and

“(2) evaluate the project in accordance with subsection (e).

“(c) Eligible entity—For purposes of this section, the term eligible entity means—

“(1) a multipurpose senior center that has met national accreditation and fiduciary standards; and

“(2) a regional partnership or collaboration of multipurpose senior centers or State association of senior centers in which not less than 2 centers are accredited.

“(d) Competitive grants for technical assistance

“(1) Grants—The Assistant Secretary shall make a grant, on a competitive basis, to an eligible nonprofit organization described in paragraph (2), to enable the organization to—

“(A) provide training and technical assistance to recipients of grants under this section and other multipurpose senior centers to adopt and tailor evidence-based modernization strategies and practices to respond to the economic and health needs of the diverse and growing aging populations in their own communities; and

“(B) carry out other duties, as determined by the Assistant Secretary.

“(2) Eligible nonprofit organization—To be eligible to receive a grant under this subsection, an organization shall be a nonprofit organization (including a partnership of nonprofit organizations), that—

“(A) has experience and expertise in providing technical assistance to a range of multipurpose senior centers and experience evaluating and reporting on programs; and

“(B) has demonstrated knowledge of and expertise in multipurpose senior center accreditation or other standards of excellence.

“(e) Local evaluation and report

“(1) Evaluation—Each entity receiving a grant or a contract under subsection (a) to carry out a project described in subsection (a) shall evaluate the project, leadership, and resources for the modernization of multipurpose senior centers.

“(2) Report—The entity described in paragraph (1) shall submit a report to the Assistant Secretary containing the evaluation not later than 6 months after the expiration of the period for which the grant or contract is in effect.

“(f) Report to Congress—Not later than 6 months after the Assistant Secretary receives the reports described in subsection (e)(2), the Assistant Secretary shall prepare and submit to Congress a report that describes the results of the evaluations.”

“424. Demonstration program on care coordination and service delivery

“(a) Establishment of demonstration program

“(1) In general—The Assistant Secretary shall carry out a demonstration program in accordance with this section. The Assistant Secretary shall award grants to eligible entities (as determined by the Secretary) to implement demonstration projects that focus on care coordination and service delivery redesign for older individuals with chronic illness or at risk of institutional placement by—

“(A) designing and testing new models of care coordination and service delivery that thoughtfully and effectively deploy advanced aides to improve efficiency and quality of care for frail older individuals; and

“(B) giving direct-care workers opportunities for career advancement through additional training, an expanded role, and increased compensation.

“(2) Direct-care worker—In this section, the term direct-care worker has the meaning given that term in the 2010 Standard Occupational Classifications of the Department of Labor for Home Health Aides [31–1011], Psychiatric Aides [31–1013], Nursing Assistants [31–1014], and Personal Care Aides [39–9021].

“(b) Planning and implementation awards under the program

“(1) In general—Each eligible entity that receives a grant under this section shall receive a grant for planning and implementation activities related to the demonstration project to be carried out by the entity.

“(2) Amount—The amount awarded under paragraph (1) for all grants—

“(A) for planning activities, shall not exceed $600,000; and

“(B) for implementation activities, shall not exceed $2,900,000.

“(3) Terms—Planning activities carried out under a grant awarded under paragraph (1) shall be completed not later than 1 year after the grant is awarded. Implementation activities carried out under such a grant shall be completed not later than 2 years after the grant is awarded.

“(4) Evaluation and report—Each recipient of a grant under paragraph (1), in consultation with an independent evaluation contractor, shall conduct an evaluation and submit to the Secretary a report on the implementation of activities conducted under the demonstration project, including such information as the Secretary may require.”

“425. Grants or contracts to facilitate low-income access to dental care

“(a) Definition—In this section, the term medically recommended dental care means treatment of an oral disease or other oral condition, on the referral of a physician or other health care professional, to sustain or improve overall health, prevent exacerbation of a co-morbid condition, or as a prerequisite to a required medical therapy.

“(b) Grants—The Secretary shall award competitive grants to, or enter into contracts with, eligible entities to fund the employment costs of professionals who will use grant or contract funds to—

“(1) coordinate the provision of medically recommended dental care to eligible individuals by volunteer dentists in a manner consistent with State licensing laws; and

“(2) verify the medical, dental, and financial needs of eligible individuals who may be eligible for free medically recommended dental care.

“(c) Eligibility

“(1) Eligible entity—To be eligible to receive a grant or contract under subsection (b), an entity shall be a nonprofit organization that provides for the participation of eligible individuals in a free dental services program on a national basis.

“(2) Eligible individual—To be eligible to participate in a program described in paragraph (1), individuals shall be those with greatest economic need and individuals with greatest social need (with particular attention to individuals with factors listed in section 102(26)(B)).

“(d) Use of funds—An entity shall use amounts received under a grant or contract under this section to establish, expand, or operate a program to coordinate the provision of free medically recommended dental care through volunteer dentists to eligible individuals.

“(e) Evaluation and report

“(1) Evaluation—Each entity that receives a grant or contract under this section shall evaluate the number of patients served under the grant or contract, and the effectiveness of the program described in subsection (d) in reducing medical expenses associated with the disease or condition for which care described in subsection (d) was provided.

“(2) Report—The entity shall submit a report containing the results of the evaluation to the Assistant Secretary, not later than 6 months after the end of the period of the grant or contract.

“(f) Authorization of appropriations—There is authorized to be appropriated to carry out this section, $2,000,000 for each of fiscal years 2014 through 2018.”

“426. National Resource Center on Family Caregiving

“(a) Establishment—The Secretary of Health and Human Services shall award a grant to or enter into a cooperative agreement with a public or private nonprofit entity to establish a National Resource Center on Family Caregiving (referred to in this section as the “Center”).

“(b) Development—The Assistant Secretary shall develop and issue operating standards and reporting requirements for the Center established under subsection (a).

“(c) Authorization—There is authorized to be appropriated to carry out this section, $2,000,000 for each of fiscal years 2014 through 2018.”