[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 4776 Introduced in Senate (IS)]
<DOC>
118th CONGRESS
2d Session
S. 4776
To amend the Older Americans Act of 1965 to authorize appropriations
for fiscal years 2025 through 2029, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
July 25, 2024
Mr. Sanders (for himself, Mr. Cassidy, Mr. Casey, Ms. Collins, Mr.
Kaine, Mr. Mullin, and Mr. Markey) introduced the following bill; which
was read twice and referred to the Committee on Health, Education,
Labor, and Pensions
_______________________________________________________________________
A BILL
To amend the Older Americans Act of 1965 to authorize appropriations
for fiscal years 2025 through 2029, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Older Americans Act Reauthorization
Act of 2024''.
SEC. 2. TABLE OF CONTENTS.
The table of contents for this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.
TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER
INDIVIDUALS
Sec. 101. Declaration of objectives.
Sec. 102. Addressing mental health and substance use disorders and
cognitive impairments of older individuals.
Sec. 103. List of national resource centers.
Sec. 104. Awareness of relevant Federal programs.
Sec. 105. Evaluations and surveys.
Sec. 106. Contracting and grant authority.
Sec. 107. Guidance on transfers of funding between area agencies on
aging.
Sec. 108. Right to first refusal.
Sec. 109. Area agency on aging capabilities.
Sec. 110. Supporting older individuals with disabilities through
improved coordination.
Sec. 111. Business acumen, fiscal training, and technical assistance.
Sec. 112. Enhancing access to assistive technology.
Sec. 113. White House Conference on Aging.
TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR
OLDER INDIVIDUALS
Sec. 201. Disease prevention and health promotion services.
Sec. 202. Improving health outcomes.
Sec. 203. Evidence-informed practices.
Sec. 204. Enhancing multipurpose senior centers.
Sec. 205. Addressing home modifications.
Sec. 206. Multigenerational and civic engagement activities.
Sec. 207. GAO study and report on access to housing for older
individuals.
Sec. 208. Report relating to health outcomes for older individuals
living with or near family members.
Sec. 209. Improving broadband coordination and reducing social
isolation.
TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES
Sec. 301. Medically tailored meals.
Sec. 302. Nutrition service providers.
Sec. 303. Grab-and-go meals.
Sec. 304. Nutrition Services Incentive Program innovation.
Sec. 305. GAO study on Nutrition Services Incentive Program.
Sec. 306. Innovations in nutrition programs and services.
TITLE IV--SUPPORTING FAMILY CAREGIVERS
Sec. 401. Improving the National Family Caregiver Support Program.
Sec. 402. Emphasizing respite care.
Sec. 403. Clarifying supportive services.
Sec. 404. Direct care workforce resource center.
Sec. 405. Supporting Grandparents Raising Grandchildren Act.
Sec. 406. RAISE Family Caregivers Act.
TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT
Sec. 501. Improving the Community Service Employment Program.
Sec. 502. GAO report on alignment within the Community Service
Employment Program.
TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS
Sec. 601. Older Americans Tribal Advisory Committee.
Sec. 602. Supportive services; set aside.
Sec. 603. GAO report on Tribal services.
TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND
ELDER ABUSE PREVENTION
Sec. 701. Director of the Office of Long-Term Care Ombudsman Programs.
Sec. 702. Legal assistance training resources relating to elder abuse
prevention.
Sec. 703. Improving training of volunteers under the State Long-Term
Care Ombudsman Program.
Sec. 704. Reporting on State Long-Term Care Ombudsman Programs.
Sec. 705. Study on State Long-Term Care Ombudsman Programs.
TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS
Sec. 801. Administration on Aging.
Sec. 802. Grants for State and community programs on aging.
Sec. 803. Activities for health, independence, and longevity.
Sec. 804. Community Service Senior Opportunities Act.
Sec. 805. Grants for Native Americans.
Sec. 806. Allotments for elder rights protection activities.
SEC. 3. REFERENCES.
Except as otherwise expressly provided in this Act, wherever in
this Act an amendment or repeal is expressed in terms of an amendment
to, or a repeal of, a section or other provision, the reference shall
be considered to be made to that section or other provision of the
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).
SEC. 4. DEFINITIONS.
In this Act, the terms ``area agency on aging'', ``Assistant
Secretary'', ``older individual'', and ``Secretary'' have the meanings
given such terms in section 102 of the Older Americans Act of 1965 (42
U.S.C. 3002).
TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER
INDIVIDUALS
SEC. 101. DECLARATION OF OBJECTIVES.
Section 101 (42 U.S.C. 3001) is amended--
(1) in the matter preceding paragraph (1), by striking ``of
the following objectives:'' and inserting ``of the objectives
of--'';
(2) in each of paragraphs (1) through (10), by amending the
first word so that it begins with a lowercase letter;
(3) in each of paragraphs (1) through (8), by striking the
period at the end and inserting a semicolon;
(4) in each of paragraphs (9) and (10), by striking the
period at the end and inserting ``; and'';
(5) in paragraph (2), by inserting ``to improve health
outcomes and reduce health care expenditures'' after ``economic
status'';
(6) by redesignating paragraphs (1) through (10) as
subparagraphs (A) through (J), respectively, and adjusting the
margins accordingly;
(7) in the matter preceding subparagraph (A) (as so
redesignated), by striking ``our democratic society, the older
people'' and inserting the following: ``our democratic
society--
``(1) the older people''; and
(8) by adding at the end the following:
``(2) the families of older individuals and community-based
organizations, including faith-based organizations, also play a
vital role in supporting and honoring older individuals and
their happiness, dignity, and independence.''.
SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDERS AND
COGNITIVE IMPAIRMENTS OF OLDER INDIVIDUALS.
Section 201(f) (42 U.S.C. 3011(f)) is amended to read as follows:
``(f)(1) The Assistant Secretary may designate an officer or
employee who shall be responsible for the administration of services
for mental health and substance use disorders and cognitive impairments
authorized under this Act and serve as an effective and visible
advocate for the related needs of older individuals within the
Department of Health and Human Services, including by ensuring that
relevant information disseminated and research conducted or supported
by the Department takes into consideration such services.
``(2) It shall be the duty of the Assistant Secretary, acting
through the individual designated under paragraph (1), and in
consultation with the heads of relevant agencies within the Department
of Health and Human Services, including the Substance Abuse and Mental
Health Services Administration, to develop objectives, priorities, and
a long-term plan for supporting State and local efforts under this Act
involving education about and prevention, detection, and treatment of
mental health and substance use disorders and cognitive impairment,
including age-related dementia, depression, and Alzheimer's disease and
related neurological disorders with neurological and organic brain
dysfunction.
``(3) Not later than 2 years after the date of enactment of the
Older Americans Act Reauthorization Act of 2024, the Assistant
Secretary shall report to 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 the Workforce of the House
of Representatives on the activities of the officer or employee
designated under paragraph (1) in carrying out the requirements under
this subsection, including any activities to identify and reduce
duplication and gaps across the Department in such information
disseminated and research conducted or supported by the Department.''.
SEC. 103. LIST OF NATIONAL RESOURCE CENTERS.
Section 202 (42 U.S.C. 3012) is amended--
(1) in subsection (d)(4), by striking ``Resource Center on
Elder Abuse'' and inserting ``Center''; and
(2) by striking subsection (h) and inserting the following:
``(h)(1) The Assistant Secretary shall publish online in a publicly
accessible format, on an annual basis, a list of national resource
centers and demonstration projects authorized, or administratively
established through funds provided under, this Act.
``(2) The Assistant Secretary shall ensure that the list published
pursuant to paragraph (1)--
``(A) includes--
``(i) a description of each such center and
demonstration project, including the projected goals
and activities of each such center and demonstration
project;
``(ii) a citation to the statutory authorization of
each such center and demonstration project, or a
citation to the statutory authority that the Assistant
Secretary relied upon to administratively establish
each such center and demonstration project;
``(iii) the award amount for each such center and
demonstration project; and
``(iv) a summary of any evaluations required under
this Act for each such center, including a description
of any measures of effectiveness; and
``(B) is directly provided to State agencies, area agencies
on aging, and the Committee on Health, Education, Labor, and
Pensions and the Special Committee on Aging of the Senate and
the Committee on Education and the Workforce of the House of
Representatives.''.
SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS.
Title II (42 U.S.C. 3011 et seq.) is amended by inserting after
section 203A (42 U.S.C. 3013a) the following:
``SEC. 203B. AWARENESS OF RELEVANT FEDERAL PROGRAMS.
``In carrying out section 203(a)(1), the Assistant Secretary shall
coordinate with the heads of relevant Federal departments and agencies
to ensure that the aging network and individuals served under this Act
are aware of, and, subject to applicable eligibility criteria, have
access to, Federal programs that may advance the objectives of this
Act, including programs described in section 203(b) and other programs
to meet housing, health care, and other supportive service needs to
help such individuals age in place.''.
SEC. 105. EVALUATIONS AND SURVEYS.
Section 206 (42 U.S.C. 3017) is amended--
(1) by striking subsection (d) and inserting the following:
``(d)(1) In carrying out evaluations under this section, the
Secretary shall--
``(A) award grants to, or enter into contracts with, public
or nonprofit private organizations or academic or research
institutions to survey State agencies, area agencies on aging,
and other program and project participants about the strengths
and weaknesses of the programs and projects; and
``(B) conduct, where appropriate, evaluations that compare
the effectiveness of related programs in achieving common
objectives.
``(2) The surveys and evaluations under paragraph (1) shall include
information on programs, services, use and sources of funding
(including any transfer of funding between area agencies on aging),
identified unmet need for services and related indicators, and any
other challenges faced by State agencies and area agencies on aging in
carrying out the activities of this Act.
``(3) The Secretary shall, in carrying out the evaluations under
paragraph (1), consult with organizations concerned with older
individuals, including organizations that represent minority
individuals, older individuals residing in rural areas, and older
individuals with disabilities.''; and
(2) in subsection (g), by striking ``him'' and inserting
``the Secretary''.
SEC. 106. CONTRACTING AND GRANT AUTHORITY.
(a) In General.--Section 212 (42 U.S.C. 3020c) is amended--
(1) by striking subsection (a) and inserting the following:
``(a) In General.--Subject to subsection (b), this Act shall not be
construed to prevent a recipient of a grant or a contract under this
Act (other than title V) from entering into an agreement with a
profitmaking organization for the recipient to provide services to
individuals or entities not otherwise receiving services under this
Act, provided that--
``(1) in the case funds provided under this Act are used in
developing or carrying out the agreement--
``(A) such agreement guarantees that the cost is
reimbursed to the recipient;
``(B) if such agreement provides for the provision
of 1 or more services, of the type provided under this
Act by or on behalf of such recipient, to an individual
or entity seeking to receive such services--
``(i) the individuals and entities may only
purchase such services at their fair market
rate;
``(ii) all costs incurred by the recipient
in providing such services (and not otherwise
reimbursed under subparagraph (A)), are
reimbursed to such recipient; and
``(iii) except in the case of an agreement
with a health plan or health care provider, the
recipient reports the rates for providing such
services under such agreement in accordance
with subsection (c) and the rates are
consistent with the prevailing market rate for
provision of such services in the relevant
geographic area as determined by the State
agency or area agency on aging (as applicable);
and
``(C) any amount of payment to the recipient under
the agreement that exceeds reimbursement under this
subsection of the recipient's costs is used to provide,
or support the provision of, services under this Act;
and
``(2) subject to subsection (e), in the case no funds
provided under this Act are used in developing or carrying out
the agreement--
``(A) not later than 45 days after the agreement
first goes into effect, and annually thereafter until
the termination of such agreement, the recipient of a
grant or contract under this Act shall, in writing--
``(i) notify the State agency of--
``(I) the existence of the
agreement; and
``(II) the services provided and
populations served under the agreement;
and
``(ii) provide assurances to the State
agency that--
``(I) nothing in the agreement--
``(aa) undermines--
``(AA) the duties
of the recipient under
this Act; or
``(BB) the
provision of services
in accordance with this
Act; or
``(bb) violates any other
terms and conditions of an
award received by the recipient
under this Act; and
``(II) any potential real or
perceived conflict of interest with
respect to the agreement has been
prevented, mitigated, or otherwise
addressed, including providing a
description of any such conflicts of
interest and a description of the
actions taken to mitigate such
conflicts of interest; and
``(B) not later than 45 days after the population
or services under the agreement substantially change
due to an amendment to the agreement, the recipient
shall, in writing--
``(i) notify the State agency of such
change; and
``(ii) provide the assurances described in
subparagraph (A)(ii) with respect to such
change.'';
(2) by striking subsection (b) and inserting the following:
``(b) Ensuring Appropriate Use of Funds.--An agreement--
``(1) described in subsection (a)(1) may not--
``(A) be made without the prior approval of the
State agency (or, in the case of a grantee under title
VI, without the prior recommendation of the Director of
the Office for American Indian, Alaska Native, and
Native Hawaiian Aging and the prior approval of the
Assistant Secretary), after timely submission of all
relevant documents related to the agreement including
information on all costs incurred; or
``(B) directly or indirectly provide for, or have
the effect of, paying, reimbursing, subsidizing, or
otherwise compensating an individual or entity in an
amount that exceeds the fair market value of the
services subject to such agreement; and
``(2) described in subsection (a) may not--
``(A) result in the displacement of services
otherwise available to an older individual with
greatest social need, an older individual with greatest
economic need, or an older individual who is at risk
for institutional placement; or
``(B) in any other way compromise, undermine, or be
inconsistent with the objective of serving the needs of
older individuals, as determined by the Assistant
Secretary.'';
(3) in subsection (c), by striking ``subsection (a)'' and
inserting ``subsection (a)(1)'';
(4) by redesignating subsection (e) as subsection (f); and
(5) by inserting after subsection (d) the following:
``(e) Requesting Additional Information for Certain Non-OAA
Agreements.--
``(1) In general.--In the case of an agreement described in
subsection (a)(2), if the State agency has a reasonable belief
that an agreement may violate the assurances provided under
subsection (a)(2)(A)(ii), the State agency may request
additional information from the recipient of funds under this
Act that is a party to such agreement, which may include a
request for a copy of such agreement. Such recipient shall make
a good faith effort to address such request for additional
information, except that such recipient shall not provide
agreements or other data that are restricted under the terms of
a non-disclosure agreement signed by such recipient. If such
recipient declines to provide a copy of an agreement to a State
agency, such recipient shall provide a justification to the
State agency within 30 days of receiving such request.
``(2) Confidentiality.--A State agency shall keep
confidential, as required by applicable Federal and State law,
all information received under this subsection that is--
``(A) a trade secret;
``(B) commercial or financial information; and
``(C) information obtained from an individual that
is privileged and confidential.''.
(b) Area Plans.--Section 306 (42 U.S.C. 3026) is amended--
(1) in subsection (a)(13)--
(A) in subparagraph (B)(i), by striking ``any
service to older individuals'' and inserting ``any
service under this Act to older individuals or
caregivers''; and
(B) in subparagraph (E), by inserting ``or
caregivers under this Act'' after ``older
individuals''; and
(2) in subsection (g), by inserting ``, except as provided
under section 212(a)(2),'' after ``Nothing in this Act''.
SEC. 107. GUIDANCE ON TRANSFERS OF FUNDING BETWEEN AREA AGENCIES ON
AGING.
Not later than 1 year after the date of enactment of this Act, the
Assistant Secretary shall disseminate guidance to State agencies (as
defined in section 102 of the Older Americans Act of 1965 (42 U.S.C.
3002)) and area agencies on aging on circumstances under which funds
appropriated pursuant to part B and subparts 1 and 2 of part C of title
III of the Older Americans Act (42 U.S.C. 3030d et seq., 42 U.S.C.
3030e et seq., 42 U.S.C. 3030f et seq.) may be appropriate to transfer
between area agencies on aging, with the approval of the State agency
and the concurrence of any involved area agencies on aging, within a
budget year.
SEC. 108. RIGHT TO FIRST REFUSAL.
Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is amended to read
as follows:
``(B) Whenever a State agency designates a new area agency on aging
after the date of enactment of the Older Americans Act Reauthorization
Act of 2024, the State agency shall give the right to first refusal to
a unit of general purpose local government if--
``(i) such unit can meet the requirements of subsection
(c);
``(ii)(I) such unit has demonstrated experience
administering services for older individuals; or
``(II) the State agency determines that there is not
another entity eligible under subsection (c)(1) within the
planning and service area with such demonstrated experience;
and
``(iii) the boundaries of such unit and the boundaries of
the planning and service area are reasonably contiguous.''.
SEC. 109. AREA AGENCY ON AGING CAPABILITIES.
(a) Organization.--Section 305(c) (42 U.S.C. 3025(c)) is amended--
(1) by redesignating paragraphs (1) through (5) as
subparagraphs (A) through (E), respectively, and moving such
subparagraphs 2 ems to the right;
(2) by striking ``shall be'' and inserting the following:
``shall--
``(1) be--'';
(3) in subparagraph (E), as so redesignated--
(A) by striking ``(b)(5)'' and inserting
``(b)(5)(A)''; and
(B) by inserting ``and'' after the semicolon; and
(4) by striking ``and shall provide assurance, determined
adequate by the State agency, that the area agency on aging
will have the ability to develop an area plan and to carry out,
directly or through contractual or other arrangements, a
program in accordance with the plan within the planning and
service area.'' and inserting the following:
``(2) provide assurance, determined adequate by the State
agency, that the area agency on aging will have the ability,
and maintain the capabilities necessary, to develop an area
plan as required under section 306(a), and carry out, directly
or through contractual or other arrangements, and oversee
activities in accordance with--
``(A) the plan within the planning and service
area;
``(B) any other relevant requirements of this Act;
``(C) other applicable Federal and State laws; and
``(D) other terms and conditions of awards received
under this Act.''.
(b) Plans.--Section 306(f)(1) (42 U.S.C. 3026(f)(1)) is amended--
(1) by inserting ``the assurances required under section
305(c)(2),'' after ``of this section,''; and
(2) by striking the period at the end and inserting ``, and
if the State agency determines, in the discretion of the State
agency, that an area agency on aging failed in 2 successive
years to comply with the requirements under this title, then
the State agency may require the area agency on aging to submit
a plan for a 1-year period that meets such requirements, for
subsequent years until the State agency determines that the
area agency on aging is in compliance with such
requirements.''.
SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABILITIES THROUGH
IMPROVED COORDINATION.
(a) Area Plans.--Section 306(a)(5) (42 U.S.C. 3026(a)(5)) is
amended by striking ``with agencies that develop or provide services
for individuals with disabilities'' and inserting ``with entities that
develop or provide services for individuals with disabilities, which
may include centers for independent living, relevant service providers,
and other community-based organizations, as appropriate''.
(b) Supporting Older Individuals With Disabilities Through Improved
Coordination.--
(1) In general.--The Administrator of the Administration
for Community Living of the Department of Health and Human
Services (referred to in this section as the ``Administrator'')
shall identify--
(A) opportunities to improve coordination between
the aging and disability networks, which may include
the formation of partnerships to serve individuals
eligible for programs under the Older Americans Act of
1965 (42 U.S.C. 3001 et seq.);
(B) lessons learned from disability networks,
including centers for independent living, State
developmental disabilities councils, university centers
on excellence in developmental disabilities, and State
protection and advocacy agencies that could improve
operations and service delivery within the aging
network; and
(C) any technical assistance needs related to
subparagraphs (A) and (B).
(2) Guidance.--Not later than 2 years after the date of
enactment of this Act, the Administrator shall issue guidance
to State agencies and area agencies on aging on strategies to
leverage disability networks, including centers for independent
living, State developmental disabilities councils, university
centers on excellence in developmental disabilities, and State
protection and advocacy agencies, as appropriate, to strengthen
the provision of services under the Older Americans Act of 1965
(42 U.S.C. 3001 et seq.).
(3) Technical assistance.--The Administrator shall
coordinate across the Administration for Community Living to
address any technical assistance needs identified under
paragraph (1)(C) in a manner that does not unnecessarily
duplicate other technical assistance activities carried out
prior to the date of enactment of this Act.
SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECHNICAL ASSISTANCE.
Section 307(a) (42 U.S.C. 3027(a)) is amended by adding at the end
the following:
``(31) The plan shall provide assurances that the State
agency may provide technical assistance, as needed, for area
agencies on aging related to the development of business
acumen, sound fiscal practices, capacity building,
organizational development, innovation, and other methods of
growing and sustaining the capacity of the aging network to
carry out activities funded under this Act to serve older
individuals and caregivers most effectively.''.
SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY.
Section 307(a) (42 U.S.C. 3027(a)), as amended by section 111 of
this Act, is further amended by adding at the end the following:
``(32) The plan shall provide assurances that the State
will coordinate services, to the extent feasible, with lead
agencies designated to carry out State assistive technology
programs under the Assistive Technology Act of 1998 (29 U.S.C.
3001 et seq.) and with area agencies on aging to assist
eligible older individuals, including older individuals with
disabilities, in accessing and acquiring assistive
technology.''.
SEC. 113. WHITE HOUSE CONFERENCE ON AGING.
Title II of the Older Americans Act Amendments of 1987 (42 U.S.C.
3001 note; Public Law 100-175) is amended by striking title II and
inserting the following:
``TITLE II--WHITE HOUSE CONFERENCE ON AGING
``SEC. 201. AUTHORIZATION OF THE CONFERENCE.
``(a) Authority To Call Conference.--Not earlier than January 21,
2025 and not later than December 31, 2025, the President shall convene
the White House Conference on Aging in order to fulfill the purpose set
forth in subsection (c) and to make fundamental policy recommendations
regarding programs that are important to older individuals and to the
families and communities of such individuals.
``(b) Planning and Direction.--The Conference described in
subsection (a) shall be planned and conducted under the direction of
the Secretary, in cooperation with the Assistant Secretary for Aging,
the Director of the National Institute on Aging, the Administrator of
the Centers for Medicare and Medicaid Services, the Social Security
Administrator, and the heads of such other Federal agencies serving
older individuals as are appropriate. Planning and conducting the
Conference includes the assignment of personnel.
``(c) Purpose.--The purpose of the Conference described in
subsection (a) shall be to gather individuals representing the spectrum
of thought and experience in the field of aging to--
``(1) evaluate the manner in which the objectives of the
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be met
by using the resources and talents of older individuals, of
families and communities of such individuals, and of
individuals from the public and private sectors;
``(2) evaluate the manner in which Federal policies,
programs, and activities meet and respond to the needs of older
individuals, including an examination of innovative and
fiscally responsible strategies relating to retirement
security, caregiving, nutrition and supportive services, health
care, elder justice, and long term services and supports;
``(3) review the work and recommendations of the
Interagency Coordinating Committee on Healthy Aging and Age-
Friendly Communities, and evaluate the recommendations of the
Committee, which may include implementation strategies for such
recommendations;
``(4) develop recommendations to guide the President,
Congress, and Federal agencies in improving Federal programs
that serve older individuals, which may relate to the
prevention and mitigation of disease, injury, abuse, social
isolation, loneliness, and economic insecurity, including food
insecurity, and promotion of healthy aging in place.
``(d) Conference Participants and Delegates.--
``(1) Participants.--In order to carry out the purposes of
this section, the Conference shall bring together--
``(A) representatives of Federal, State, Tribal,
and local governments;
``(B) professionals and volunteers who are working
in the field of aging; and
``(C) representatives of the general public,
particularly older individuals.
``(2) Selection of delegates.--The delegates shall be
selected without regard to political affiliation or past
partisan activity and shall, to the best of the appointing
authority's ability, be representative of the spectrum of
thought in the field of aging. Delegates shall include older
individuals, individuals who are professionals in the field of
aging, individuals who are community leaders, minority
individuals, individuals from rural areas, low-income
individuals, and representatives of Federal, State, and local
governments.
``SEC. 202. CONFERENCE ADMINISTRATION.
``(a) Administration.--In administering this section, the Secretary
shall--
``(1) consult with relevant State, Tribal, and local
officials, stakeholders, and subject matter experts in planning
the Conference;
``(2) request the cooperation and assistance of the heads
of such other Federal departments and agencies, including such
officials of the Interagency Coordinating Committee on Healthy
Aging and Age-Friendly Communities, as may be appropriate in
the carrying out of this section;
``(3) make available for public comment a proposed agenda
for the Conference, which will reflect to the greatest extent
possible the major issues facing older individuals consistent
with the provisions of subsection (a);
``(4) prepare and make available such background materials
for the use of delegates to the Conference as the Secretary
deems necessary; and
``(5) engage such additional personnel as may be necessary
to carry out the provisions of this section without regard to
provisions of title 5, United States Code, governing
appointments in the competitive service, and without regard to
chapter 51 and subchapter III of chapter 53 of such title,
relating to classification and General Schedule pay rates.
``(b) Duties.--The Secretary shall, in carrying out the Secretary's
responsibilities and functions under this section, and as part of the
White House Conference on Aging, ensure that--
``(1) the agenda prepared under subsection (a)(3) for the
Conference is published in the Federal Register not later than
30 days after such agenda is approved by the Secretary;
``(2) the personnel engaged under subsection (a)(5) shall
be fairly balanced in terms of points of views represented and
shall be appointed without regard to political affiliation or
previous partisan activities;
``(3) the recommendations of the Conference are not
inappropriately influenced by any appointing authority or by
any special interest, but will instead be the result of the
independent judgment of the Conference; and
``(4) current and adequate statistical data, including
decennial census data, and other information on the well-being
of older individuals in the United States are readily
available, in advance of the Conference, to the delegates of
the Conference, together with such information as may be
necessary to evaluate Federal programs and policies relating to
aging. In carrying out this subparagraph, the Secretary is
authorized to make grants to, and enter into cooperative
agreements with, public agencies and nonprofit private
organizations.
``(c) Gifts.--The Secretary may accept, on behalf of the United
States, gifts (in cash or in kind, including voluntary and
uncompensated services), that shall be available to carry out this
title. Gifts of cash shall be available in addition to amounts
appropriated to carry out this title. Gifts may be earmarked by the
donor for a specific purpose.
``(d) Records.--The Secretary shall maintain records regarding--
``(1) the sources, amounts, and uses of gifts accepted
under subsection (c); and
``(2) the identity of each person receiving assistance to
carry out this title, and the amount of such assistance
received by each such person.
``SEC. 203. REPORT OF THE CONFERENCE.
``(a) Preliminary Report.--Not later than 100 days after the date
on which the Conference adjourns, the Secretary shall publish and
deliver to the States a preliminary report on the Conference. Comments
on the preliminary report of the Conference shall be accepted by the
Secretary.
``(b) Final Report.--Not later than 180 days after the date on
which the Conference adjourns, the Secretary shall publish and transmit
to the President and to Congress recommendations resulting from the
Conference and suggestions for any administrative action and
legislation necessary to implement the recommendations contained within
the report.
``SEC. 204. DEFINITIONS.
``In this title:
``(1) Conference.--The term `Conference' means the White
House Conference on Aging.
``(2) Secretary.--The term `Secretary' means the Secretary
of Health and Human Services.
``(3) State.--The term `State' means any of the several
States, the District of Columbia, the Commonwealth of Puerto
Rico, Guam, American Samoa, the Virgin Islands of the United
States, the Trust Territory of the Pacific Islands, or the
Commonwealth of the Northern Mariana Islands.''.
TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR
OLDER INDIVIDUALS
SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION SERVICES.
Section 102(14) (42 U.S.C. 3002(14)) is amended--
(1) in subparagraph (B), by inserting ``heart rate,
respiratory function,'' after ``hearing,'';
(2) in subparagraph (K), by inserting ``providing'' before
``information'';
(3) by redesignating subparagraphs (L), (M), (N), and (O),
as subparagraphs (M), (N), (O), and (P), respectively;
(4) by inserting after subparagraph (K) the following:
``(L) providing information concerning testing,
diagnosis, and treatment of infectious diseases, taking
into consideration infectious diseases for which older
individuals are at increased risk of infection or
serious health outcomes;''; and
(5) in subparagraph (P), as so redesignated, by striking
``subparagraphs (A) through (N)'' and inserting ``subparagraphs
(A) through (O)''.
SEC. 202. IMPROVING HEALTH OUTCOMES.
(a) Research and Evaluation Activities.--Section 201 (42 U.S.C.
3011) is amended--
(1) in subsection (c)(3)(B), by striking ``in behalf'' and
inserting ``on behalf''; and
(2) in subsection (g)--
(A) in paragraph (3)(A)(ii), by inserting
``reduction of health care expenditures,'' after
``quality of life,''; and
(B) in paragraph (7), by inserting ``and
recommendations relating to further research,
evaluation, and demonstration projects conducted under
this section'' after ``title IV''.
(b) Falls Prevention Programs.--Section 411(a)(15) (42 U.S.C.
3032(a)(15)) is amended to read as follows:
``(15) bringing to scale and sustaining evidence-based or
evidence-informed falls prevention programs to reduce the
number of falls, fear of falling, and fall-related injuries
affecting older individuals, including older individuals with
disabilities, which programs shall--
``(A) provide training and technical assistance to
the aging network; and
``(B) share best practices with the aging network,
including the Aging and Disability Resource Centers;''.
(c) Interagency Coordinating Committee on Healthy Aging and Age-
Friendly Communities.--Section 203(c) (42 U.S.C. 3013(c)) is amended--
(1) in paragraph (6)(B)--
(A) in clause (ii), by striking ``and'' after the
semicolon;
(B) in clause (iii), by inserting ``and'' after the
semicolon; and
(C) by adding at the end the following:
``(iv) strategies to address social isolation,
including by promoting strong and stable connections
across different generations in a family and in the
community;''; and
(2) in paragraph (7)--
(A) in subparagraph (B), by striking ``and'' at the
end;
(B) by redesignating subparagraph (C) as
subparagraph (D); and
(C) by inserting after subparagraph (B) the
following:
``(C) contains an assessment of the effectiveness
of relevant Federal efforts and programs, including
implementation of best practices described in paragraph
(6)(B); and''.
SEC. 203. EVIDENCE-INFORMED PRACTICES.
(a) Disease Prevention and Health Promotion Services.--Section
361(a) (42 U.S.C. 3030m(a)) is amended--
(1) by striking ``(a)'' and inserting ``(a)(1)'';
(2) in the first sentence, by inserting after ``promotion
services'' the following: ``, or, as applicable and
appropriate, evidence-informed practices that are likely to
improve health outcomes,''; and
(3) by striking the second sentence and inserting the
following:
``(2) In carrying out such program, the Assistant Secretary shall--
``(A) provide technical assistance on the delivery of
evidence-based disease prevention and health promotion
services, and, as applicable and appropriate, such evidence-
informed practices, in different settings and for different
populations;
``(B) develop, make publicly available, and update on a
regular basis a list of such evidence-informed practices; and
``(C) consult with the Directors of the Centers for Disease
Control and Prevention and the National Institute on Aging.''.
(b) Functions of Assistant Secretary.--Section 202 (42 U.S.C. 3012)
is amended--
(1) in subsection (a)(28), by inserting after ``promotion
services'' the following: ``, or, as applicable and
appropriate, evidence-informed practices that are likely to
improve health outcomes''; and
(2) in subsection (b)(9)(B), by inserting after ``services
programs'' the following: ``, or, as applicable and
appropriate, evidence-informed practices that are likely to
improve health outcomes''.
(c) Falls Prevention and Chronic Disease Self-management
Education.--Section 411(a) (42 U.S.C. 3032(a)) is amended, in
paragraphs (15) and (16), by inserting ``or evidence-informed'' after
``evidence-based''.
SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS.
(a) In General.--Section 202(a)(30) (42 U.S.C. 3012(a)(30)) is
amended--
(1) by inserting ``establishment, maintenance, and'' after
``to support the''; and
(2) by inserting ``and access to services provided at
multipurpose senior centers'' before the semicolon at the end.
(b) Area Agency on Aging Plans.--Section 306(a)(2)(A) (42 U.S.C.
3026(a)(2)(A)) is amended by inserting ``, including those services
provided at multipurpose senior centers, where appropriate'' before the
semicolon at the end.
(c) State Plans.--Section 307(a)(2)(A) (42 U.S.C. 3027(a)(2)(A)) is
amended by inserting ``and, to the extent feasible, make such
evaluation public'' before the semicolon at the end.
SEC. 205. ADDRESSING HOME MODIFICATIONS.
(a) Indoor Air Quality.--Section 361(c) (42 U.S.C. 3030m(c)) is
amended by striking ``buildings'' and all that follows and inserting
``buildings and residences where older individuals congregate or
live''.
(b) Weatherization.--Section 321(a)(4) (42 U.S.C. 3030d(a)(4)) is
amended by striking subparagraph (A) and inserting ``(A) to assist
older individuals to obtain adequate housing, including residential
repair and renovation projects, and (if assistance for weatherization
projects does not unnecessarily duplicate other Federal assistance
available) weatherization projects, designed to enable older
individuals to maintain their homes in conformity with minimum housing
and other relevant standards, in order to support such older
individuals in aging in place and maintaining their health;''.
SEC. 206. MULTIGENERATIONAL AND CIVIC ENGAGEMENT ACTIVITIES.
Section 417 (42 U.S.C. 3032f) is amended--
(1) in subsection (a)--
(A) in the matter preceding paragraph (1), by
striking ``projects,'' and all that follows and
inserting the following: ``projects to serve
individuals in younger generations and older
individuals by developing, carrying out, and promoting
participation in multigenerational activities, which
projects may include--'';
(B) in paragraph (1), in the matter preceding
subparagraph (A), by striking ``provide'' and inserting
``providing'';
(C) in paragraph (2)--
(i) by striking ``coordinate'' and
inserting ``coordinating''; and
(ii) by adding ``and'' at the end;
(D) by striking paragraphs (3) and (4) and
inserting the following:
``(3) promoting volunteerism, including by providing
opportunities--
``(A) for older individuals to become mentors to
individuals in younger generations; and
``(B) at facilities that serve older individuals or
individuals in younger generations, at which
multigenerational activities might occur.'';
(2) in subsection (c)(2), by striking ``(4)'' and inserting
``(3)'';
(3) in subsection (d)--
(A) by striking paragraph (1); and
(B) by redesignating paragraphs (2) through (5) as
paragraphs (1) through (4); and
(4) in subsection (h)(1), by striking ``or a family support
program.'' and inserting ``or a family support program, or a
program at a multipurpose senior center, long-term care
facility, or any other residential facility for older
individuals.''.
SEC. 207. GAO STUDY AND REPORT ON ACCESS TO HOUSING FOR OLDER
INDIVIDUALS.
Not later than 2 years after the date of enactment of this Act, the
Comptroller General of the United States shall conduct, and submit to
Congress a report describing the results of, a study that analyzes
housing programs and services for older individuals under the Older
Americans Act of 1965 (42 U.S.C. 3001 et seq.), including--
(1) an analysis of the Interagency Coordinating Committee
on Healthy Aging and Age-Friendly Communities that--
(A) assesses any metrics used by the Committee to
evaluate the success of the Committee's activities and
related Federal programs;
(B) evaluates interagency coordination of Federal
housing programs for older individuals; and
(C) assesses the availability of affordable housing
for older individuals as the result of interagency
coordination;
(2) an analysis of any overlap between, and gaps in,
housing programs and services that assist older individuals in
obtaining accessible and affordable housing that achieves the
objectives of the Older Americans Act of 1965 (42 U.S.C. 3001
et seq.), including programs under the Administration for
Community Living, the Department of Housing and Urban
Development, and other Federal programs, as applicable, and the
availability, accessibility, and demand for such services;
(3) an analysis of the availability of affordable housing
for such older individuals, to the extent such information is
available and taking into consideration incomes and geographic
and demographic trends; and
(4) any recommendations to improve the supply,
accessibility, and affordability of housing for older
individuals and coordination of services provided under the
Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) and other
related Federal programs, as applicable.
SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR OLDER INDIVIDUALS
LIVING WITH OR NEAR FAMILY MEMBERS.
(a) In General.--The Secretary shall prepare a report that
assesses--
(1) the health outcomes for older individuals who live
with, on the same property as, or otherwise in the community in
close geographic proximity, relative to the area, to family
members; and
(2) the degree to which programs under the Older Americans
Act of 1965 (42 U.S.C. 3001 et seq.) promote living in the
settings described in paragraph (1), as appropriate.
(b) Inclusion.--The report described under subsection (a) shall
include--
(1) an assessment of physical and mental health outcomes of
older individuals who live in the settings described in
subsection (a)(1) in comparison to physical and mental health
outcomes of older individuals who do not live in such settings;
(2) an assessment of the extent to which living in such
settings mitigates social isolation and loneliness in older
adults; and
(3) a description of the different types of such settings
and whether, and to what extent, findings under paragraphs (1)
and (2) vary across such different types.
(c) Submission.--Not later than 2 years after the date of enactment
of this Act, the Secretary shall submit to the Committee on Health,
Education, Labor, and Pensions and the Special Committee on Aging of
the Senate and the Committee on Education and Workforce of the House of
Representatives the report required by subsection (a).
SEC. 209. IMPROVING BROADBAND COORDINATION AND REDUCING SOCIAL
ISOLATION.
(a) In General.--The Assistant Secretary shall, as appropriate,
coordinate with the Assistant Secretary of Commerce for Communications
and Information of the National Telecommunications and Information
Administration to ensure that the aging network (as defined in section
102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) and other
relevant stakeholders are aware of, and, subject to applicable
eligibility criteria, have access to, Federal programs relating to
digital literacy and the adoption of broadband that may support aging
in place for older individuals.
(b) Report.--Not later than 90 days after the date of enactment of
this Act, the Assistant Secretary shall prepare, and submit to the
Committee on Health, Education, Labor, and Pensions, the Special
Committee on Aging, and the Committee on Commerce, Science, and
Transportation of the Senate and the Committee on Education and the
Workforce of the House of Representatives, a report regarding any
coordination efforts carried out pursuant to subsection (a).
TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES
SEC. 301. MEDICALLY TAILORED MEALS.
(a) Definitions.--Section 102(14) (42 U.S.C. 3002(14)) is amended--
(1) in subparagraph (C), by inserting ``, which may include
counseling related to the provision of medically tailored
meals'' after ``counseling''; and
(2) in subparagraph (D), by inserting ``(including from
medically tailored meals)'' after ``improved nutrition''.
(b) Administration of Nutrition Services.--Section 205(a)(2)(A) (42
U.S.C. 3016(a)(2)(A)) is amended--
(1) in clause (vi), by inserting ``, including through the
use of innovative approaches'' after ``systems''; and
(2) in clause (viii), by inserting ``and innovative
interventions'' after ``including strategies''.
(c) Nutrition Education.--Section 214(2)(C) (42 U.S.C. 3020e(2)(C))
is amended by inserting ``, including interventions,'' after ``other
activities''.
(d) Nutrition Services Purposes.--Section 330(3) (42 U.S.C. 3030d-
21(3)) is amended by inserting ``, tailored to their individual medical
and nutritional needs to the extent feasible,'' after ``services''.
SEC. 302. NUTRITION SERVICE PROVIDERS.
Section 339 (42 U.S.C. 3030g-21)--
(1) in paragraph (1), by striking ``and'' at the end;
(2) in paragraph (2), by striking the period and inserting
``; and''; and
(3) by adding at the end the following:
``(3) where feasible, when selecting local nutrition
providers, give consideration to the capabilities of community-
based organizations if such organizations meet the requirements
of subpart 1 or 2 and can provide nutrition services in the
designated area.''.
SEC. 303. GRAB-AND-GO MEALS.
Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at
the end the following:
``(E) A State may elect in its plan under section 307 to allow use
of not more than 25 percent of the funds received by such State under
subpart 1 of part C, calculated after any transfers under subparagraphs
(A) and (B) are completed, to make meals available at congregate meal
sites or other community locations for consumption by older individuals
outside such congregate meal sites. A State electing to allow use of
funds under the preceding sentence shall--
``(i) ensure that such allowable use supplements but does
not supplant the delivery of services through the congregate
meals program under section 331; and
``(ii) notify the Assistant Secretary of such election,
including a description of the amount and percentage of funds
received by such State under subpart 1 of part C to be used for
such purposes.''.
SEC. 304. NUTRITION SERVICES INCENTIVE PROGRAM INNOVATION.
Section 311 (42 U.S.C. 3030a) is amended--
(1) in subsection (b)(1), by striking ``subsection (e)''
and inserting ``subsection (f)(1)'';
(2) by redesignating subsections (e) and (f) as subsections
(f) and (g), respectively;
(3) by inserting after subsection (d) the following:
``(e)(1) Subject to subsection (f)(2), a State agency or title VI
grantee may implement innovative approaches, including any approaches
demonstrated to be effective through an award under section 340, to
achieve the purposes described in section 330(1) by improving--
``(A) the quality, composition, preparation, modality,
delivery, or location of meals provided to older individuals
under this Act; or
``(B) the efficiency and effectiveness of distributing,
delivering, or otherwise making meals available to older
individuals under this Act.
``(2) In implementing approaches under paragraph (1), a State
agency or title VI grantee may, with the approval of the Assistant
Secretary, waive any requirements of subparts 1 or 2 of part C or
section 339 if the State agency or title VI grantee determines that
such requirements impede the ability of such State agency or title VI
grantee to successfully implement such approach. The Assistant
Secretary shall approve a request for a waiver under the preceding
sentence unless the Assistant Secretary determines that such waiver is
not consistent with the objectives of this Act or the purposes
described in section 330(1).
``(3) The authority to carry out activities described in paragraph
(1) shall expire on October 1, 2029.
``(4) Not later than September 30, 2028, the Assistant Secretary
shall submit a report to the Committee on Health, Education, Labor, and
Pensions and the Special Committee on Aging of the Senate and the
Committee on Education and the Workforce of the House of
Representatives describing any activities carried out by State agencies
or title VI grantees under paragraph (1), an assessment of the outcomes
of such activities, and recommendations for scaling implementation of
any successful innovative approaches within programs established under
this section or subparts 1 and 2 of part C.''; and
(4) in subsection (f), as so redesignated--
(A) by striking ``There are'' and inserting ``(1)
There are''; and
(B) by adding at the end the following:
``(2) If the amount appropriated to carry out this section for a
fiscal year exceeds the amount appropriated to carry out this section
for fiscal year 2024, a State agency and title VI grantee in receipt of
an allotment under subsection (b) may elect to use the difference
between the allotment received for the fiscal year and the allotment
received for fiscal year 2024 for activities described in subsection
(e).''.
SEC. 305. GAO STUDY ON NUTRITION SERVICES INCENTIVE PROGRAM.
(a) In General.--Not later than 18 months after the date of
enactment of this Act, the Comptroller General of the United States
shall conduct a study to evaluate the Nutrition Services Incentive
Program under section 311 (42 U.S.C. 3030a) (referred to in this
section as the ``Program'').
(b) Inclusions.--The study under this section--
(1) shall--
(A) include an assessment of how States and Tribal
organizations use funding provided under the Program,
including the degree to which States and Tribal
organizations use such funding to procure food products
from local or regional producers for meals supported
under the Program; and
(B) identify any challenges or barriers to
increasing the use of local and regional producers
under the Program; and
(2) may make recommendations related to improving the
effectiveness of the Program, including with respect to the use
of local and regional producers.
SEC. 306. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.
Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et seq.) is
amended by adding at the end the following:
``SEC. 340. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.
``(a) In General.--From funds available under subsection (d), the
Assistant Secretary shall make grants, on a competitive basis, to
eligible entities, to achieve the purposes of section 330(1) by
developing, implementing, and evaluating innovative local or regional
approaches to improve the quality, effectiveness, efficiency, and
outcomes of nutrition programs and services described in sections 311,
331, and 336.
``(b) Eligibility.--In order to be eligible for a grant under
subsection (a), an entity shall--
``(1) be--
``(A) a State agency, an area agency on aging, an
Indian tribe, a tribal organization, a nutrition
service provider, a multipurpose senior center, a
health care entity, an institution of higher education,
or an other public or nonprofit private entity; or
``(B) a partnership between any entities described
in subparagraph (A); and
``(2) submit an application at such time and in such manner
as the Assistant Secretary may require, including--
``(A) a description of an innovative approach
referred to in subsection (a) that the entity proposes
to implement under the grant;
``(B) a plan for evaluating the effectiveness,
including cost-effectiveness, of the innovative
approach proposed; and
``(C) as appropriate, plans for the publication of
the results of such evaluation.
``(c) Report.--Not later than 1 year after the date of enactment of
the Older Americans Act Reauthorization Act of 2024 and annually
thereafter, the Assistant Secretary shall submit a report to the
Committee on Health, Education, Labor, and Pensions and the Special
Committee on Aging of the Senate and the Committee on Education and the
Workforce of the House of Representatives describing any activities
carried out under subsection (a), an assessment of the outcomes of such
activities, and recommendations for scaling implementation of any
successful innovative approaches implemented under this section,
through programs established under section 311, 331, or 336.
``(d) Reservation.--From the total of the amounts made available
for a fiscal year under paragraphs (1) and (2) of section 303(b) and in
section 311(e), the Assistant Secretary shall reserve an amount equal
to not more than 1 percent, to carry out activities described in
subsection (a).''.
TITLE IV--SUPPORTING FAMILY CAREGIVERS
SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER SUPPORT PROGRAM.
(a) State Requirements for State and Community Programs on Aging
Grants.--Section 305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E)) is amended--
(1) in clause (i), by striking ``and'' at the end;
(2) in clause (ii), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following:
``(iii) available supports for family
caregivers and older relative caregivers (as
defined in section 372(a)).''.
(b) Area Plan Requirements.--Section 306(a)(7)(D) (42 U.S.C.
3026(a)(7)(D)) is amended--
(1) in clause (i), by striking ``and'' at the end;
(2) in clause (ii), by adding ``and'' after the semicolon;
and
(3) by adding at the end the following:
``(iii) available supports for family
caregivers and older relative caregivers (as
defined in section 372(a));''.
(c) Definitions Relating to the National Family Caregiver Support
Program.--
(1) In general.--Section 372(a) (42 U.S.C. 3030s(a)) is
amended--
(A) in paragraph (1)--
(i) in the first sentence, by striking
``The term'' and inserting the following:
``(A) In general.--The term''; and
(ii) in subparagraph (A) (as so
designated), in the second sentence--
(I) by striking the period at the
end and inserting ``; and''; and
(II) by striking ``Such assessment
shall be administered through'' and
inserting the following:
``(B) Administration of assessments.--A caregiver
assessment under subparagraph (A) shall--
``(i) be administered through''; and
(III) by adding at the end the
following:
``(ii) take into account--
``(I) linguistic and cultural
differences;
``(II) the ease for the caregiver
to access information, supports, or
services, and the timeliness of access
to such information, supports, or
services;
``(III) barriers to accessing
information, supports, or services;
``(IV) the availability of
information, supports, or services in
accessible formats; and
``(V) the quality of information,
supports, or services received, and the
degree to which it is helpful to the
caregiver.'';
(B) by striking paragraph (2) and inserting the
following:
``(2) Child or youth.--The term `child or youth' means an
individual who is not more than--
``(A) 18 years of age; or
``(B) 22 years of age, in the case of an individual
who is enrolled in any form of schooling (including on
a part-time basis), including--
``(i) in high school or secondary school
(as such terms are defined in section 8101 of
the Elementary and Secondary Education Act of
1965 (20 U.S.C. 7801)); or
``(ii) in an institution of higher
education (as defined in section 102 of the
Higher Education Act of 1965 (20 U.S.C.
1002)).''; and
(C) in paragraph (4)(B)(i), by inserting ``adult''
after ``or other''.
(2) Conforming amendments.--Part E of title III (42 U.S.C.
3030s et seq.) is amended--
(A) by inserting ``or youth'' after ``child'' each
place it appears (other than in section 372(a)(2) (as
amended by paragraph (1)(B)); and
(B) by inserting ``or youth'' after ``children''
each place it appears (other than in section
373(c)(3)(A) (as amended by subsection (d)(2)(B)).
(d) Program Authorized.--Section 373 (42 U.S.C. 3030s-1) is
amended--
(1) in subsection (b)(3)--
(A) by inserting ``which may include trauma-
informed services, peer supports,'' after ``individual
counseling,''; and
(B) by inserting ``elder abuse prevention,'' after
``nutrition,'';
(2) in subsection (c)--
(A) in the subsection heading, by striking
``Priority'' and inserting ``Priority; Consideration'';
and
(B) by adding at the end the following:
``(3) Consideration.--In providing services under this
part, the State shall consider--
``(A) that older relative caregivers caring for
multiple children or youth may need greater resources
and supports; and
``(B) the circumstances and unique needs of
different types of caregivers, including the needs of
children and their older relative caregivers whose
families have been affected by substance use disorder,
including opioid use disorder.'';
(3) in subsection (e)--
(A) in the matter preceding paragraph (1), by
striking ``Not later than'' and all that follows
through ``the Assistant Secretary shall'' and inserting
``The Assistant Secretary shall, on a regular basis'';
(B) in paragraph (1)--
(i) in subparagraph (B)--
(I) by inserting ``or evidence-
informed'' after ``evidence based'';
and
(II) by striking ``and'' at the
end;
(ii) by redesignating subparagraph (C) as
subparagraph (D); and
(iii) by inserting after subparagraph (B)
the following:
``(C) the use of caregiver assessments; and''; and
(C) in paragraph (2), by striking ``make
available'' and inserting ``prepare, publish, and
disseminate'';
(4) in subsection (i)--
(A) in paragraph (1), by inserting ``, which may
include the improvement of the quality and consistency
of caregiver assessments and access to other
information, supports, or services'' after ``section
631''; and
(B) in paragraph (2), by inserting ``(including
outcome measures)'' after ``program evaluation''; and
(5) in subsection (j)--
(A) in the matter preceding paragraph (1), by
striking ``Not later than'' and all that follows
through ``shall provide technical assistance'' and
inserting ``Beginning not later than 1 year after the
date of enactment of the Older Americans Act
Reauthorization Act of 2024, the Assistant Secretary,
in consultation with stakeholders with appropriate
expertise and, as appropriate, informed by the most
recent strategy developed under the RAISE Family
Caregivers Act (42 U.S.C. 3030s note) and the most
recent report developed under the Supporting
Grandparents Raising Grandchildren Act (Public Law 115-
196; 132 Stat. 1511), shall provide ongoing technical
assistance'';
(B) in paragraph (2), by striking ``and'' at the
end;
(C) by redesignating paragraph (3) as paragraph
(4); and
(D) by inserting after paragraph (2) the following:
``(3) the quality and consistency of caregiver assessments
used across States; and''.
SEC. 402. EMPHASIZING RESPITE CARE.
Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is amended to read as
follows:
``(19) services, which may include respite care through
various models, designed to support family members and other
persons providing voluntary care to older individuals that need
long-term care services, which may include older individuals
with cognitive impairments such as Alzheimer's disease and
related disorders with neurological and organic brain
dysfunction;''.
SEC. 403. CLARIFYING SUPPORTIVE SERVICES.
Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is amended by striking
``mentally impaired older individuals'' and inserting ``older
individuals with cognitive, physical, or mental impairments''.
SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER.
Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amended--
(1) by striking subparagraph (B);
(2) by striking ``(13)'' and all that follows through ``(A)
to'' and inserting the following:
``(13) in coordination with the Secretary of Labor and, as
appropriate, the heads of other relevant Federal departments
and agencies, the establishment and operation of a national
resource center that supports the growth and
professionalization of the direct care workforce necessary to
meet the needs of older individuals and individuals with
disabilities, and, in a manner that does not unnecessarily
duplicate the activities of other resource centers supported by
the Assistant Secretary, that addresses training and other
educational needs of family caregivers, which activities of the
center may include--
``(A) the provision of training and technical
assistance, including through the development and
dissemination of educational materials, to direct care
workers and family caregivers; and
``(B) supporting the demonstration of new, and
promoting existing, strategies for the recruitment,
retention, career development, or advancement of direct
care workers to''; and
(3) in subparagraph (B), as so designated in paragraph (2),
by striking ``; and'' at the end and inserting a semicolon.
SEC. 405. SUPPORTING GRANDPARENTS RAISING GRANDCHILDREN ACT.
(a) Findings.--The Supporting Grandparents Raising Grandchildren
Act (Public Law 115-196; 132 Stat. 1511) is amended by striking section
2.
(b) Definitions.--The Supporting Grandparents Raising Grandchildren
Act is amended by redesignating section 4 as section 2 and moving the
section so as to follow section 1.
(c) Advisory Council.--Section 3 of the Supporting Grandparents
Raising Grandchildren Act is amended--
(1) in subsection (b)--
(A) in paragraph (1)--
(i) by redesignating subparagraphs (G)
through (I) as subparagraphs (H) through (J);
(ii) by inserting after subparagraph (F)
the following:
``(G) The Assistant Secretary for Health.'';
(iii) in subparagraph (I), as so
redesignated, by striking ``of children''; and
(iv) in subparagraph (J), as so
redesignated, by striking ``relatives'' and
inserting ``relative caregivers''; and
(B) by adding at the end the following:
``(3) Limitation on non-federal members.--Not more than 10
members of the Advisory Council may be individuals who are not
Federal officers or employees.'';
(2) in subsection (c)--
(A) in paragraph (1)--
(i) in subparagraph (A)--
(I) in the matter preceding clause
(i), by striking ``relatives'' and
inserting ``relative caregivers''; and
(II) in clause (i)--
(aa) by striking ``the
health,'' and inserting ``the
near- and long-term health,
including mental health,''; and
(bb) by striking ``care;
and'' and inserting ``care,
including any needs related to
the circumstances that caused
such children to be raised by a
grandparent or older relative
caregiver; and''; and
(ii) in subparagraph (B)--
(I) by striking ``(B)'' and all
that follows through ``In'' and
inserting the following:
``(B) Considerations.--In''; and
(II) by striking ``needs of those
affected by the opioid crisis'' and
inserting ``needs and challenges of
individuals affected by substance use
disorder, including opioid use
disorder, or, as applicable and
appropriate, needs and challenges of
individuals related to other
circumstances, which may include public
health emergencies.'';
(B) in paragraph (2)--
(i) in subparagraph (A), in the matter
preceding clause (i), by striking ``enactment
of this Act'' and inserting ``enactment of the
Older Americans Act Reauthorization Act of
2024''; and
(ii) in subparagraph (B)--
(I) in clause (i)--
(aa) by striking
``relatives'' and inserting
``relative caregivers''; and
(bb) by striking ``needs of
children'' and all that follows
and inserting ``needs of
children and their older
relative caregivers who have
been affected by substance use
disorder, including opioid use
disorder;'';
(II) in clause (ii), by striking
the ``and'' at the end;
(III) by redesignating clause (iii)
as clause (iv); and
(IV) by inserting after clause (ii)
the following:
``(iii) a description of any activities of
the Department of Health and Human Services to
evaluate the effectiveness of supportive
services in addressing the needs of children
and their older relative caregivers, including
those who have been affected by substance use
disorder, including opioid use disorder, and
any related findings; and'';
(C) in paragraph (3)--
(i) in the matter preceding subparagraph
(A)--
(I) by striking ``(3)'' and all
that follows through ``Not'' and
inserting the following:
``(3) Follow-up reports.--Not'';
(II) by striking ``2 years'' and
inserting ``180 days''; and
(III) by inserting after
``submitted,'' the following: ``and
every 2 years thereafter until the
Advisory Council terminates under
subsection (f),''; and
(D) in paragraph (4) by striking ``relatives'' each
place it appears and inserting ``relative caregivers'';
(3) in subsection (d), by striking ``the Federal Advisory
Committee Act (5 U.S.C. App.).'' and inserting ``chapter 10 of
title 5, United States Code.''; and
(4) in subsection (f), by striking ``terminate'' and all
that follows and inserting ``terminate on September 30,
2029.''.
SEC. 406. RAISE FAMILY CAREGIVERS ACT.
(a) Strategy.--Section 3 of the RAISE Family Caregivers Act (42
U.S.C. 3030s note) is amended--
(1) in subsection (c)--
(A) in the matter preceding paragraph (1), by
inserting ``(or the Secretary's designee)'' after ``The
Secretary''; and
(B) in paragraph (1), by inserting ``and made
publicly available by the Secretary,'' after
``caregiver programs,''; and
(2) in subsection (d)(2), by inserting ``in'' after
``caregiver programs''.
(b) Council.--Section 5(e) of that Act (42 U.S.C. 3030s note) is
amended by striking ``The Federal Advisory Committee Act (5 U.S.C.
App.)'' and inserting ``Chapter 10 of title 5, United States Code,''.
(c) Sunset Extension.--Section 6 of that Act (42 U.S.C. 3030s note)
is amended by striking ``terminate'' and all that follows and inserting
``terminate on September 30, 2029.''.
TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT
SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOYMENT PROGRAM.
(a) Program.--Section 502(b)(1) (42 U.S.C. 3056(b)(1) is amended--
(1) in subparagraph (C)(ii), by striking ``section
513(a)(2)(E)'' and inserting ``section 513(a)(2)(F)''; and
(2) in subparagraph (E), by inserting ``older
individuals,'' after ``youth,''.
(b) Performance.--Section 513 (42 U.S.C. 3056k) is amended--
(1) in subsection (a)(2)--
(A) by redesignating subparagraph (E) as
subparagraph (F); and
(B) by inserting after subparagraph (D) the
following:
``(E) Biennial report.--Not later than 2 years
after the date of enactment of the Older Americans Act
Reauthorization Act of 2024, and every 2 years
thereafter during the period of the program described
in section 502(a)(1), the Secretary shall prepare and
submit to the Committee on Health, Education, Labor,
and Pensions and the Special Committee on Aging of the
Senate and the Committee on Education and the Workforce
of the House of Representatives a report regarding the
methodology used to arrive at the expected levels of
performance described in subparagraph (B) for each
grantee, including the particular statistical model
used and other factors taken into account, as described
in subparagraph (D).'';
(2) in subsection (c) and paragraphs (1)(A), (2)(A), (3)(A)
of subsection (d), by striking ``subsection (a)(2)(E)'' and
inserting ``subsection (a)(2)(F)''; and
(3) in subsection (d)--
(A) in paragraph (2)(B)(iii), by adding at the end
the following: ``For grants awarded on or after the
date that is 2 years after the date of enactment of the
Older Americans Act Reauthorization Act of 2024, any
grantee who has failed to meet the expected levels of
performance for the 2 consecutive years prior to the
subsequent grant competition under section 514 shall
not be allowed to compete in the subsequent grant
competition under section 514 following the second
consecutive year of failure but may compete in the next
such grant competition after that subsequent
competition.''; and
(B) in paragraph (3)(B)(iii), by adding at the end
the following: ``For grants awarded on or after the
date that is 2 years after the date of enactment of the
Older Americans Act Reauthorization Act of 2024, if the
Secretary determines that the State fails to meet the
expected levels of performance described in
subparagraph (A) for 2 consecutive program years, the
Secretary shall provide for the conduct by the State of
a competition to award the funds allotted to the State
under section 506(e) for the first full program year
following the Secretary's determination.''.
(c) Definitions.--Section 518(a)(1)(A) (42 U.S.C. 3056p(a)(1)(A))
is amended to read as follows:
``(A) social, health, welfare, and educational
services (including literacy tutoring and services
provided by the aging network), legal and other
counseling services and assistance (including tax
counseling and assistance and financial counseling),
and library, recreational, and other similar
services;''.
SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COMMUNITY SERVICE
EMPLOYMENT PROGRAM.
(a) Review.--Not later than 18 months after the date of enactment
of this Act, the Comptroller General of the United States shall
complete a review in which the Comptroller General--
(1) evaluates--
(A) the distinct differences and similarities
between the older American community service employment
program as authorized under title V of the Older
Americans Act of 1965 (42 U.S.C. 3056 et seq.) and the
programs carried out under title I of the Workforce
Innovation and Opportunity Act (29 U.S.C. 3111 et
seq.); and
(B) how the programs described in subparagraph (A)
serve older individuals in seeking and obtaining
community service employment;
(2) analyzes the efficacy and impacts of the indicators of
performance described in section 513(b) of the Older Americans
Act of 1965 (42 U.S.C. 3056k(b) and corrective measures
described in section 513(d) of the Older Americans Act of 1965
(42 U.S.C. 3056k(d)) for the older American community service
employment program, compared with the efficacy and impacts of
the indicators of performance and corrective measures described
in section 116 of the Workforce Innovation and Opportunity Act
(29 U.S.C. 3141) for programs authorized under title I of such
Act; and
(3) evaluates how the Department of Labor coordinates
delivery of services with State and national grantees under
title V of the Older Americans Act of 1965 and States and local
workforce development areas under title I of the Workforce
Innovation Opportunity Act to serve older individuals.
(b) Report to Congress.--Not later than 180 days after the date of
enactment of this Act, the Comptroller General shall submit to the
Committee on Health, Education, Labor, and Pensions and the Special
Committee on Aging of the Senate and the Committee on Education and the
Workforce of the House of Representatives a report on the results of
such review.
TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS
SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE.
Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at the end
the following:
``(4)(A) In addition to other methods of government-to-
government consultation between the Administration and Indian
tribes and conferring with organizations representing Native
Hawaiians, the Assistant Secretary shall establish an advisory
committee, to be known as the `Older Americans Tribal Advisory
Committee' (referred to in this paragraph as the `Committee')
to provide advice and guidance to the Assistant Secretary on
matters relating to the needs of older individuals who are
Native Americans and implementation of related programs and
activities under this Act.
``(B) The Committee shall be composed of 11 voting, non-
Federal members, including--
``(i) geographically diverse individuals with
expertise on the range of issues affecting Indian
tribes, organizations representing Native Hawaiians,
and older individuals who are Native Americans;
``(ii) not less than 1 member who is an Alaska
Native; and
``(iii) not less than 1 member who is a Native
Hawaiian.
``(C) The Committee shall include non-voting, ex officio
representatives of relevant Federal departments and agencies,
including--
``(i) the Administration;
``(ii) the Indian Health Service;
``(iii) the Centers for Medicare & Medicaid
Services;
``(iv) the Department of the Interior;
``(v) the Department of Labor; and
``(vi) any other agency or office with subject
matter expertise that the Assistant Secretary
determines appropriate.
``(D) The Committee shall meet in person not less
frequently than twice each year.
``(E) The Committee shall coordinate, as appropriate, with
the Secretary's Tribal Advisory Committee of the Department of
Health and Human Services.
``(F)(i) Not less frequently than once each year, the
Committee shall submit to the Assistant Secretary and make
publicly available a report that describes--
``(I) the activities of the Committee during the
previous year; and
``(II) recommendations for administrative action,
including the identification of any statutory barriers
to carrying out such recommendations, for the following
year.
``(ii) Not later than 60 days after the date on which the
Assistant Secretary receives a report under clause (i), the
Assistant Secretary shall submit to the Committee a written
response to such report.
``(G) Chapter 10 of title 5, United States Code, shall not apply to
the Committee.
``(H) In establishing, developing procedures for, and operating the
Committee, the Assistant Secretary shall--
``(i) consult with Indian tribes and confer with
organizations representing Native Hawaiians; and
``(ii) take into consideration best practices of other
tribal advisory committees operated by the Department of Health
and Human Services before the date of enactment of the Older
Americans Act Reauthorization Act of 2024.''.
SEC. 602. SUPPORTIVE SERVICES; SET ASIDE.
(a) Supportive Services.--Section 636 (42 U.S.C. 3057k-21) is
amended--
(1) in subsection (a), by striking ``may'' and inserting
``shall, as practicable,''; and
(2) in subsection (b)(2), by striking ``in-home
assistance'' and inserting ``in-home services''.
(b) Funding Set Aside.--Section 644 (42 U.S.C. 3057o) is amended--
(1) by striking ``Of'' and inserting ``(a) In General.--
Of''; and
(2) by adding at the end the following:
``(b) Report.--Not later than 1 year after the date of enactment of
the Older Americans Act Reauthorization Act of 2024, the Assistant
Secretary shall submit to the Committee on Health, Education, Labor,
and Pensions of the Senate and the Committee on Education and the
Workforce of the House of Representatives, a report on the use of funds
under part D. Such report shall include--
``(1) the total amount of funds made available under
subsection (a) to carry out part D for each fiscal year;
``(2) a list of award recipients under part D; and
``(3) a summary of supportive services for healthy aging
and independence provided under part D.''.
SEC. 603. GAO REPORT ON TRIBAL SERVICES.
Not later than 18 months after the date of enactment of this Act,
the Comptroller General of the United States shall submit to Congress a
report that--
(1) evaluates and identifies barriers to Indian Tribes (as
defined in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 5304)) and organizations
serving Native Hawaiians accessing programs under title VI of
the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.), and
coordination of such programs under such title VI with programs
funded under titles III and IV of such Act (42 U.S.C. 3021 et
seq., 42 U.S.C. 3031 et seq.), including by--
(A) estimating the number of Native Americans
unserved by programs under such title VI;
(B) identifying States making grants to Indian
Tribes under such title III; and
(C) providing estimates of funding necessary to
support programs under such title VI for all Tribal
organizations (as defined in section 4 of the Indian
Self-Determination and Education Assistance Act) and
organizations serving Native Hawaiians that are not
eligible under such title VI (as in effect on the date
of enactment of this Act); and
(2) details how grantees under title V of the Older
Americans Act of 1965 (42 U.S.C. 3056 et seq.) are serving
older individuals who are Native Americans with funds received
under such title V, including by evaluating how the Secretary
of Labor coordinates with State and national grantees under
such title V to serve older individuals who are Native
Americans.
TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND
ELDER ABUSE PREVENTION
SEC. 701. DIRECTOR OF THE OFFICE OF LONG-TERM CARE OMBUDSMAN PROGRAMS.
Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is amended in the
second sentence by inserting ``serve on a full-time basis and'' after
``shall''.
SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RELATING TO ELDER ABUSE
PREVENTION.
Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is amended by
striking clause (v) and inserting the following:
``(v) establishing an information
clearinghouse to collect, maintain, and
disseminate information concerning best
practices and resources for training, technical
assistance, and other activities, which may
include training resources for paralegals or
law students who are under the direct
supervision of an attorney, to assist Long-Term
Care Ombudsman programs, adult protective
services programs, and other legal services
relating to defense of guardianship and the
matters described in clause (ii)(I), to assist
States and communities to carry out evidence-
based programs to prevent and address elder
abuse, neglect, and exploitation;''.
SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER THE STATE LONG-TERM
CARE OMBUDSMAN PROGRAM.
Section 712 (42 U.S.C. 3058g) is amended--
(1) in subsection (h)(5)--
(A) in the matter preceding subparagraph (A)--
(i) by striking ``the representatives'' and
inserting ``each type of representative''; and
(ii) by inserting ``types of'' before
``unpaid volunteers'';
(B) in subparagraph (A), by inserting ``for each
such type of representative'' before the semicolon at
the end;
(C) in subparagraph (B)(iii), by striking ``and''
at the end;
(D) in subparagraph (C), by adding ``and'' at the
end; and
(E) by adding at the end the following:
``(D) with respect to representatives of the Office
who are unpaid volunteers, take into consideration the
degree to which each such type of unpaid volunteer
performs activities requiring specialized training,
with a goal of reducing unnecessary training
requirements for prospective unpaid volunteers;''; and
(2) by adding at the end the following:
``(k) Training Requirements for Unpaid Volunteers.--
``(1) In general.--In providing the model standards
described in subsection (h)(5), the Director of the Office of
Long-Term Care Ombudsman Programs shall review and, as
necessary, update such model standards on a regular basis to
tailor such model standards to the individualized training
needs of each type of representative of the Office, including
each type of unpaid volunteer.
``(2) Considerations.--In carrying out paragraph (1), the
Director of the Office of Long-Term Care Ombudsman Programs
shall take into consideration the degree to which each type of
representative of the Office performs activities that require
specialized training, with a goal of reducing unnecessary
training requirements for unpaid volunteers.''.
SEC. 704. REPORTING ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.
Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f et seq.) is
amended by adding at the end the following:
``SEC. 714. REPORTS TO CONGRESS.
``Each year, the Assistant Secretary shall submit, to the Committee
on Health, Education, Labor, and Pensions and the Special Committee on
Aging of the Senate and the Committee on Education and the Workforce of
the House of Representatives, and make publicly available, a report
that--
``(1) aggregates all reports submitted under section 712(h)
for such year; and
``(2) provides a summary of the findings of such
reports.''.
SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.
(a) In General.--The Assistant Secretary shall seek to enter into a
contract with the National Academies of Sciences, Engineering, and
Medicine (referred to in this section as the ``National Academies'') to
conduct a study on the State Long-Term Care Ombudsman programs carried
out under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.),
including an assessment of the effectiveness of such programs and any
related challenges, and recommendations. The study shall include an
assessment of the current (as of the date on which the contract is
entered into) recommended staff-to-bed ratio for such programs, as
appropriate.
(b) Report.--Not later than 18 months after the date on which a
contract is entered into under subsection (a), the National Academies
shall publicly issue a report on the findings of such study.
TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS
SEC. 801. ADMINISTRATION ON AGING.
Section 216 (42 U.S.C. 3020f) is amended--
(1) in subsection (a), by striking ``$43,937,410'' and all
that follows through ``fiscal year 2024'' and
inserting``$55,469,968 for fiscal year 2025, $58,034,197 for
fiscal year 2026, $60,716,964 for fiscal year 2027, $63,523,747
for fiscal year 2028, and $66,460,281 for fiscal year 2029'';
and
(2) in subsection (b)--
(A) in paragraph (1), by striking ``$2,180,660''
and all that follows through ``fiscal year 2024'' and
inserting ``$2,753,033 for fiscal year 2025, $2,880,298
for fiscal year 2026, $3,013,447 for fiscal year 2027,
$3,152,751 for fiscal year 2028, and $3,298,494 for
fiscal year 2029'';
(B) in paragraph (2), by striking ``$1,988,060''
and all that follows through ``fiscal year 2024'' and
inserting ``$2,509,880 for fiscal year 2025, $2,625,905
for fiscal year 2026, $2,747,294 for fiscal year 2027,
$2,874,294 for fiscal year 2028, and $3,007,165 for
fiscal year 2029'';
(C) in paragraph (3), by striking ``$1,371,740''
and all that follows through ``fiscal year 2024'' and
inserting ``$1,731,790 for fiscal year 2025, $1,811,846
for fiscal year 2026, $1,895,603 for fiscal year 2027,
$1,983,232 for fiscal year 2028, and $2,074,911 for
fiscal year 2029''; and
(D) in paragraph (4), by striking ``$8,687,330''
and all that follows through ``fiscal year 2024'' and
inserting ``$10,967,554 for fiscal year 2025,
$11,474,555 for fiscal year 2026, $12,004,993 for
fiscal year 2027, $12,559,952 for fiscal year 2028, and
$13,140,565 for fiscal year 2029''.
SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING.
(a) In General.--Section 303 (42 U.S.C. 3023) is amended--
(1) in subsection (a)(1), by striking ``$412,029,180'' and
all that follows through ``fiscal year 2024'' and inserting
``$520,177,347 for fiscal year 2025, $544,223,762 for fiscal
year 2026, $569,381,780 for fiscal year 2027, $595,702,785 for
fiscal year 2028, and $623,240,541 for fiscal year 2029'';
(2) in subsection (b)--
(A) in paragraph (1), by striking ``$530,015,940''
and all that follows through ``fiscal year 2024'' and
inserting ``$669,132,913 for fiscal year 2025,
$700,065,148 for fiscal year 2026, $732,427,298 for
fiscal year 2027, $766,285,465 for fiscal year 2028,
and $801,708,804 for fiscal year 2029''; and
(B) in paragraph (2), by striking ``$268,935,940''
and all that follows through ``fiscal year 2024'' and
inserting ``$339,525,428 for fiscal year 2025,
$355,220,786 for fiscal year 2026, $371,641,698 for
fiscal year 2027, $388,821,705 for fiscal year 2028,
and $406,795,899 for fiscal year 2029'';
(3) in subsection (d), by striking ``$26,587,360'' and all
that follows through ``fiscal year 2024'' and inserting
``$33,565,929 for fiscal year 2025, $35,117,593 for fiscal year
2026, $36,740,986 for fiscal year 2027, $38,439,424 for fiscal
year 2028, and $40,216,376 for fiscal year 2029''; and
(4) in subsection (e), by striking ``$193,869,020'' and all
that follows through ``fiscal year 2024'' and inserting
``$244,755,171 for fiscal year 2025, $256,069,552 for fiscal
year 2026, $267,906,966 for fiscal year 2027, $280,291,593 for
fiscal year 2028, and $293,248,728 for fiscal year 2029''.
(b) Nutrition Services Incentive Program.--Section 311 (42 U.S.C.
3030a), as amended by section 304 of this Act, is amended in subsection
(f), by striking ``$171,273,830'' and all that follows through ``fiscal
year 2024'' and inserting ``$216,229,264 for fiscal year 2025,
$226,224,968 for fiscal year 2026, $236,682,747 for fiscal year 2027,
$247,623,961 for fiscal year 2028, and $259,070,958 for fiscal year
2029''.
SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.
Section 411(b) (42 U.S.C. 3032(b)) is amended--
(1) in paragraph (1), by striking ``$14,514,550'' and all
that follows through ``fiscal year 2024'' and inserting
``$18,324,285 for fiscal year 2025, $19,171,368 for fiscal year
2026, $20,057,609 for fiscal year 2027, $20,984,819 for fiscal
year 2028, and $21,954,892 for fiscal year 2029''; and
(2) in paragraph (2), by striking ``$15,613,440'' and all
that follows through ``fiscal year 2024'' and inserting
``$19,711,608 for fiscal year 2025, $20,622,823 for fiscal year
2026, $21,576,161 for fiscal year 2027, $22,573,570 for fiscal
year 2028, and $23,617,086 for fiscal year 2029''.
SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT.
Section 517(a) (42 U.S.C. 3056o(a)) is amended by striking
``$428,000,000'' and all that follows through ``fiscal year 2024'' and
inserting ``$540,340,193 for fiscal year 2025, $565,318,627 for fiscal
year 2026, $591,451,804 for fiscal year 2027, $618,793,048 for fiscal
year 2028, and $647,398,205 for fiscal year 2029''.
SEC. 805. GRANTS FOR NATIVE AMERICANS.
Section 643 (42 U.S.C. 3057n) is amended--
(1) in paragraph (1), by striking ``$37,102,560'' and all
that follows through ``fiscal year 2024'' and inserting
``$47,028,435 for fiscal year 2025, $49,202,434 for fiscal year
2026, $51,476,932 for fiscal year 2027, $53,856,574 for fiscal
year 2028, and $56,346,220 for fiscal year 2029''; and
(2) in paragraph (2), by striking ``$10,759,920'' and all
that follows through ``fiscal year 2024'' and inserting
``$13,584,151 for fiscal year 2025, $14,212,110 for fiscal year
2026, $14,869,098 for fiscal year 2027, $15,556,457 for fiscal
year 2028, and $16,275,591 for fiscal year 2029''.
SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION ACTIVITIES.
Section 702 (42 U.S.C. 3058a) is amended--
(1) in subsection (a), by striking ``$18,066,950'' and all
that follows through ``fiscal year 2024'' and inserting
``$22,809,108 for fiscal year 2025, $23,863,512 for fiscal year
2026, $24,966,659 for fiscal year 2027, $26,120,801 for fiscal
year 2028, and $27,328,297 for fiscal year 2029''; and
(2) in subsection (b), by striking ``$5,107,110'' and all
that follows through ``fiscal year 2024'' and inserting
``$6,447,609 for fiscal year 2025, $6,745,665 for fiscal year
2026, $7,057,499 for fiscal year 2027, $7,383,748 for fiscal
year 2028, and $7,725,079 for fiscal year 2029''.
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