H.R. 4334 — what changed

Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) is amended—

“(4) administer the grants provided by this Act but not approve an application submitted by an applicant for a grant for a program for which such applicant previously received a grant unless the Assistant Secretary determines—

“(A) the program for which such application was submitted is operating effectively to achieve its stated purpose; and

changed “(B) such applicant—applicant complied with the assurances provided to the Assistant Secretary with the application for such previous grant; and”

removed “(i) complied with the assurances provided to the Assistant Secretary with the application for such previous grant; and

removed “(ii) will comply with the assurances provided with the current submitted application;”

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

“(32) provide technical assistance to and share best practices with States 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.”

Section 203 of the Older Americans Act of 1965 (42 U.S.C. 3013) is amended—

“(20) section 393D of the Public Health Service Act (42 U.S.C. 280b–1f), relating to safety of seniors.”

“(v) identifying best practices for connecting older individuals to services for which they may be eligible;”

added “(ii) innovations in technology applications (including assistive technology devices and assistive technology services) that—

removed “(ii) innovations in technology applications (including assistance technology devices and assistance technology services) that—

“(I) promote safe and accessible independent living environments; and

added “(II) give older individuals access to information on available services or help in providing services to older individuals, including information on transportation services such as public transit, on-demand transportation services, volunteer-based transportation services, and other private transportation services; and”

added “(iii) transportation models that reduce costs of transportation for older individuals and provide the ability to schedule trips in advance and on demand, as appropriate;”

removed “(II) give older individuals access to information on available services or help in providing services to older individuals;”

“(E) work with the Centers for Disease Control and Prevention, the National Institute on Aging, Centers for Medicare and Medicaid Services, the Housing and Urban Development Office of Lead Hazard Control and Healthy Homes, and other Federal agencies as appropriate, to develop recommendations, in accordance with paragraph (1), to reduce falls among older individuals that incorporate evidence-based falls prevention programs and home modifications to reduce and prevent falls;”

changed “(9) In this subsection, the term “age-friendly community” means a community that-—that—

“(A) is taking steps—

“(i) to include accessible housing, accessible spaces and buildings, safe and secure paths, variable route transportation services, and programs and services designed to maintain health and well-being;

“(ii) to respect and include older individuals in social opportunities, civic participation, volunteerism, and employment; and

“(iii) to facilitate access to supportive services for older individuals; and

“(B) has a plan in place to meet local needs for housing, transportation, civic participation, social connectedness, and accessible spaces.”

added “(d) Not later than 2 years after the effective date of this subsection, the Comptroller General of the United States shall conduct a study and issue a report that includes—

added “(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 determined appropriate by the Comptroller General, that support home assessments and home modifications for older individuals and individuals with disabilities,

added “(2) statistical data, for recent fiscal years, on the number of older individuals and individuals with disabilities served by each Federal program described in paragraph (1) and the approximate amount of Federal funding invested in each such program,

added “(3) a demographic analysis of individuals served by each such program for recent fiscal years,

added “(4) an analysis of duplication and gaps in populations supported by the Federal programs described in paragraph (1),

added “(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,

added “(6) a review of Federal efforts to coordinate Federal programs existing prior to the effective date of this subsection that support 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 efforts, and

added “(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), are accessible to all area agencies on aging, and contain information on home assessments and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals.”

Section 205(a)(2) of the Older Americans Act of 1965 (42 U.S.C. 3016(a)(2)) is amended—

“(C) The Assistant Secretary may provide technical assistance, including through the regional offices of the Administration, to State agencies, area agencies on aging, local government agencies, or leaders in age-friendly communities (as defined in section 203(c)(9)) regarding—

changed “(i) dissemination of, or consideration of ways to implement, best practices support for public and recommendations from the Interagency Coordinating Committee on Age-Friendly Communities established under section 203(c); andprivate entities in building partnerships to promote such age-friendly communities;

changed “(ii) methods for managing and coordinating existing programs dissemination of, or consideration of ways to meet implement, best practices and recommendations from the needs of growing age-friendly communities.”Interagency Coordinating Committee on Age-Friendly Communities established under section 203(c); and

added “(iii) methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities.”

The Older Americans Act of 1965 (42 U.S.C. 2011 et seq.) is amended—

changed “(18) provide assurances that the area agency on aging will collect data to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of the programs, policies, and services provided by such area agency on aging in assisting these individuals. Each agency plan shall 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 are the focus of all centers established under title IV. This requirement applies to all centers funded on the day before the effective date of this paragraph.”determine—

added “(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

added “(B) the effectiveness of the programs, policies, and services provided by such area agency on aging in assisting such individuals; and

added “(19) provide assurances that the area agency on aging will use outreach efforts that will identify older individuals eligible for assistance under this Act, with special emphasis on those older individuals whose needs were the focus of all centers funded under title IV in fiscal year 2019.”

changed “(31) The plan shall contain an assurance that the State shall prepare and submit to the Assistant Secretary annual reports on the data collected to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of the programs, policies, and services provided by area agencies on aging in assisting these individuals. The reports shall describe any outreach efforts and other activities described in section 306(a)(18). This requirement applies to all centers funded on the day before the date of the enactment of the effective date of this paragraph.”describe—

added “(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;

added “(B) data collected to determine the effectiveness of the programs, policies, and services provided by area agencies on aging in assisting such individuals; and

added “(C) outreach efforts and other activities carried out to satisfy the assurances described in paragraphs (18) and (19) of section 306(a).”

Section 301(a)(1) of the Older Americans Act of 1965 (42 U.S.C. 3021(a)(1)) is amended—

“(E) address the social determinants of health of older individuals.”

changed Title II Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3011–3020) 3032(a)) is amended by inserting after section 203A the following:amended—

added “(13) 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 and older individuals with disabilities;

added “(14) bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals and older individuals with disabilities to better manage their chronic conditions;”

removed “203B. Federal coordination of supports and services for living independently and safely at home

removed “(a) Initiative—The Assistant Secretary shall carry out an initiative under this section to identify and disseminate information about Federal resources to promote falls prevention, home assessments, and home modifications, which may include in-home assistive technology, to enable older individuals to live independently and safely in a home environment.

removed “(b) Coordination of Federal efforts—In carrying out the initiative under this section, the Assistant Secretary shall coordinate, through memoranda of understanding, agreements, or other appropriate means of coordination, with all Federal efforts and Federal programs in effect on the effective date of this section that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals, including older individuals with disabilities.

removed “(c) Reports—Not later than 1 year after the effective date of this section, and triennially thereafter as needed, the Assistant Secretary shall publish a report that includes—

removed “(1) an inventory of the then current Federal programs that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals and older individuals with disabilities;

removed “(2) for the fiscal year of the report, statistical data on the number of older individuals and older individuals with disabilities served by each Federal program described in paragraph (1), including a demographic analysis and the approximate amount of Federal funding invested in each such program;

removed “(3) an evaluation of the impact of Federal programs that support falls prevention and home modifications, which may include in-home assistive technology, on health status and health outcomes in populations supported by such efforts and programs; and

removed “(4) information on the extent to which consumer-friendly resources, such as a brochure—

removed “(A) are available through the National Eldercare Locator Service established under section 202(a)(21);

removed “(B) are accessible to all area agencies on aging; and

removed “(C) contain information on home assessments and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals.”

changed Section 411(a) 6 of the Older Americans RAISE Family Caregivers Act of 1965 (42 U.S.C. 3032(a)) (Public Law 115–119; 132 Stat. 27) is amended—amended by striking “3” and inserting “4”.

removed “(13) 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 and older individuals with disabilities;

removed “(14) bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals and older individuals with disabilities to better manage their chronic conditions;”

changed Section 6 102(14) of the RAISE Family Caregivers Older Americans Act (Public Law 115–119; 132 Stat. 27) of 1965 (42 U.S.C. 3002(14)) is amended by striking “3” and inserting “4”.amended—

added “(L) 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”

changed Section 102(14) 202(a) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) 3012(a)), as amended by section 103, is amended—

added “(33) 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.”

removed “(L) screening for the prevention of social isolation and coordination of supportive services and health care to address social isolation and loneliness; and”

changed Section 202(a) 202 of the Older Americans Act of 1965 (42 U.S.C. 3012(a)), 3012), as amended by section 103, is amended—amended by adding at the end the following:

added “(i)

added “(1) The Assistant Secretary shall convene an advisory council on negative health effects associated with social isolation with aging network stakeholders, including caregivers, and select members in a manner that ensures geographic diversity of the members—

added “(A) to review and evaluate efforts to address negative health effects associated with social isolation among older individuals; and

added “(B) to identify challenges, solutions, and best practices related to such efforts.

added “(2) The advisory council convened under paragraph (1) shall—

added “(A) ensure consideration of consumer-directed care models; and

added “(B) submit a report to Congress on its findings.

added “(3) The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply with respect to the advisory council convened under paragraph (1).”

removed “(33) develop objectives, priorities, and a long-term plan for supporting State and local efforts involving education about, prevention of, detection of, and response to social isolation among older individuals.”

changed Section 202 321(a) of the Older Americans Act of 1965 (42 U.S.C. 3012), as amended by section 103, 3030d(a)) is amended by adding at the end the following:amended—

added “(25) services that promote or support social connectedness and reduce negative health effects associated with social isolation; and”

removed “(i)

removed “(1) The Assistant Secretary shall convene an advisory council on social isolation with aging network stakeholders, including caregivers, and select members in a manner that ensures geographic diversity of the members—

removed “(A) to review and evaluate efforts to address social isolation and loneliness among older individuals; and

removed “(B) to identify challenges, solutions, and best practices related to such efforts.

removed “(2) The advisory council convened under paragraph (1) shall—

removed “(A) ensure consideration of consumer-directed care models; and

removed “(B) submit a report to Congress on its findings.

removed “(3) The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply with respect to the advisory council convened under paragraph (1).”

added “(16) projects that address negative health effects associated with social isolation among older adults; and”

removed Section 321(a) of the Older Americans Act of 1965 (42 U.S.C. 3030d(a)) is amended—

removed “(25) services that promote or support social connectedness and reduce social isolation; and”

removed “(16) projects that address social isolation and loneliness among older adults; and”

added “(v) eligible individuals who have been incarcerated within the last 5 years or are under supervision following the release from prison or jail within the last 5 years;”

added “(VI) have been incarcerated within the last 5 years or are under supervision following the release from prison or jail within the last 5 years.”

added “(H) has been incarcerated or is under supervision following the release from prison or jail within the last 5 years.”

added “(16) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and to solicit, develop, and implement strategies—

added “(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;

added “(B) to provide supportive services and career planning for direct care workers; and

added “(C) to support the advancement of direct care workers through education and workforce development programs that include necessary credential or licensing preparation, paid on-the-job training or work-based learning, and appropriate safety training;”

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

removed “(v) eligible individuals who have been incarcerated or are under supervision following the release from prison or jail within the last 5 years;”

removed “(VI) have been incarcerated or are under supervision following the release from prison or jail within the last 5 years.”

added “(v) attract, retain, or advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers to entry for a diverse and high-quality direct care workforce, supportive services and career planning, and paid on-the-job training or work-based learning, with appropriate safety training;”

removed “(H) has been incarcerated or is under supervision following the release from prison or jail within the last 5 years.”

added Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a), as amended by sections 111, 117, and 120, is amended—

removed “(16) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and to solicit, develop, and implement strategies—

removed “(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 and retain direct care workers;

removed “(B) to provide supportive services and career planning for direct care workers; and

removed “(C) to support the advancement of direct care workers through education and workforce development programs that include necessary credential or licensing preparation, paid on-the-job training or work-based learning, and appropriate safety training;”

added “(19) the establishment and operation of a national resource center that shall—

added “(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;

added “(B) share best practices with the aging network; and

added “(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.”

removed “(v) attract, retain, and advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers to entry for a diverse and high-quality direct care workforce, supportive services and career planning, and paid on-the-job training or work-based learning, with appropriate safety training;”

changed Section 411(a) 202 of the Older Americans Act of 1965 (42 U.S.C. 3032(a)), 3012), as amended by sections 112, 118, 103 and 121, 115, is amended—amended by adding at the end the following:

added “(j)

added “(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”).

added “(2) The Center shall—

added “(A) provide basic financial management, retirement planning, and other educational tools that promote financial wellness and help to identify and prevent fraud and elder exploitation, and integrate these with information on health and long-term care;

added “(B) annually disseminate a summary of outreach provided, including work to provide user-friendly consumer information and public education materials;

added “(C) develop targeted outreach strategies;

added “(D) provide technical assistance to State agencies and to other public and nonprofit private agencies and organizations; and

added “(E) develop partnerships and collaborations to address program objectives.”

removed “(17) the implementation of a national resource center that shall—

removed “(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;

removed “(B) share best practices with the aging network; and

removed “(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;”

changed Section 202 102 of the Older Americans Act of 1965 (42 U.S.C. 3012), as amended by sections 103 and 116, 3002) is amended by adding at the end the following:amended—

added “(41) The term “person-centered, trauma-informed” when used with respect to services means services provided through an aging program that—

added “(A) use a holistic approach to providing services;

added “(B) promote the dignity, strength and empowerment of victims of trauma; and

added “(C) incorporate research-based practices based on knowledge about the role of trauma in trauma victims’ lives.”

removed “(j)

removed “(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”).

removed “(2) The Center shall—

removed “(A) provide basic financial management, retirement planning, and other educational tools that promote financial wellness and help to identify and prevent fraud and elder exploitation, and integrate these with information on health and long-term care;

removed “(B) annually disseminate a summary of outreach provided, including work to provide user-friendly consumer information and public education materials;

removed “(C) develop targeted outreach strategies;

removed “(D) provide technical assistance to State agencies and to other public and nonprofit private agencies and organizations; and

removed “(E) develop partnerships and collaborations to address program objectives.”

changed Section 102 308(b) of the Older Americans Act of 1965 (42 U.S.C. 3002) 3028(b)) is amended—amended by inserting at the end the following:

added “(8) The Assistant Secretary shall review the reports submitted under section 307(a)(31) and include aggregate data in the report required by section 207(a), including data on—

added “(A) the effectiveness of the programs, policies, and services provided by area agencies on aging in assisting individuals whose needs were the focus of all centers funded under title IV in fiscal year 2019; and

added “(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.”

removed “(41) The term “person-centered, trauma-informed” when used with respect to services means services provided through an aging program that—

removed “(A) use a holistic approach to providing services;

removed “(B) promote the dignity, strength and empowerment of victims of trauma; and

removed “(C) incorporate research-based practices based on knowledge about the role of trauma in trauma victims’ lives.”

changed Sec. 308(b) Section 306(a)(4) of the Older Americans Act of 1965 (42 U.S.C. 3028(b)) 3026(a)(4)) is amended in subparagraph (B)(i)(VII) by inserting at the end “, specifically including survivors of the following:Holocaust” after “placement”.

removed “(8) The Assistant Secretary shall review the reports submitted under section 307(a)(31), and include in the report required by section 207(a), aggregated data, including the effectiveness and outreach efforts included in 307(a)(31), on services that are needed by older individuals whose needs are the focus of all centers funded under title IV. This requirement applies to all centers funded on the day before the date of the effective date of this paragraph.”

changed Section 306(a)(4) 102(14)(D) of the Older Americans Act of 1965 (42 U.S.C. 3026(a)(4)) 3002(14)) is amended in subparagraph (B)(i)(VII) by inserting “, specifically including survivors of the Holocaust” “chronic pain management,” after “placement”.“substance abuse reduction,”.

changed Section 102(14)(D) 3(f) of the Older Americans Supporting Grandparents Raising Grandchildren Act of 1965 (42 U.S.C. 3002(14)) (Public Law 115–196) is amended by striking “3” and inserting “chronic pain management,” after “substance abuse reduction,”.“4”.

changed Section 3(f) 102(14)(G) of the Supporting Grandparents Raising Grandchildren Older Americans Act (Public Law 115–196) of 1965 (42 U.S.C. 3002(14)(G)) is amended by striking “3” and inserting “4”.“and screening for suicide risk” after “depression”.

added “(H) screening for fall-related traumatic brain injury; coordination of treatment, rehabilitation, and related services; and referral services;”

added “(56) The term “traumatic brain injury” has the meaning given to it in section 339B(d) of the Public Health Service Act.”

removed Section 102(14)(G) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)(G)) is amended by inserting “and screening for suicide risk” after “depression”.

added Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)), as amended by sections 113 and 129, is amended—

removed “(H) screening for fall-related traumatic brain injury, coordination of treatment, rehabilitation and related services, and referral services;”

removed “(56) The term “traumatic brain injury” has the meaning given to it in section 339B(d) of the Public Health Service Act.”

removed “(8) services designed to provide health screening (including mental and behavioral health screening, screening for social isolation and loneliness, falls prevention services screening and traumatic brain injury screening) to detect or prevent (or both) illnesses and injuries that occur most frequently in older individuals;”

added “(K) responses to public health emergencies and emerging health threats;”

removed “(12) building public awareness of cognitive impairments such as Alzheimer's disease and related disorders with neurological and organic brain dysfunction, depression, mental health disorders, and traumatic brain injury;”

changed Section 102(14) 102(14)(D) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)), 3002(14)(D)), as amended by sections 114 and 130, section 102, is amended—amended by inserting “prevention of sexually transmitted disease,” after “disease)”.

removed “(K) responses to public health emergencies and emerging health threats;”

“(C) 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;”

“(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 in the planning and service area supported by the area agency on aging.”

changed “(4) Caregiver assessment—The term “caregiver assessment” means a systematic process of gathering information about the situation of a caregiver who voluntarily participates in such process process, which may include contact through a home visit, the Internet, telephone or teleconference, or in-person interaction, to identify the caregiver’s specific needs, barriers, and existing supports as identified by the caregiver that—

“(A) provides the opportunity for the recognized caregiver to participate in such process;

“(B) requires direct contact with the caregiver and is used to appropriately target and tailor support services to the caregiver’s unique needs; and

“(C) includes reassessment of such specific needs, barriers, and existing supports, including to accommodate a significant change in the caregiving situation, which shall occur on a voluntary basis with the consent of the caregiver.”

“(h) Technical assistance for caregiver assessments—Not later than 1 year after the effective date of this subsection, the Assistant Secretary, in consultation with caregivers, older individuals, individuals with a disability who receive care from an older relative caregiver, the aging network, and other experts and stakeholders, shall provide technical assistance to promote and implement the use of caregiver assessments. Such technical assistance shall include sharing available tools and templates, comprehensive assessment protocols, and best practices concerning—

“(1) conducting caregiver assessments and reassessments;

“(2) implementing such assessments that are consistent across a planning and service area; and

“(3) implementing caregiver support service plans, including referrals to and coordination of activities with relevant State and local services.”

“(4) Report on caregiver assessments

“(A) In general—Not later than 3 years after the effective date of this paragraph, the Assistant Secretary shall issue a report on the use of caregiver assessments by area agencies on aging, entities contracting with such agencies, and organizations. Such report shall include—

“(i) an analysis of the current use of caregiver assessments, including a repository of caregiver assessment tools or templates and comprehensive assessment protocols;

“(ii) using objective data, an analysis of the impact of caregiver assessments on—

“(I) family caregivers and older relative caregivers; and

“(II) the individuals to whom the caregivers described in subclause (I) provide care;

“(iii) an analysis of the impact of using caregiver assessments on the aging network;

“(iv) an analysis of how caregiver assessments are being used to identify the specific needs, barriers, and existing supports of family caregivers and older relative caregivers;

“(v) recommendations for using caregiver assessments, including in rural or underserved areas; and

“(vi) feedback from State agencies and area agencies on aging, particularly in rural or underserved areas, on the implementation of caregiver assessments.

“(B) Submission—Not later than 6 months after the issuance of the report under subparagraph (A), the Assistant Secretary shall submit the report to the Committee on Education and Labor of the House of Representatives, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Special Committee on Aging of the Senate.”

Section 201 of the Older Americans Act of 1965 (42 U.S.C. 3011) is amended by adding at the end the following:

“(g)

“(1) The Assistant Secretary shall coordinate the research and evaluation functions of this Act under a National Research, Demonstration, and Evaluation Center for the Aging Network (in this subsection referred to as the “Center”), which shall be headed by a director designated by the Assistant Secretary from individuals described in paragraph (4).

“(2) The purpose of the Center shall be—

“(A) to coordinate research, research dissemination, evaluation, demonstration projects, and related activities carried out under this Act;

“(B) to provide assessment of the programs authorized under this Act; and

“(C) to increase the repository of information on evidence-based programs and interventions available to the aging network. Such information shall be applicable to existing programs and help in the development of new evidence-based programs and interventions.

“(3) Activities of the Center shall include 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

changed “(ii) research on and assessment of the impacts that relationship between programs and interventions under this Act have on and the health outcomes, social determinants of health, quality of life, health care savings (including to the Medicare program under title XVIII of the Social Security Act and the Medicaid program under title XIX of such Act as practicable), and independence of individuals served under this Act;

“(B) demonstration projects that support the objectives of the Act and activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations;

“(C) outreach and dissemination of research findings; and

“(D) technical assistance related to the activities described in this subparagraph.

“(4) The director shall be an individual with substantial knowledge of and experience in aging and health policy, and research administration.

“(5) Not later than October 1, 2020, and at 5-year intervals thereafter, the director shall prepare and publish in the Federal Register for public comment a draft of a 5-year plan that—

“(A) outlines priorities for research, research dissemination, evaluation, and related activities;

“(B) explains the basis for such priorities; and

“(C) describes how the plan will meet the needs of underserved populations.

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

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

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

“(9) The director shall coordinate all research and evaluation authorities under this Act.”

Section 417 of the Older Americans Act of 1965 (42 U.S.C. 3032f) is amended—

“(a) Grants and contracts—The Assistant Secretary shall award grants to, and enter into contracts with, eligible organizations to carry out projects—

“(1) to 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 developing—

“(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

changed “(F) support for family older relative caregivers by—

“(i) providing support for older relative caregivers (as defined in section 372) raising children (such as 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) to coordinate multigenerational activities and civic engagement activities, including multigenerational nutrition and meal service programs;

“(3) to promote volunteerism, including becoming a mentor to young people; and

“(4) to facilitate development of and participation in multigenerational activities and civic engagement activities.”

“(b) 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 making grants under this section, the Assistant Secretary shall ensure that awards are made for the activities and projects described in each of paragraphs (1) and (2) of subsection (a).”

“(5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities.”

“(e) 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.”

“(b) Grant period—Each grant awarded or contract made under subsection (a) shall be to carry out projects for a period of not less than 36 months.”

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

added “(9) provide assurances that—

added “(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

added “(B) funds made available to area agencies 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.”

added “(9) The plan shall provide assurances that—

added “(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 an 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

added “(B) funds made available to state agencies 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.”

Section 712(a)(5) of the Older Americans Act of 1965 (42 U.S.C. 3058g(a)(5)) is amended—

“(D) Volunteer ombudsman representatives—An individual designated as a volunteer ombudsman representative may receive financial support and recognition from the Office of the State Long-Term Care Ombudsman Program for expenses incurred during service.”

Title VI of the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.) is amended—

“643. Authorization of appropriations

“There are authorized to be appropriated to carry out this title—

“(1) for parts A and B, $38,524,324 for fiscal year 2020, $40,835,783 for fiscal year 2021, $43,285,930 for fiscal year 2022, $45,883,086 for fiscal year 2023, and $48,636,071 for fiscal year 2024; and

“(2) for part C subject to section 644, $10,785,575 for fiscal year 2020, $11,432,710 for fiscal year 2021, $12,118,672 for fiscal year 2022, $12,845,792 for fiscal year 2023, and $13,616,540 for fiscal year 2024.”

“644. Funding set aside

changed “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.”year if for such fiscal year—

added “(1) the funds appropriated for parts A and B are greater than the funds appropriated for such parts for fiscal year 2019; and

added “(2) the Assistant Secretary makes available for parts A and B not less than the amount of resources made available for fiscal year 2019.”

“D Supportive services for healthy aging and independence

“636. Program

changed “(a) In general—The Assistant Secretary shall carry out a competitive demonstration program for making grants to tribal or Native Hawaiian organizations with applications approved under parts A and B, to pay for the Federal share of carrying out programs, to enable the organizations 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).

changed “(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.”served.

added “(c) 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 II of the Older Americans Act of 1965 (42 U.S.C. 3011 et seq.) is amended—

“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 $44,042,171 for fiscal year 2020, $46,684,701 for fiscal year 2021, $49,485,783 for fiscal year 2022, $52,454,930 for fiscal year 2023, and $55,602,226 for fiscal year 2024.

“(b) Authorization of appropriations for programs—There are authorized to be appropriated—

“(1) to carry out section 201(g), $20,000,000 for each of the fiscal years 2020 through 2024;

“(2) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,186,227 for fiscal year 2020, $2,317,401 for fiscal year 2021, $2,456,445 for fiscal year 2022, $2,603,832 for fiscal year 2023, and $2,760,062 for fiscal year 2024;

changed “(3) to carry out section 215, sections 215 and 202(j), $1,992,460 for fiscal year 2020, $2,112,008 for fiscal year 2021, $2,238,728 for fiscal year 2022, $2,373,052 for fiscal year 2023, and $2,515,435 for fiscal year 2024;

“(4) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,375,011 for fiscal year 2020, $1,457,511 for fiscal year 2021, $1,544,962 for fiscal year 2022, $1,637,660 for fiscal year 2023, and $1,735,919 for fiscal year 2024;

“(5) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,708,043 for fiscal year 2020, $9,230,526 for fiscal year 2021, $9,784,357 for fiscal year 2022, $10,371,419 for fiscal year 2023, and $10,993,704 for fiscal year 2024; and

changed “(6) to carry out section 201(c)(3)(H) (relating to professional development and technical assistance for programs under title VI), $500,000 for fiscal year 2020.”2021.”

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

“303. Authorization of appropriations; uses of funds

“(a)

“(1) There are authorized to be appropriated to carry out part B (relating to supportive services) $413,011,586 for fiscal year 2020, $437,792,281 for fiscal year 2021, $464,059,818 for fiscal year 2022, $491,903,407 for fiscal year 2023, and $521,417,612 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) $531,279,663 for fiscal year 2020, $563,156,443 for fiscal year 2021, $596,945,830 for fiscal year 2022, $632,762,580 for fiscal year 2023, and $670,728,334 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) $269,577,167 for fiscal year 2020, $285,751,797 for fiscal year 2021, $302,896,905 for fiscal year 2022, $321,070,719 for fiscal year 2023, and $340,334,963 for fiscal year 2024.

“(c) Grants made under part B, and subparts 1 and 2 of part C, of this title may be used for paying part of the cost of—

“(1) the administration of area plans by area agencies on aging designated under section 305(a)(2)(A), including the preparation of area plans on aging consistent with section 306 and the evaluation of activities carried out under such plans; and

“(2) the development of comprehensive and coordinated systems for supportive services, congregate and home delivered nutrition services under subparts 1 and 2 of part C, the development and operation of multipurpose senior centers, and the delivery of legal assistance.

“(d) There are authorized to be appropriated to carry out part D (relating to disease prevention and health promotion services) $26,650,753 for fiscal year 2020, $28,249,798 for fiscal year 2021, $29,944,786 for fiscal year 2022, $31,741,473 for fiscal year 2023, and $33,645,961 for fiscal year 2024.

“(e) There are authorized to be appropriated to carry out part E (relating to family caregiver support) $194,331,264 for fiscal year 2020, $205,991,140 for fiscal year 2021, $218,350,609 for fiscal year 2022, $231,451,645 for fiscal year 2023, and $245,338,744 for fiscal year 2024.”

“(e) There are authorized to be appropriated to carry out this section (other than subsection (c)(1)) $171,682,200 for fiscal year 2020, $181,983,132 for fiscal year 2021, $192,902,120 for fiscal year 2022, $204,476,247 for fiscal year 2023, and $216,744,822 for fiscal year 2024.”

“(b) Authorization of appropriations—There are authorized to be appropriated to carry out—

“(1) aging network support activities under this section, $14,549,157 for fiscal year 2020, $15,422,107 for fiscal year 2021, $16,347,433 for fiscal year 2022, $17,328,279 for fiscal year 2023, and $18,367,976 for fiscal year 2024; and

“(2) elder rights support activities under this section, $15,650,667 for fiscal year 2020, $16,589,707 for fiscal year 2021, $17,585,090 for fiscal year 2022, $18,640,195 for fiscal year 2023, and $19,758,607 for fiscal year 2024.”

“(a) In general—There are authorized to be appropriated to carry out this title $429,020,486 for fiscal year 2020, $454,761,715 for fiscal year 2021, $482,047,418 for fiscal year 2022, $510,970,263 for fiscal year 2023, and $541,628,478 for fiscal year 2024.”

“702. Authorization of appropriations

“(a) Ombudsman program—There are authorized to be appropriated to carry out chapter 2, $18,110,027 for fiscal year 2020, $19,196,629 for fiscal year 2021, $20,348,427 for fiscal year 2022, $21,569,332 for fiscal year 2023, and $22,863,492 for fiscal year 2024.

“(b) Other programs—There are authorized to be appropriated to carry out chapters 3 and 4, $5,119,287 for fiscal year 2020, $5,426,444 for fiscal year 2021, $5,752,031 for fiscal year 2022, $6,097,153 for fiscal year 2023, and $6,462,982 for fiscal year 2024.”

added “(D)

added “(i) In this subparagraph and paragraph (5):

added “(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.

added “(II) The term “covered fiscal year” means any of fiscal years 2020 through 2029.

added “(ii) If the sum appropriated under section 303(a) or 303(b)(1) for a particular 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—

added “(I) for fiscal year 2020, 99.75 percent of the corresponding sum appropriated for fiscal year 2019;

added “(II) for fiscal year 2021, 99.50 percent of that sum;

added “(III) for fiscal year 2022, 99.25 percent of that sum;

added “(IV) for fiscal year 2023, 99.00 percent of that sum;

added “(V) for fiscal year 2024, 98.75 percent of that sum;

added “(VI) for fiscal year 2025, 98.50 percent of that sum;

added “(VII) for fiscal year 2026, 98.25 percent of that sum;

added “(VIII) for fiscal year 2027, 98.00 percent of that sum;

added “(IX) for fiscal year 2028, 97.75 percent of that sum; and

added “(X) for fiscal year 2029, 97.50 percent of that sum.

added “(iii) If the sum appropriated under section 303(a) or 303(b)(1) for a particular covered fiscal year is greater than the sum appropriated under section 303(a) or 303(b)(1), respectively, for fiscal year 2019, the allotments to States from the sum appropriated for the particular year shall be calculated as follows:

added “(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 corresponding sum appropriated for fiscal year 2019.

added “(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.”

removed This Act shall take effect on October 1, 2019.