---
kind: "diff"
citation: "H.R. 4334"
bill: "116-hr-4334"
heading: "Supporting Older Americans Act of 2020"
from: "ih"
from_label: "Introduced in House"
to: "rh"
to_label: "Reported in House"
sections_amended: 26
sections_added: 10
sections_removed: 1
url: "https://uscodex.org/bills/116/hr/4334/changes/rh"
---
# H.R. 4334 — what changed
H.R. 4334, Supporting Older Americans Act of 2020 — 26 sections amended, 10 added, and 1 removed between Introduced in House and Reported in House.
Edits are marked `struck` and `inserted`.
## Sec. 102 Vaccination
- Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) is amended —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,” after “disease),”.
## Sec. 103 Functions of Assistant Secretary
- (a) Review of applications— Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is amended—
- Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is amended—
- (1) [was (3)] 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 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
- “(A) the program for which such application was submitted is operating effectively to achieve its stated purpose, and
- “(B) such applicant—
- “(i) complied with the assurances provided to the Assistant Secretary with the application for such previous grant; and
- “(ii) will comply with the assurances provided with the current submitted application;”
- “(ii) will comply with the assurances provided with the current submitted application.”
- (2) [was (4)] by adding at the end the following:
- “(h) The Assistant Secretary shall publish, on an annual basis, a list of centers and demonstration projects funded under each title of the Act. The Assistant Secretary shall ensure that this information is also directly provided to States and area agencies on aging.”
- (b) Addressing the needs of older individuals in disasters— Section 202(a) of the Older Americans Act of 1965 (42 U.S.C. 3012(a)) is amended—
- (1) in paragraph (30) by striking “and” at the end,
- (2) in paragraph (31) by striking the period at the end and inserting “; and”, and
- (3) by adding at the following at the end the following:
- “(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.”
## Sec. 104 Professional standards for nutrition official under the Assistant Secretary
- Section 205(a)(2)(C)(ii) of the Older Americans Act of 1965 (42 U.S.C. 3016(a)(2)(C)(ii) is amended to read as follows:
- “(ii) be a registered dietitian or registered dietician dietitian nutritionist.”
## Sec. 105 Interagency Coordinating Committee on Age-Friendly Communities
- Section 203 of the Older Americans Act of 1965 (42 U.S.C. 3013) is amended—
- (1) in subsection (b)—
- (A) in paragraph (18) by striking “and” at the end,
- (B) in subparagraph (19) by striking the period at the end, and inserting “; “, and”, and
- (C) 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.”
- (2) in subsection (c)—
- (A) in paragraph (1)—
- (i) by striking “Aging” and inserting “Age-Friendly Communities”, and
- (ii) by inserting “to support the ability of older individuals to age in place and place, including through the provision of homelessness prevention services, support the ability of older individuals to access 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 services” before the period at the end,
- (B) in paragraph (4) by inserting “, except that the 1st term of a member appointed to the Interagency Coordinating Committee on Age-Friendly Communities shall begin not later than 1 year after the date of the enactment of the Dignity in Aging Act effective date of 2019” this exception” before the period at the end,
- (C) in paragraph (5) by striking “once each year” and inserting “semiannually”,
- (D) in paragraph (6)—
- (i) in subparagraph (A)—
- (I) in clause (iii) by striking “and” at the end,
- (II) in clause (iv) by adding “and” at the end, and
- (III) by adding at the end the following:
- “(v) identifying best practices for connecting older individuals to services for which they may be eligible;”
- (ii) by amending subparagraph (B)(ii) to read as follows:
- “(ii) innovations in technology applications (including assistance technology devices and assistance technology services) that—
- “(I) promote safe and accessible independent living environments; and
- “(II) give older individuals access to information on available services or help in providing services to older individuals;”
- (iii) in subparagraph (E)—
- (I) by striking “nongovernmental experts and organizations, including public health interest and research groups and foundations” and inserting “nongovernmental organizations, academic or research institutions, community-based organizations, and philanthropic organizations”, and
- (II) by striking “(F)” and inserting “(G)”,
- (iv) by redesignating subparagraphs (E), (F), and (G) as subparagraphs (F), (G), and (H), respectively,
- (E) in subparagraph (E) by striking “nongovernmental experts and organizations, including public health interest and research groups and foundations” and inserting “nongovernmental organizations, academic or research institutions, community-based organizations, and philanthropic organizations”,
- (F) by redesignating subparagraphs (E), (F), and (F) as subparagraphs (F), (G), and (H), respectively,
- (v) [was (4)(8)] by inserting after subparagraph (D) the following:
- “(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;”
- “(E) work with the Centers for Disease Control, the National Institute on Aging, and 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;”
- (vi) [was (4)(9)] by adding at the end the following:
- “(9) In this subsection, the term “age-friendly community” means a community that-—
- “(9) In this subsection, the term “age-friendly community” means a community 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.”
## Sec. 108 Coordination with resource centers
- (a) Area plans— Section 306(a) of the Older Americans Act of 1965 (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, end and inserting “; and”, and
- (3) by adding at the end the following:
- “(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 activities 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 funded established under title IV.”IV. This requirement applies to all centers funded on the day before the effective date of this paragraph.”
- (b) State plans— Section 307(a) of the Older Americans Act of 1965 (42 U.S.C. 3027) is amended by adding at the end the following:
- “(31) The plan State shall provide assurances that prepare and submit to the State will collect 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 such activities the programs, policies, and services provided by area agencies on aging in assisting these individuals. Each State plan The reports shall provide assurances that the State unit on aging will use describe any outreach efforts that will identify individuals eligible for assistance under this Act, with special emphasis on those individuals whose needs are the focus of and other activities described in section 306(a)(18). This requirement applies to all centers funded under title IV”on the day before the date of the enactment of the effective date of this paragraph.”
## Sec. 111 Federal coordination of supports and services for living independently and safely at home
- Title II of the Older Americans Act of 1965 (42 U.S.C. 3011–3020) is amended by inserting after section 203A the following:
- “203B. Federal coordination of supports and services for living independently and safely at home
- “(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.
- “(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.
- “(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—
- “(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;individuals and older individuals with disabilities;
- “(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; andprogram;
- “(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.”programs; and
- “(4) information on the extent to which consumer-friendly resources, such as a brochure—
- “(A) are available through the National Eldercare Locator Service established under section 202(a)(21);
- “(B) are accessible to all area agencies on aging; and
- “(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.”
## Sec. 112 Falls prevention and chronic disease self-management education
- Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)) is amended—
- (1) by redesignating paragraphs (13) and (14) as paragraphs (15) and (16), respectively, and
- (2) by inserting after paragraph (12) the following:
- “(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;
- “(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;”
## Sec. 114 Support for socially-isolated older Americans
- Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) is amended—
- (1) in subparagraph (K) by striking “; and”,“and” at the end,
- (2) in subparagraph (L) by striking “(K)” and inserting “(L)”,
- (3) [was (4)] by redesignating subparagraph (L) as subparagraph (M), and
- (4) [was (5)] by inserting after subparagraph (K) the following:
- “(L) screening for the prevention of social isolation and coordination of supportive services and health care to address social isolation and loneliness; and”
## Sec. 115 Increased focus of Assistant Secretary on social isolation
- Section 202(a) of the Older Americans Act of 1965 (42 U.S.C. 3012(a)) 3012(a)), as amended by section 103, is amended—
- (1) in paragraph (30) (31) by striking “; and” and inserting a semicolon,
- (2) in paragraph (31) (32) by striking the period at the end and inserting “; and”, and
- (3) by adding at the end the following:
- “(32) “(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.”
## Sec. 116 Advisory council on social isolation
- Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) 3012), as amended by section 103, is amended by adding at the end the following:
- “(h)“(i)
- “(1) The Assistant Secretary shall convene an advisory council on social isolation with aging network stakeholders stakeholders, including caregivers, and select members in a manner that ensures geographic diversity of the members—
- “(A) to review and evaluate efforts to address social isolation and loneliness among older individuals; and
- “(B) to identify challenges, solutions, and best practices related to such efforts.
- “(2) The advisory council convened under paragraph (1) shall—
- “(A) ensure consideration of consumer-directed care models; and
- “(B) submit a report to Congress on its findings.
- “(3) The Federal Advisory Committee Act (5 U.S.C. App.) shall not apply with respect to the advisory council convened under paragraph (1).”
## Sec. 117 Supportive services and senior centers
- Section 321(a) of the Older Americans Act of 1965 (42 U.S.C. 3030d(a)) is amended—
- (1) in paragraph (8) by striking “behavioral health screening” and inserting “behavioral health screening, screening for social isolation and loneliness,”,
- (1) [was (4)] in paragraph (24) by striking “and” at the end,
- (2) [was (5)] by redesignating paragraph (25) as paragraph (26), and
- (3) [was (6)] by inserting after paragraph (24) the following:
- “(25) services that promote or support social connectedness and reduce social isolation; and”
- “(25) services that promote or support social connectiveness and reduce social isolation; and”
## Sec. 119 Younger onset Alzheimer’s Disease
- (a) Definition of “family caregiver”— Section 302(3) of the Older Americans Act of 1965 (42 U.S.C. 3022(3)) is amended by inserting “of any age” after “an individual” the 2d place it appears.individual”.
- (b) Definition of “resident”— Section 711(6) of the Older Americans Act of 1965 (42 U.S.C. 3058(6)) is amended by inserting “of any age” after “individual”.
## Sec. 120 Priority for the senior community service employment program
- The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
- (1) in section 503(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 or are under supervision following the release from prison or jail within the last 5 years.”years;”
- (2) in section 514(e)(1) by inserting “older individuals who have been incarcerated or are under supervision following the release from prison or jail” jail,” after “need,”, and
- (3) in section 518—
- (A) in subsection (a)(3)(B)(ii)—
- (i) in clause (IV) by striking “or” at the end,
- (ii) in clause (V) by striking the period at the end and inserting “; or”, and
- (iii) by adding at the end the following:
- “(VI) have been incarcerated or are under supervision following the release from prison or jail within the last 5 years.”
- (B) in subsection (b)(2)—
- (i) in subparagraph (F) by striking “or” at the end,
- (ii) in subparagraph (G) by striking the period at the end and inserting “; or”, andor”,
- (iii) by adding at the end the following:
- “(H) has been incarcerated or is under supervision following the release from prison or jail within the last 5 years.”
## Sec. 121 Direct care workforce
- (a) Demonstrations— Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)), as amended by sections 112 and 118, is amended—
- (1) by redesignating paragraph paragraphs (16) and (17) as paragraphs (17) and (18), respectively, and
- (2) by inserting after paragraph (15) the following:
- “(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 develop, and implement 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 and retain direct care workers;
- “(B) to provide supportive services and career planning for direct care workers; and
- “(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.”training;”
- (b) Older American community service employment program— Section 502(e)(2)(B) of the Older Americans Act of 1965 (42 U.S.C. 3056(e)(2)(B)) is amended—
- (1) in clause (iii) by striking “and” at the end,
- (2) in clause (iv) by adding “and” at the end, and
- (3) by adding at the end the following:
- “(v) attract, retain, and advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers for 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;”
## Sec. 122 National resource center for older individuals experiencing the long-term and adverse consequences of trauma — added
- Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)), as amended by sections 112, 118, and 121, is amended—
- (1) by redesignating paragraphs (17) and (18) as paragraphs (18) and (19), respectively, and
- (2) by inserting after paragraph (16) the following:
- “(17) the implementation 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. 123 National Resource Center for Women and Retirement — added
- Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012), as amended by sections 103 and 116, is amended by adding at the end the following:
- “(j)
- “(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”).
- “(2) The Center shall—
- “(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;
- “(B) annually disseminate a summary of outreach 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. 124 Definition — added
- Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is amended—
- (1) by redesignating paragraphs (41) through (54) as paragraphs (42) through (55), and
- (2) by inserting after paragraph (40) the following:
- “(41) The term “person-centered, trauma-informed” when used with respect to services means services provided through an aging program that—
- “(A) use a holistic approach to providing services;
- “(B) promote the dignity, strength and empowerment of victims of trauma; and
- “(C) incorporate research-based practices based on knowledge about the role of trauma in trauma victims’ lives.”
## Sec. 125 Review of reports — added
- Sec. 308(b) of the Older Americans Act of 1965 (42 U.S.C. 3028(b)) is amended by inserting at the end the following:
- “(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.”
## Sec. 126 Area plans — added
- Section 306(a)(4) of the Older Americans Act of 1965 (42 U.S.C. 3026(a)(4)) is amended in subparagraph (B)(i)(VII) by inserting “, specifically including survivors of the Holocaust” after “placement”.
## Sec. 127 Addressing chronic pain management — added
- Section 102(14)(D) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) is amended by inserting “chronic pain management,” after “substance abuse reduction,”.
## Sec. 128 Extension of the Supporting Grandparents Raising Grandchildren Act — added
- Section 3(f) of the Supporting Grandparents Raising Grandchildren Act (Public Law 115–196) is amended by striking “3” and inserting “4”.
## Sec. 129 Screening for suicide risk — added
- 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”.
## Sec. 130 Traumatic brain injury — added
- (a) Definitions— Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002), as amended by section 114, is amended—
- (1) in paragraph (14)—
- (A) in paragraph (M) by striking “(L)” and inserting “(M)”,
- (B) by redesignating subparagraphs (H) through (M) as subparagraphs (I) through (N), respectively,
- (C) by inserting after subparagraph (G) the following:
- “(H) screening for fall-related traumatic brain injury, coordination of treatment, rehabilitation and related services, and referral services;”
- (2) by adding at the end the following:
- “(56) The term “traumatic brain injury” has the meaning given to it in section 339B(d) of the Public Health Service Act.”
- (b) Health screening— Section 321(a)(8) of the Older Americans Act of 1965 (42 U.S.C.3030d(a)(8)) is amended to read as follows:
- “(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;”
- (c) Activities for health— Section 411(a)(12) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)(12)) is amended to read as follows:
- “(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;”
## Sec. 131 Addressing public health emergencies and emerging health threats — added
- Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)), as amended by sections 114 and 130, is amended—
- (1) in subparagraph (M) by striking “and” at the end,
- (2) in subparagraph (N) by striking “(M)” and inserting “(N)”,
- (3) by redesignating subparagraphs (K), (L), (M), and (N) as subparagraphs (L), (M), (N), and (O) respectively, and
- (4) by inserting after subparagraph (J) the following:
- “(K) responses to public health emergencies and emerging health threats;”
## Sec. 202 Minimum funding level for State administrative expenses
- Section 308(b)(2)(A) of the Older Americans Act of 1965 (42 U.S.C. 30299(b)(2)(B)) 3028(b)(2)(B)) is amended by striking “$500,000” and inserting “$750,000”.
## Sec. 203 Culturally-appropriate, medically-tailored meals
- Section 339(2)(A) of the Older Americans Act of 1965 (42 U.S.C. 3939h(2)(A)) is amended by inserting “, including cultural considerations and preferences (including needs based on religious, cultural, or ethnic requirements) and medically tailored meals” before the comma at the end.
## Sec. 204 Business acumen provisions and clarification regarding outside funding for area agencies on aging
- (a) Assistance relating To to growing and sustaining capacity— Section 202(b)(9) of the Older Americans Act of 1965 (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) by inserting “and” after the semicolon at the end, and
- (3) by adding at the end the following:
- “(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;”
- (b) Clarifying partnerships for area agencies on aging— Section 306 of the Older Americans Act of 1965 (42 U.S.C. 3026) is amended by adding at the end the following:
- “(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.”
## Sec. 205 Other practices
- Section 315 of the Older Americans Act of 1965 (42 U.S.C. 3030c–2) 3030c-2) is amended by adding at the end the following:
- “(e) Response to area agencies on aging—Upon request from an area agency on aging, the state State shall make available any policies or guidance pertaining to policies under this section.”
## Sec. 206 Caregiver assessments
- (a) Definition of caregiver assessment— Section 372(a) of the Older Americans Act of 1965 (42 U.S.C. 3030s(a)) is amended by adding at the end the following:
- “(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 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.”
- (b) Use of caregiver assessments— Section 373(b) of the Older Americans Act of 1965 (42 U.S.C. 3030s–1(b)) is amended by inserting “may be informed through the use of caregiver assessments and” after “with,”.
- (c) Technical assistance for caregiver assessments— Section 373 of the Older Americans Act of 1965 (42 U.S.C. 3030s–1) is amended by adding at the end the following:
- “(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.”
- (d) Reporting on caregiver assessment— Section 373(e) of the Older Americans Act of 1965 (42 U.S.C. 3030s–1(e)) is amended—
- (1) in paragraph (3) by inserting “, including caregiver assessments used in the State,” after “mechanisms”, “mechanisms” the 1st place it appears, and
- (2) by adding at the end the following:
- “(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 tribal 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 paragraph (1), 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.”
## Sec. 207 Research and evaluation
- 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—include conducting, promoting, coordinating, and providing support for—
- “(A) conducting, promoting, coordinating, research and providing evaluation activities that support for—the objectives of this Act, including—
- “(i) research and evaluation activities that support the objectives of new and existing programs and interventions authorized by this Act, including—Act; and
- “(I) evaluation of new “(ii) research on and existing assessment of the impacts that programs and interventions authorized by under this Act; andAct have on the health outcomes, social determinants of health, quality of life, and independence of individuals served under this Act;
- “(II) research on and assessment of the impacts “(B) demonstration projects that programs and interventions under this Act have on support the health outcomes, social determinants of health, quality objectives of life, the Act and independence activities to bring effective demonstration projects to scale with a prioritization of individuals served under this Act;projects that address the needs of underserved populations;
- “(ii) demonstration projects that support the objectives of the Act “(C) outreach and activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs dissemination of underserved populations;research findings; and
- “(iii) outreach and dissemination of research findings; and“(D) technical assistance related to the activities described in this subparagraph.
- “(iv) 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.
- “(6) The director shall, 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.”
## Sec. 301 State Long-Term Care Ombudsman Program minimum funding and maintenance of effort
- The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
- (1) in section 306(a)(9)—
- (A) by inserting “together with any other funds” after “Act”, and
- (B) by striking “2000” and inserting “2019”, and
- (2) in section 307(a)(9)—
- (A) by striking “an amount” the 1st place it appears and inserting “the total amount”,
- (B) by striking “2000” and inserting “2019” each place it appears, and
- (C) by inserting “from all sources including” after “received” each place it appears.
## Sec. 401 Expanding supportive services for Native American aging programs
- Title VI of the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.) is amended—
- (1) in part D—
- (A) by amending section 643 to read as follows:
- “643. Authorization of appropriations
- “There are authorized to be appropriated to carry out this title—
- “(1) for parts A and B, $36,689,832 $38,524,324 for fiscal year 2020, $38,891,222 $40,835,783 for fiscal year 2021, $41,224,695 $43,285,930 for fiscal year 2022, $43,698,177 $45,883,086 for fiscal year 2023, and $46,320,067 $48,636,071 for fiscal year 2024; and
- “(2) for part C subject to section 644, $11,324,854 $10,785,575 for fiscal year 2020, $12,004,345 $11,432,710 for fiscal year 2021, $12,724,606 $12,118,672 for fiscal year 2022, $13,488,082 $12,845,792 for fiscal year 2023, and $14,297,367 $13,616,540 for fiscal year 2024.”
- (B) by adding at the end the following:
- “644. Funding set aside
- “Of the funds appropriated under section 643(2) 643(1) for a fiscal year, 5 percent shall be made available to carry out part D for such fiscal year.”
- (2) by redesignating part D as part E, and
- (3) by inserting after part C the following:
- “D Supportive services for healthy aging and independence
- “636. Program
- “(a) In general—The Assistant Secretary shall carry out a demonstration program for making grants to tribal organizations or Native Hawaiians Hawaiian organizations with applications approved under parts A and B, to pay for the Federal share of carrying out tribal programs, to enable the tribal organizations 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 tribal 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.”
## Sec. 402 Enhancing capacity to support Native American aging programs
- Title II of the Older Americans Act of 1965 (42 U.S.C. 3011 et seq.) is amended—
- (1) in section 201(c)(3)(H) by inserting “to ensure adequate capacity to deliver the services under such title, which technical assistance programs may include program management, data development and use, basic business skills, grant development, program and service innovations, and staff professional development and certification;” certification” before the semicolon at the end, and
- (2) section 216 is amended to read as follows:
- “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 $44,041,171 $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;
- “(3) to carry out section 215, $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
- “(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.”
## Sec. 501 Technical corrections
- Section 102(8)(B) of the The Older Americans Act of 1965 (42 U.S.C. 2011 3001 et seq.) is amended by striking “1998” and inserting “2004”.amended—
- (1) in section 102(37)(A) by striking “paragraph (5)” and inserting “paragraph (26)”,
- (2) in section 202(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) by moving the left margin of clause (i) 2 ems to the left,
- (4) in sections 203(c)(7), 207(b)(2)(B), and 215(i) by striking “Committee on Education and the Workforce” and inserting “Committee on Education and Labor”,
- (5) in section 207(b)(3)(A) by striking “Administrator of the Health Care Finance Administration” and inserting “Administrator of the Centers for Medicare and Medicaid Services”,
- (6) in section 304(a)(3)(C) by striking “term” and all that follows through “does”, and inserting “term “State” does”,
- (7) in section 306(a)—
- (A) by inserting “the number of older individuals at risk for institutional placement residing in such area,” after “areas) residing in such area,” the last place it appears, and
- (B) in paragraph (2) by striking “who are victims of” and inserting “with”,
- (8) in section 339 by striking “Institute of Medicine of the National Academy of Sciences” and inserting “National Academies of Sciences, Engineering, and Medicine”,
- (9) in section 611 by striking “(a)”, and
- (10) in section 614(c)(4) by striking “(a)(12)” and inserting “(a)(11)”.
## Sec. 502 Authorization of appropriations; uses of funds
- (a) Authorization of appropriations; uses of funds— Section 303 of the Older Americans Act of 1965 (42 U.S.C. 3023) is amended to read as follows:
- “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.”
- The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
- (b) in section 101(37)(A) by striking “paragraph (5)” and inserting “paragraph (26)”,Section 304(a)(3)(D) of the Older Americans Act of 1965 (42 U.S.C. 3024(a)(3)(D)) is amended—
- (1) in clause (i) by striking “2017 through 2019” and inserting “2020 through 2024”, and
- (2) in clause (ii) by striking “2020” and inserting “2025”.
- (c) in section 202(a)(23) by striking “sections 307(a)(18) and 731(b)(2)” and inserting “sections 307(a)(13) and 731”,Section 311(e) of the Older Americans Act of 1965 (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)) $171,682,200 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.”
- (d) in section 202(e)(1)(A) by moving Section 411(b) of the left margin Older Americans Act of clause (i) 2 ems 1965 (42 U.S.C. 3032(b)) is amended to the left,read as follows:
- “(b) Authorization of appropriations—There are authorized to be appropriated to carry out—
- “(1) aging network support activities under this section, $14,549,157 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.”
- (e) in sections 203(c)(7), 207(b)(2)(B), and 215(i) by striking “Committee on Education and Section 517(a) of the Workforce” and inserting “Committee on Education and Labor”,Older Americans Act of 1965 (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 $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.”
- (f) in section 207(b)(3)(A) by striking “Administrator Section 702 of the Health Care Finance Administration” and inserting “Administrator Older Americans Act of the Centers for Medicare and Medicaid Services”,1965 (42 U.S.C.3058a) is amended to read as follows:
- “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.”
- (6) in section 304(a)(3)(C) by striking “term” and all that follows through “does”, and inserting “term “State” does”,
- (7) in section 306(a)—
- (A) by inserting “the number of older individuals at risk for institutional placement residing in such area,” after “areas) residing in such area,” the last place it appears, and
- (B) in paragraph (2) by striking “who are victims of” and inserting “with”,
- (8) in section 339 by striking “Institute of Medicine of the National Academy of Sciences” and inserting “National Academies of Sciences, Engineering, and Medicine”,
- (9) in section 611 by striking “(a)”, and
- (10) in section 614(c)(4) by striking “(12)” and inserting “(11)”.
## Sec. 503 Effective date
- This Act shall take effect on October 1, 2019.
- (a) Authorization of appropriations; uses of funds— Section 303 of the Older Americans Act of 1965 (42 U.S.C. 3023) is amended to read as follows:
- “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.”
- (b) Section 304(a)(3)(D) of the Older Americans Act of 1965 (42 U.S.C. 3024(a)(3)(D)) is amended—
- (1) in clause (i) by striking “2017 through 2019” and inserting “2020 through 2024”, and
- (2) in clause (ii) by striking “2020” and inserting “2025”.
- (c) Section 311(e) of the Older Americans Act of 1965 (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)) $171,682,200 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.”
- (d) Section 411(b) of the Older Americans Act of 1965 (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, $14,549,157 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.”
- (e) Section 517(a) of the Older Americans Act of 1965 (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 $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.”
- (f) Section 702 of the Older Americans Act of 1965 (42 U.S.C. 3058a) is amended to read as follows:
- “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.”
## Sec. 504 Effective date — removed
- This Act shall take effect on October 1, 2019.