US Codex
Pub. L.
Notes

Title I — Modernizing Definitions and Programs under the Administration on Aging

116th Congress · Approved Mar 25, 2020 · 131 Stat. 240 · Lineage

TITLE I Modernizing Definitions and Programs under the Administration on Aging

SEC. 101. Reauthorization.

Section 216 (42 U.S.C. 3020f) is amended to read as follows:

“SEC. 216. AUTHORIZATION OF APPROPRIATIONS.

“(a) In General.—For purposes of carrying out this Act, there are authorized to be appropriated for administration, salaries, and expenses of the Administration $43,937,410 for fiscal year 2020, $46,573,655 for fiscal year 2021, $49,368,074 for fiscal year 2022, $52,330,158 for fiscal year 2023, and $55,469,968 for fiscal year 2024.

“(b) Additional Authorizations.—There are authorized to be appropriated—

“(1) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,180,660 for fiscal year 2020, $2,311,500 for fiscal year 2021, $2,450,190 for fiscal year 2022, $2,597,201 for fiscal year 2023, and $2,753,033 for fiscal year 2024;

“(2) to carry out section 215, $1,988,060 for fiscal year 2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal year 2022, $2,367,811 for fiscal year 2023, and $2,509,880 for fiscal year 2024;

“(3) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,371,740 for fiscal year 2020, $1,454,044 for fiscal year 2021, $1,541,287 for fiscal year 2022, $1,633,764 for fiscal year 2023, and $1,731,790 for fiscal year 2024; and

“(4) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,687,330 for fiscal year 2020, $9,208,570 for fiscal year 2021, $9,761,084 for fiscal year 2022, $10,346,749 for fiscal year 2023, and $10,967,554 for fiscal year 2024.”

SEC. 102. Person-Centered, Trauma-Informed Services.

Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting “ (including access to person-centered, trauma-informed services as appropriate)” after “ health”.

SEC. 103. Aging and Disability Resource Centers.

Section 102(4) (42 U.S.C. 3002(4)) is amended—
(1)
in the matter preceding subparagraph (A), by inserting “ , in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities” after “ provides”;
(2)
in subparagraph (B)—
(A)
by inserting “ services, supports, and” after “ plan for long-term”; and
(B)
by inserting “ and choices” after “ desires”; and
(3)
in subparagraph (D), by striking “ part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other community-based entities,” and inserting “ part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability entities,”.

SEC. 104. Assistive Technology.

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

“(C) The term ‘State assistive technology entity’ means the agency, office, or other entity designated under subsection (c)(1) of section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to carry out State activities under such section.”

(2)
in section 306 (42 U.S.C. 3026)—
(A)
in subsection (a)(6)—
(i)
in subparagraph (G), by striking “ ; and” and inserting a semicolon;
(ii)
in subparagraph (H), by striking “ appropriate;” and inserting “ appropriate; and”; and
(iii)
by adding at the end the following:

“(I) to the extent feasible, coordinate with the State agency to disseminate information about the State assistive technology entity and access to assistive technology options for serving older individuals;”

; and

(B)
in subsection (b)(3)—
(i)
in subparagraph (K)—
(I)
by aligning the margins of the subparagraph with the margins of subparagraph (J); and
(II)
by striking “ ; and” and inserting a semicolon;
(ii)
by redesignating subparagraph (L) as subparagraph (M); and
(iii)
by inserting after subparagraph (K) the following:

“(L) assistive technology devices and services; and”

; and

(3)
in section 411(a) (42 U.S.C. 3032(a))—
(A)
in paragraph (2), by inserting “ , aligned with evidence-based practice,” after “ applied social research”; and
(B)
in paragraph (10), by inserting “ consistent with section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d)” after “ other technologies”.

SEC. 105. Vaccination.

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

SEC. 106. Malnutrition.

The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
(1)
in section 102(14)(B), as amended by section 105(1), by inserting “ (including screening for malnutrition)” after “ nutrition screening”; and
(2)
in section 330(1), by striking “ and food insecurity” and inserting “ , food insecurity, and malnutrition”.

SEC. 107. Sexually Transmitted Diseases.

Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 105(2), is further amended by inserting “ prevention of sexually transmitted diseases,” after “ vaccine-preventable disease,”.

SEC. 108. Addressing Chronic Pain Management.

Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by section 107, is further amended by inserting “ chronic pain management,” after “ substance abuse reduction,”.

SEC. 109. Screening for Suicide Risk.

Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting “ and screening for suicide risk” after “ depression”.

SEC. 110. Screening for Fall-Related Traumatic Brain Injury; Addressing Public Health Emergencies and Emerging Health Threats; Negative Health Effects Associated with Social Isolation.

Section 102(14) (42 U.S.C. 3002(14)) is amended—
(1)
by redesignating subparagraphs (H) through (J), and subparagraphs (K) and (L), as subparagraphs (I) through (K), and subparagraphs (M) and (O), respectively;
(2)
by inserting after subparagraph (G) the following:

“(H) screening for fall-related traumatic brain injury and other fall-related injuries, coordination of treatment, rehabilitation and related services, and referral services related to such injury or injuries;”

(3)
by inserting after subparagraph (K), as redesignated by paragraph (1), the following:

“(L) services that are a part of responses to a public health emergency or emerging health threat;”

; and

(4)
in subparagraph (M), as redesignated by paragraph (1), by striking “ ; and” and inserting a semicolon;
(5)
by inserting after subparagraph (M), as redesignated by paragraph (1), the following:

“(N) screening for the prevention of negative health effects associated with social isolation and coordination of supportive services and health care to address negative health effects associated with social isolation; and”

; and

(6)
in subparagraph (O), as redesignated, by striking “ (A) through (K)” and inserting “ (A) through (N)”.

SEC. 111. Clarification Regarding Board and Care Facilities.

Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking “ for purposes of sections 307(a)(12) and 712,”.

SEC. 112. Person-Centered, Trauma-Informed Services Definition.

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

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

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

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

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

SEC. 113. Traumatic Brain Injury.

Section 102 (42 U.S.C. 3002), as amended by section 112, is further amended—
(1)
by redesignating paragraph (55) as paragraph (56); and
(2)
by inserting after paragraph (54) the following:

“(55) The term ‘traumatic brain injury’ has the meaning given such term in section 393B(d) of the Public Health Service Act (42 U.S.C. 280b–1c(d)).”

SEC. 114. Modernizing the Review of Applications and Providing Technical Assistance for Disasters.

(a)
Review of Applications.— Section 202 (42 U.S.C. 3012) is amended—
(1)
by amending subsection (a)(4) to read as follows:

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

“(A) the activity for which such application was submitted is being operated, or was operated, effectively to achieve its stated purpose; and

“(B) such applicant has complied with the assurances provided to the Assistant Secretary with the application for such previous grant.”

; and

(2)
by adding at the end the following:

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

(b)
Addressing the Needs of Older Individuals in Disasters.— Section 202(a) (42 U.S.C. 3012(a)) is amended—
(1)
in paragraph (30), by striking “ ; and” and inserting a semicolon;
(2)
in paragraph (31), by striking the period at the end and inserting a semicolon; and
(3)
by adding at the end the following:

“(32) provide technical assistance to, and share best practices with, State agencies and area agencies on aging on how to collaborate and coordinate activities and develop long-range emergency preparedness plans with local and State emergency response agencies, relief organizations, local and State governments, Federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery;”

SEC. 115. Increased Focus of Assistant Secretary on Negative Health Effects Associated with Social Isolation.

Section 202(a) (42 U.S.C. 3012(a)), as amended by section 114(b), is further amended by adding at the end the following:

“(33) with input from aging network stakeholders, including caregivers, develop objectives, priorities, and a long-term plan for supporting State and local efforts involving education about prevention of, detection of, and response to negative health effects associated with social isolation among older individuals, and submit a report to Congress on this effort by January 2021; and”

SEC. 116. Notification of Availability of or Updates to Policies, Practices, and Procedures Through a Uniform E-Format.

Section 202(a) (42 U.S.C. 3012(a)), as amended by sections 114(b) and 115, is further amended by adding at the end the following:

“(34) provide (to the extent practicable) a standardized notification to State agencies, area agencies on aging, providers of services under this Act, and grantees or contract awardees under this Act, through an electronic format (e-mail or other electronic notification), of the availability of, or updates to, policies, practices, and procedures under this Act.”

SEC. 117. Evidence-Based Program Adaptation.

(a)
Functions of the Assistant Secretary.— Section 202 (42 U.S.C. 3012) is amended—
(1)
in subsection (a)(28), by inserting before the semicolon “ , including information and technical assistance on delivery of such services in different settings”; and
(2)
in subsection (b)(9)(B), by inserting before the semicolon “ , including delivery of such services in different settings”.
(b)
Evidence-Based Disease Prevention and Health Promotion Services.— Section 361(a) (42 U.S.C. 3030m(a)) is amended in the second sentence by inserting “ provide technical assistance on the delivery of evidence-based disease prevention and health promotion services in different settings and for different populations, and” before “ consult”.

SEC. 118. Business Acumen Provisions and Clarification Regarding Outside Funding for Area Agencies on Aging.

(a)
Assistance Relating To Growing and Sustaining Capacity.— Section 202(b)(9) (42 U.S.C. 3012(b)(9)) is amended—
(1)
in subparagraph (A), by striking “ and” after the semicolon at the end;
(2)
in subparagraph (B), as amended by section 117(a)(2), by inserting “ and” after the semicolon at the end; and
(3)
by adding at the end the following:

“(C) activities for increasing business acumen, capacity building, organizational development, innovation, and other methods of growing and sustaining the capacity of the aging network to serve older individuals and caregivers most effectively;”

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

“(g) Nothing in this Act shall restrict an area agency on aging from providing services not provided or authorized by this Act, including through—

“(1) contracts with health care payers;

“(2) consumer private pay programs; or

“(3) other arrangements with entities or individuals that increase the availability of home- and community-based services and supports.”

(c)
Conforming Amendment.— Section 307(a) (42 U.S.C. 3027(a)) is amended—
(1)
by striking paragraph (26); and
(2)
by redesignating paragraphs (27) through (30) as paragraphs (26) through (29).

SEC. 119. Demonstration on Direct Care Workers.

Section 411(a) (42 U.S.C. 3032(a)) is amended—
(1)
by redesignating paragraphs (13) and (14) as paragraphs (14) and (15), respectively; and
(2)
by inserting after paragraph (12) the following:

“(13) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and the soliciting, development, and implementation of strategies—

“(A) to reduce barriers to entry for a diverse and high-quality direct care workforce, including providing wages, benefits, and advancement opportunities needed to attract or retain direct care workers; and

“(B) to provide education and workforce development programs for direct care workers that include supportive services and career planning;”

SEC. 120. National Resource Center for Older Individuals Experiencing the Long-Term and Adverse Consequences of Trauma.

Section 411(a) (42 U.S.C. 3032(a)), as amended by section 119, is further amended—
(1)
by redesignating paragraphs (14) and (15) as paragraphs (15) and (16), respectively; and
(2)
by inserting after paragraph (13) the following:

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

“(A) provide training and technical assistance to agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences of trauma;

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

“(C) make subgrants to the agencies best positioned to advance and improve the delivery of person-centered, trauma-informed services for older individuals experiencing the long-term and adverse consequences of trauma;”

SEC. 121. National Resource Center for Women and Retirement.

Section 215 (42 U.S.C. 3020e–1) is amended by adding at the end the following:

“(k)

(1) The Assistant Secretary shall, directly or by grant or contract, operate the National Resource Center for Women and Retirement (in this subsection referred to as the ‘Center’).

“(2) The Center shall—

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

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

“(C) develop targeted outreach strategies;

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

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

SEC. 122. Family Caregivers.

(a)
Administration.— Section 202 (42 U.S.C. 3012), as amended by section 114, is further amended by adding at the end the following:

“(i) The Assistant Secretary shall carry out the RAISE Family Caregivers Act (42 U.S.C. 3030s note).”

(b)
Sunset.— Section 6 of the RAISE Family Caregivers Act (42 U.S.C. 3030s note) is amended by striking “ 3 years” and inserting “ 4 years”.
(c)
Conforming Amendment.— Section 2(3) of the RAISE Family Caregivers Act (42 U.S.C. 3030s note) is amended by inserting “ , acting through the Assistant Secretary for Aging” before the period at the end.

SEC. 123. Interagency Coordination.

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

SEC. 124. Modernizing the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities.

(a)
Federal Agency Consultation.— Section 203(b) (42 U.S.C. 3013(b)) is amended—
(1)
in paragraph (18), by striking “ and” at the end;
(2)
in paragraph (19), by striking the period at the end and inserting “ , and”; and
(3)
by adding at the end the following:

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

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

“(iii) best practices identified in coordination with the Centers for Disease Control and Prevention, the National Institute on Aging, the Centers for Medicare & Medicaid Services, the Office of Lead Hazard Control and Healthy Homes of the Department of Housing and Urban Development, and other Federal agencies, as appropriate, to reduce and prevent falls among older individuals, that incorporate evidence-based falls prevention programs and home modifications, which recommendations shall supplement and not unnecessarily duplicate activities authorized under section 393D of the Public Health Service Act (42 U.S.C. 280b–1f), relating to safety of seniors;”

(D)
in subparagraph (C)—
(i)
by inserting “ ways to” before “ collect”;
(ii)
by striking “ older individuals and”; and
(iii)
by striking “ the individuals to ensure” and all that follows through “ information” and inserting “ older individuals to ensure that such information is accessible”;
(E)
in subparagraph (D), by striking “ work with” and all that follows through “ member agencies to ensure” and inserting “ ways to ensure”;
(F)
in subparagraph (E), by striking “ seek input” and all that follows through “ foundations” and inserting “ seeking input from and consulting with nonprofit organizations, academic or research institutions, community-based organizations, philanthropic organizations, or other entities supporting age-friendly communities”;
(G)
in subparagraph (F), by striking “ identify” and inserting “ identifying”; and
(H)
by amending subparagraph (G) to read as follows:

“(G) ways to improve coordination to provide housing, health care, and other supportive services to older individuals.”

(4)
in paragraph (7)(A)(i), by striking “ services for older individuals” and inserting “ services that impact older individuals”; and
(5)
by adding at the end the following:

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

“(A) is taking measurable steps to—

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

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

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

“(B) is not an assisted living facility or long-term care facility; and

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

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

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

“(i) dissemination of, or consideration of ways to implement, best practices and recommendations from the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities established under section 203(c); and

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

SEC. 125. Professional Standards for a Nutrition Official under the Assistant Secretary.

Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as redesignated by section 124(c)(1), is amended to read as follows:

“(ii) be a registered dietitian or registered dietitian nutritionist.”

SEC. 126. Report on Social Isolation.

(a)
Preparation of Report.—
(1)
In general.— The Secretary shall, in carrying out activities under section 206(a) of the Older Americans Act of 1965 (42 U.S.C. 3017(a)), prepare a report on programs authorized by such Act (42 U.S.C. 3001 et seq.), and supported or funded by the Administration on Aging, that include a focus on addressing the negative health effects associated with social isolation through targeting older individuals identified as being in greatest social need, as appropriate.
(2)
Impact.— Such report shall identify—
(A)
whether social isolation is being adequately addressed under such programs, including, to the extent practicable—
(i)
the prevalence of social isolation in rural areas and in urban areas;
(ii)
the negative public health effects associated with social isolation; and
(iii)
the role of preventive measures or of services, including nutrition services, in addressing the negative health effects associated with social isolation among older individuals; and
(B)
public awareness of and efforts to address the negative health effects associated with social isolation.
(3)
Types of programs.— Such report shall identify whether programs described in paragraph (1)—
(A)
support projects in local communities and involve diverse sectors associated with such communities to decrease the negative health effects associated with social isolation among older individuals and caregivers;
(B)
support outreach activities to screen older individuals for negative health effects associated with social isolation; and
(C)
include a focus on decreasing the negative health effects associated with social isolation.
(4)
Recommendations.— Such report shall, as appropriate, include recommendations for reducing the negative health effects associated with social isolation and to address any negative health effects identified under clauses (ii) and (iii) of subparagraph (A), and subparagraph (B), of paragraph (2).
(b)
Submission of Report.—
(1)
Interim status report.— Not later than 2 years after the date of enactment of this Act, the Secretary shall submit an interim report, to the committees of the Senate and of the House of Representatives with jurisdiction over the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), and the Special Committee on Aging of the Senate, on the status of the evaluation underway to develop the final report required under this section.
(2)
Final report.— Not later than 5 years after the date of enactment of this Act, the Secretary shall submit a final report that meets the requirements of this section to the committees of the Senate and of the House of Representatives with jurisdiction over the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), and the Special Committee on Aging of the Senate.

SEC. 127. Research and Evaluation.

(a)
Center.— Section 201 (42 U.S.C. 3011) is amended by adding at the end the following:

“(g)

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

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

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

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

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

“(3) Activities of the Center shall include, as appropriate, conducting, promoting, coordinating, and providing support for—

“(A) research and evaluation activities that support the objectives of this Act, including—

“(i) evaluation of new and existing programs and interventions authorized by this Act; and

“(ii) research on and assessment of the relationship between programs and interventions under this Act and the health outcomes, social determinants of health, quality of life, and independence of individuals served under this Act;

“(B) demonstration projects that support the objectives of this Act, including activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations, and promote partnerships among aging services, community-based organizations, and Medicare and Medicaid providers, plans, and health (including public health) systems;

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

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

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

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

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

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

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

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

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

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

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

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

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

(c)
Report on Health Care Expenditures.— Section 207 (42 U.S.C. 3018) is amended by adding at the end the following:

“(d) The Assistant Secretary shall provide the evaluation required under section 206(b) to—

“(1) the Committee on Health, Education, Labor, and Pensions of the Senate;

“(2) the Committee on Appropriations of the Senate;

“(3) the Special Committee on Aging of the Senate;

“(4) the Committee on Education and Labor of the House of Representatives; and

“(5) the Committee on Appropriations of the House of Representatives.”