[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 4776 Reported in Senate (RS)]
<DOC>
Calendar No. 505
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
September 12, 2024
Reported by Mr. Sanders, with an amendment
[Strike out all after the enacting clause and insert the part printed
in italic]
_______________________________________________________________________
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,
<DELETED>SECTION 1. SHORT TITLE.</DELETED>
<DELETED> This Act may be cited as the ``Older Americans Act
Reauthorization Act of 2024''.</DELETED>
<DELETED>SEC. 2. TABLE OF CONTENTS.</DELETED>
<DELETED> The table of contents for this Act is as
follows:</DELETED>
<DELETED>Sec. 1. Short title.
<DELETED>Sec. 2. Table of contents.
<DELETED>Sec. 3. References.
<DELETED>Sec. 4. Definitions.
<DELETED>TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF
OLDER INDIVIDUALS
<DELETED>Sec. 101. Declaration of objectives.
<DELETED>Sec. 102. Addressing mental health and substance use disorders
and cognitive impairments of older
individuals.
<DELETED>Sec. 103. List of national resource centers.
<DELETED>Sec. 104. Awareness of relevant Federal programs.
<DELETED>Sec. 105. Evaluations and surveys.
<DELETED>Sec. 106. Contracting and grant authority.
<DELETED>Sec. 107. Guidance on transfers of funding between area
agencies on aging.
<DELETED>Sec. 108. Right to first refusal.
<DELETED>Sec. 109. Area agency on aging capabilities.
<DELETED>Sec. 110. Supporting older individuals with disabilities
through improved coordination.
<DELETED>Sec. 111. Business acumen, fiscal training, and technical
assistance.
<DELETED>Sec. 112. Enhancing access to assistive technology.
<DELETED>Sec. 113. White House Conference on Aging.
<DELETED>TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING
INDEPENDENCE FOR OLDER INDIVIDUALS
<DELETED>Sec. 201. Disease prevention and health promotion services.
<DELETED>Sec. 202. Improving health outcomes.
<DELETED>Sec. 203. Evidence-informed practices.
<DELETED>Sec. 204. Enhancing multipurpose senior centers.
<DELETED>Sec. 205. Addressing home modifications.
<DELETED>Sec. 206. Multigenerational and civic engagement activities.
<DELETED>Sec. 207. GAO study and report on access to housing for older
individuals.
<DELETED>Sec. 208. Report relating to health outcomes for older
individuals living with or near family
members.
<DELETED>Sec. 209. Improving broadband coordination and reducing social
isolation.
<DELETED>TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION
SERVICES
<DELETED>Sec. 301. Medically tailored meals.
<DELETED>Sec. 302. Nutrition service providers.
<DELETED>Sec. 303. Grab-and-go meals.
<DELETED>Sec. 304. Nutrition Services Incentive Program innovation.
<DELETED>Sec. 305. GAO study on Nutrition Services Incentive Program.
<DELETED>Sec. 306. Innovations in nutrition programs and services.
<DELETED>TITLE IV--SUPPORTING FAMILY CAREGIVERS
<DELETED>Sec. 401. Improving the National Family Caregiver Support
Program.
<DELETED>Sec. 402. Emphasizing respite care.
<DELETED>Sec. 403. Clarifying supportive services.
<DELETED>Sec. 404. Direct care workforce resource center.
<DELETED>Sec. 405. Supporting Grandparents Raising Grandchildren Act.
<DELETED>Sec. 406. RAISE Family Caregivers Act.
<DELETED>TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT
<DELETED>Sec. 501. Improving the Community Service Employment Program.
<DELETED>Sec. 502. GAO report on alignment within the Community Service
Employment Program.
<DELETED>TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS
<DELETED>Sec. 601. Older Americans Tribal Advisory Committee.
<DELETED>Sec. 602. Supportive services; set aside.
<DELETED>Sec. 603. GAO report on Tribal services.
<DELETED>TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS
AND ELDER ABUSE PREVENTION
<DELETED>Sec. 701. Director of the Office of Long-Term Care Ombudsman
Programs.
<DELETED>Sec. 702. Legal assistance training resources relating to
elder abuse prevention.
<DELETED>Sec. 703. Improving training of volunteers under the State
Long-Term Care Ombudsman Program.
<DELETED>Sec. 704. Reporting on State Long-Term Care Ombudsman
Programs.
<DELETED>Sec. 705. Study on State Long-Term Care Ombudsman Programs.
<DELETED>TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS
<DELETED>Sec. 801. Administration on Aging.
<DELETED>Sec. 802. Grants for State and community programs on aging.
<DELETED>Sec. 803. Activities for health, independence, and longevity.
<DELETED>Sec. 804. Community Service Senior Opportunities Act.
<DELETED>Sec. 805. Grants for Native Americans.
<DELETED>Sec. 806. Allotments for elder rights protection activities.
<DELETED>SEC. 3. REFERENCES.</DELETED>
<DELETED> 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.).</DELETED>
<DELETED>SEC. 4. DEFINITIONS.</DELETED>
<DELETED> 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).</DELETED>
<DELETED>TITLE I--STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF
OLDER INDIVIDUALS</DELETED>
<DELETED>SEC. 101. DECLARATION OF OBJECTIVES.</DELETED>
<DELETED> Section 101 (42 U.S.C. 3001) is amended--</DELETED>
<DELETED> (1) in the matter preceding paragraph (1), by
striking ``of the following objectives:'' and inserting ``of
the objectives of--'';</DELETED>
<DELETED> (2) in each of paragraphs (1) through (10), by
amending the first word so that it begins with a lowercase
letter;</DELETED>
<DELETED> (3) in each of paragraphs (1) through (8), by
striking the period at the end and inserting a
semicolon;</DELETED>
<DELETED> (4) in each of paragraphs (9) and (10), by
striking the period at the end and inserting ``;
and'';</DELETED>
<DELETED> (5) in paragraph (2), by inserting ``to improve
health outcomes and reduce health care expenditures'' after
``economic status'';</DELETED>
<DELETED> (6) by redesignating paragraphs (1) through (10)
as subparagraphs (A) through (J), respectively, and adjusting
the margins accordingly;</DELETED>
<DELETED> (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--</DELETED>
<DELETED> ``(1) the older people''; and</DELETED>
<DELETED> (8) by adding at the end the following:</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE USE DISORDERS
AND COGNITIVE IMPAIRMENTS OF OLDER INDIVIDUALS.</DELETED>
<DELETED> Section 201(f) (42 U.S.C. 3011(f)) is amended to read as
follows:</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 103. LIST OF NATIONAL RESOURCE CENTERS.</DELETED>
<DELETED> Section 202 (42 U.S.C. 3012) is amended--</DELETED>
<DELETED> (1) in subsection (d)(4), by striking ``Resource
Center on Elder Abuse'' and inserting ``Center''; and</DELETED>
<DELETED> (2) by striking subsection (h) and inserting the
following:</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(2) The Assistant Secretary shall ensure that the list
published pursuant to paragraph (1)--</DELETED>
<DELETED> ``(A) includes--</DELETED>
<DELETED> ``(i) a description of each such center
and demonstration project, including the projected
goals and activities of each such center and
demonstration project;</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(iii) the award amount for each such
center and demonstration project; and</DELETED>
<DELETED> ``(iv) a summary of any evaluations
required under this Act for each such center, including
a description of any measures of effectiveness;
and</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS.</DELETED>
<DELETED> Title II (42 U.S.C. 3011 et seq.) is amended by inserting
after section 203A (42 U.S.C. 3013a) the following:</DELETED>
<DELETED>``SEC. 203B. AWARENESS OF RELEVANT FEDERAL PROGRAMS.</DELETED>
<DELETED> ``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.''.</DELETED>
<DELETED>SEC. 105. EVALUATIONS AND SURVEYS.</DELETED>
<DELETED> Section 206 (42 U.S.C. 3017) is amended--</DELETED>
<DELETED> (1) by striking subsection (d) and inserting the
following:</DELETED>
<DELETED> ``(d)(1) In carrying out evaluations under this section,
the Secretary shall--</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(B) conduct, where appropriate, evaluations that
compare the effectiveness of related programs in achieving
common objectives.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> (2) in subsection (g), by striking ``him'' and
inserting ``the Secretary''.</DELETED>
<DELETED>SEC. 106. CONTRACTING AND GRANT AUTHORITY.</DELETED>
<DELETED> (a) In General.--Section 212 (42 U.S.C. 3020c) is
amended--</DELETED>
<DELETED> (1) by striking subsection (a) and inserting the
following:</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(1) in the case funds provided under this Act
are used in developing or carrying out the agreement--
</DELETED>
<DELETED> ``(A) such agreement guarantees that the
cost is reimbursed to the recipient;</DELETED>
<DELETED> ``(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--
</DELETED>
<DELETED> ``(i) the individuals and entities
may only purchase such services at their fair
market rate;</DELETED>
<DELETED> ``(ii) all costs incurred by the
recipient in providing such services (and not
otherwise reimbursed under subparagraph (A)),
are reimbursed to such recipient; and</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(2) subject to subsection (e), in the case no
funds provided under this Act are used in developing or
carrying out the agreement--</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(i) notify the State agency of--
</DELETED>
<DELETED> ``(I) the existence of the
agreement; and</DELETED>
<DELETED> ``(II) the services
provided and populations served under
the agreement; and</DELETED>
<DELETED> ``(ii) provide assurances to the
State agency that--</DELETED>
<DELETED> ``(I) nothing in the
agreement--</DELETED>
<DELETED> ``(aa)
undermines--</DELETED>
<DELETED> ``(AA) the
duties of the recipient
under this Act;
or</DELETED>
<DELETED> ``(BB) the
provision of services
in accordance with this
Act; or</DELETED>
<DELETED> ``(bb) violates
any other terms and conditions
of an award received by the
recipient under this Act;
and</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(i) notify the State agency of
such change; and</DELETED>
<DELETED> ``(ii) provide the assurances
described in subparagraph (A)(ii) with respect
to such change.'';</DELETED>
<DELETED> (2) by striking subsection (b) and inserting the
following:</DELETED>
<DELETED> ``(b) Ensuring Appropriate Use of Funds.--An agreement--
</DELETED>
<DELETED> ``(1) described in subsection (a)(1) may not--
</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(2) described in subsection (a) may not--
</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(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.'';</DELETED>
<DELETED> (3) in subsection (c), by striking ``subsection
(a)'' and inserting ``subsection (a)(1)'';</DELETED>
<DELETED> (4) by redesignating subsection (e) as subsection
(f); and</DELETED>
<DELETED> (5) by inserting after subsection (d) the
following:</DELETED>
<DELETED> ``(e) Requesting Additional Information for Certain Non-
OAA Agreements.--</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(2) Confidentiality.--A State agency shall keep
confidential, as required by applicable Federal and State law,
all information received under this subsection that is--
</DELETED>
<DELETED> ``(A) a trade secret;</DELETED>
<DELETED> ``(B) commercial or financial information;
and</DELETED>
<DELETED> ``(C) information obtained from an
individual that is privileged and
confidential.''.</DELETED>
<DELETED> (b) Area Plans.--Section 306 (42 U.S.C. 3026) is amended--
</DELETED>
<DELETED> (1) in subsection (a)(13)--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (B) in subparagraph (E), by inserting ``or
caregivers under this Act'' after ``older
individuals''; and</DELETED>
<DELETED> (2) in subsection (g), by inserting ``, except as
provided under section 212(a)(2),'' after ``Nothing in this
Act''.</DELETED>
<DELETED>SEC. 107. GUIDANCE ON TRANSFERS OF FUNDING BETWEEN AREA
AGENCIES ON AGING.</DELETED>
<DELETED> 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.</DELETED>
<DELETED>SEC. 108. RIGHT TO FIRST REFUSAL.</DELETED>
<DELETED> Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is amended
to read as follows:</DELETED>
<DELETED> ``(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--
</DELETED>
<DELETED> ``(i) such unit can meet the requirements of
subsection (c);</DELETED>
<DELETED> ``(ii)(I) such unit has demonstrated experience
administering services for older individuals; or</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(iii) the boundaries of such unit and the
boundaries of the planning and service area are reasonably
contiguous.''.</DELETED>
<DELETED>SEC. 109. AREA AGENCY ON AGING CAPABILITIES.</DELETED>
<DELETED> (a) Organization.--Section 305(c) (42 U.S.C. 3025(c)) is
amended--</DELETED>
<DELETED> (1) by redesignating paragraphs (1) through (5) as
subparagraphs (A) through (E), respectively, and moving such
subparagraphs 2 ems to the right;</DELETED>
<DELETED> (2) by striking ``shall be'' and inserting the
following: ``shall--</DELETED>
<DELETED> ``(1) be--'';</DELETED>
<DELETED> (3) in subparagraph (E), as so redesignated--
</DELETED>
<DELETED> (A) by striking ``(b)(5)'' and inserting
``(b)(5)(A)''; and</DELETED>
<DELETED> (B) by inserting ``and'' after the
semicolon; and</DELETED>
<DELETED> (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:</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(A) the plan within the planning and
service area;</DELETED>
<DELETED> ``(B) any other relevant requirements of
this Act;</DELETED>
<DELETED> ``(C) other applicable Federal and State
laws; and</DELETED>
<DELETED> ``(D) other terms and conditions of awards
received under this Act.''.</DELETED>
<DELETED> (b) Plans.--Section 306(f)(1) (42 U.S.C. 3026(f)(1)) is
amended--</DELETED>
<DELETED> (1) by inserting ``the assurances required under
section 305(c)(2),'' after ``of this section,''; and</DELETED>
<DELETED> (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.''.</DELETED>
<DELETED>SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABILITIES
THROUGH IMPROVED COORDINATION.</DELETED>
<DELETED> (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''.</DELETED>
<DELETED> (b) Supporting Older Individuals With Disabilities Through
Improved Coordination.--</DELETED>
<DELETED> (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--</DELETED>
<DELETED> (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.);</DELETED>
<DELETED> (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</DELETED>
<DELETED> (C) any technical assistance needs related
to subparagraphs (A) and (B).</DELETED>
<DELETED> (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.).</DELETED>
<DELETED> (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.</DELETED>
<DELETED>SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECHNICAL
ASSISTANCE.</DELETED>
<DELETED> Section 307(a) (42 U.S.C. 3027(a)) is amended by adding at
the end the following:</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY.</DELETED>
<DELETED> 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:</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 113. WHITE HOUSE CONFERENCE ON AGING.</DELETED>
<DELETED> 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:</DELETED>
<DELETED>``TITLE II--WHITE HOUSE CONFERENCE ON AGING</DELETED>
<DELETED>``SEC. 201. AUTHORIZATION OF THE CONFERENCE.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(d) Conference Participants and Delegates.--</DELETED>
<DELETED> ``(1) Participants.--In order to carry out the
purposes of this section, the Conference shall bring together--
</DELETED>
<DELETED> ``(A) representatives of Federal, State,
Tribal, and local governments;</DELETED>
<DELETED> ``(B) professionals and volunteers who are
working in the field of aging; and</DELETED>
<DELETED> ``(C) representatives of the general
public, particularly older individuals.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED>``SEC. 202. CONFERENCE ADMINISTRATION.</DELETED>
<DELETED> ``(a) Administration.--In administering this section, the
Secretary shall--</DELETED>
<DELETED> ``(1) consult with relevant State, Tribal, and
local officials, stakeholders, and subject matter experts in
planning the Conference;</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(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);</DELETED>
<DELETED> ``(4) prepare and make available such background
materials for the use of delegates to the Conference as the
Secretary deems necessary; and</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(d) Records.--The Secretary shall maintain records
regarding--</DELETED>
<DELETED> ``(1) the sources, amounts, and uses of gifts
accepted under subsection (c); and</DELETED>
<DELETED> ``(2) the identity of each person receiving
assistance to carry out this title, and the amount of such
assistance received by each such person.</DELETED>
<DELETED>``SEC. 203. REPORT OF THE CONFERENCE.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED>``SEC. 204. DEFINITIONS.</DELETED>
<DELETED> ``In this title:</DELETED>
<DELETED> ``(1) Conference.--The term `Conference' means the
White House Conference on Aging.</DELETED>
<DELETED> ``(2) Secretary.--The term `Secretary' means the
Secretary of Health and Human Services.</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>TITLE II--IMPROVING HEALTH OUTCOMES AND ENCOURAGING
INDEPENDENCE FOR OLDER INDIVIDUALS</DELETED>
<DELETED>SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION
SERVICES.</DELETED>
<DELETED> Section 102(14) (42 U.S.C. 3002(14)) is amended--
</DELETED>
<DELETED> (1) in subparagraph (B), by inserting ``heart
rate, respiratory function,'' after ``hearing,'';</DELETED>
<DELETED> (2) in subparagraph (K), by inserting
``providing'' before ``information'';</DELETED>
<DELETED> (3) by redesignating subparagraphs (L), (M), (N),
and (O), as subparagraphs (M), (N), (O), and (P),
respectively;</DELETED>
<DELETED> (4) by inserting after subparagraph (K) the
following:</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> (5) in subparagraph (P), as so redesignated, by
striking ``subparagraphs (A) through (N)'' and inserting
``subparagraphs (A) through (O)''.</DELETED>
<DELETED>SEC. 202. IMPROVING HEALTH OUTCOMES.</DELETED>
<DELETED> (a) Research and Evaluation Activities.--Section 201 (42
U.S.C. 3011) is amended--</DELETED>
<DELETED> (1) in subsection (c)(3)(B), by striking ``in
behalf'' and inserting ``on behalf''; and</DELETED>
<DELETED> (2) in subsection (g)--</DELETED>
<DELETED> (A) in paragraph (3)(A)(ii), by inserting
``reduction of health care expenditures,'' after
``quality of life,''; and</DELETED>
<DELETED> (B) in paragraph (7), by inserting ``and
recommendations relating to further research,
evaluation, and demonstration projects conducted under
this section'' after ``title IV''.</DELETED>
<DELETED> (b) Falls Prevention Programs.--Section 411(a)(15) (42
U.S.C. 3032(a)(15)) is amended to read as follows:</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(A) provide training and technical
assistance to the aging network; and</DELETED>
<DELETED> ``(B) share best practices with the aging
network, including the Aging and Disability Resource
Centers;''.</DELETED>
<DELETED> (c) Interagency Coordinating Committee on Healthy Aging
and Age-Friendly Communities.--Section 203(c) (42 U.S.C. 3013(c)) is
amended--</DELETED>
<DELETED> (1) in paragraph (6)(B)--</DELETED>
<DELETED> (A) in clause (ii), by striking ``and''
after the semicolon;</DELETED>
<DELETED> (B) in clause (iii), by inserting ``and''
after the semicolon; and</DELETED>
<DELETED> (C) by adding at the end the
following:</DELETED>
<DELETED> ``(iv) strategies to address social
isolation, including by promoting strong and stable
connections across different generations in a family
and in the community;''; and</DELETED>
<DELETED> (2) in paragraph (7)--</DELETED>
<DELETED> (A) in subparagraph (B), by striking
``and'' at the end;</DELETED>
<DELETED> (B) by redesignating subparagraph (C) as
subparagraph (D); and</DELETED>
<DELETED> (C) by inserting after subparagraph (B)
the following:</DELETED>
<DELETED> ``(C) contains an assessment of the
effectiveness of relevant Federal efforts and programs,
including implementation of best practices described in
paragraph (6)(B); and''.</DELETED>
<DELETED>SEC. 203. EVIDENCE-INFORMED PRACTICES.</DELETED>
<DELETED> (a) Disease Prevention and Health Promotion Services.--
Section 361(a) (42 U.S.C. 3030m(a)) is amended--</DELETED>
<DELETED> (1) by striking ``(a)'' and inserting
``(a)(1)'';</DELETED>
<DELETED> (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</DELETED>
<DELETED> (3) by striking the second sentence and inserting
the following:</DELETED>
<DELETED> ``(2) In carrying out such program, the Assistant
Secretary shall--</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(B) develop, make publicly available, and update
on a regular basis a list of such evidence-informed practices;
and</DELETED>
<DELETED> ``(C) consult with the Directors of the Centers
for Disease Control and Prevention and the National Institute
on Aging.''.</DELETED>
<DELETED> (b) Functions of Assistant Secretary.--Section 202 (42
U.S.C. 3012) is amended--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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''.</DELETED>
<DELETED> (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''.</DELETED>
<DELETED>SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS.</DELETED>
<DELETED> (a) In General.--Section 202(a)(30) (42 U.S.C.
3012(a)(30)) is amended--</DELETED>
<DELETED> (1) by inserting ``establishment, maintenance,
and'' after ``to support the''; and</DELETED>
<DELETED> (2) by inserting ``and access to services provided
at multipurpose senior centers'' before the semicolon at the
end.</DELETED>
<DELETED> (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.</DELETED>
<DELETED> (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.</DELETED>
<DELETED>SEC. 205. ADDRESSING HOME MODIFICATIONS.</DELETED>
<DELETED> (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''.</DELETED>
<DELETED> (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;''.</DELETED>
<DELETED>SEC. 206. MULTIGENERATIONAL AND CIVIC ENGAGEMENT
ACTIVITIES.</DELETED>
<DELETED> Section 417 (42 U.S.C. 3032f) is amended--</DELETED>
<DELETED> (1) in subsection (a)--</DELETED>
<DELETED> (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--'';</DELETED>
<DELETED> (B) in paragraph (1), in the matter
preceding subparagraph (A), by striking ``provide'' and
inserting ``providing'';</DELETED>
<DELETED> (C) in paragraph (2)--</DELETED>
<DELETED> (i) by striking ``coordinate'' and
inserting ``coordinating''; and</DELETED>
<DELETED> (ii) by adding ``and'' at the
end;</DELETED>
<DELETED> (D) by striking paragraphs (3) and (4) and
inserting the following:</DELETED>
<DELETED> ``(3) promoting volunteerism, including by
providing opportunities--</DELETED>
<DELETED> ``(A) for older individuals to become
mentors to individuals in younger generations;
and</DELETED>
<DELETED> ``(B) at facilities that serve older
individuals or individuals in younger generations, at
which multigenerational activities might
occur.'';</DELETED>
<DELETED> (2) in subsection (c)(2), by striking ``(4)'' and
inserting ``(3)'';</DELETED>
<DELETED> (3) in subsection (d)--</DELETED>
<DELETED> (A) by striking paragraph (1);
and</DELETED>
<DELETED> (B) by redesignating paragraphs (2)
through (5) as paragraphs (1) through (4);
and</DELETED>
<DELETED> (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.''.</DELETED>
<DELETED>SEC. 207. GAO STUDY AND REPORT ON ACCESS TO HOUSING FOR OLDER
INDIVIDUALS.</DELETED>
<DELETED> 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--
</DELETED>
<DELETED> (1) an analysis of the Interagency Coordinating
Committee on Healthy Aging and Age-Friendly Communities that--
</DELETED>
<DELETED> (A) assesses any metrics used by the
Committee to evaluate the success of the Committee's
activities and related Federal programs;</DELETED>
<DELETED> (B) evaluates interagency coordination of
Federal housing programs for older individuals;
and</DELETED>
<DELETED> (C) assesses the availability of
affordable housing for older individuals as the result
of interagency coordination;</DELETED>
<DELETED> (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;</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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.</DELETED>
<DELETED>SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR OLDER
INDIVIDUALS LIVING WITH OR NEAR FAMILY MEMBERS.</DELETED>
<DELETED> (a) In General.--The Secretary shall prepare a report that
assesses--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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.</DELETED>
<DELETED> (b) Inclusion.--The report described under subsection (a)
shall include--</DELETED>
<DELETED> (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;</DELETED>
<DELETED> (2) an assessment of the extent to which living in
such settings mitigates social isolation and loneliness in
older adults; and</DELETED>
<DELETED> (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.</DELETED>
<DELETED> (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).</DELETED>
<DELETED>SEC. 209. IMPROVING BROADBAND COORDINATION AND REDUCING SOCIAL
ISOLATION.</DELETED>
<DELETED> (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.</DELETED>
<DELETED> (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).</DELETED>
<DELETED>TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION
SERVICES</DELETED>
<DELETED>SEC. 301. MEDICALLY TAILORED MEALS.</DELETED>
<DELETED> (a) Definitions.--Section 102(14) (42 U.S.C. 3002(14)) is
amended--</DELETED>
<DELETED> (1) in subparagraph (C), by inserting ``, which
may include counseling related to the provision of medically
tailored meals'' after ``counseling''; and</DELETED>
<DELETED> (2) in subparagraph (D), by inserting ``(including
from medically tailored meals)'' after ``improved
nutrition''.</DELETED>
<DELETED> (b) Administration of Nutrition Services.--Section
205(a)(2)(A) (42 U.S.C. 3016(a)(2)(A)) is amended--</DELETED>
<DELETED> (1) in clause (vi), by inserting ``, including
through the use of innovative approaches'' after ``systems'';
and</DELETED>
<DELETED> (2) in clause (viii), by inserting ``and
innovative interventions'' after ``including
strategies''.</DELETED>
<DELETED> (c) Nutrition Education.--Section 214(2)(C) (42 U.S.C.
3020e(2)(C)) is amended by inserting ``, including interventions,''
after ``other activities''.</DELETED>
<DELETED> (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''.</DELETED>
<DELETED>SEC. 302. NUTRITION SERVICE PROVIDERS.</DELETED>
<DELETED> Section 339 (42 U.S.C. 3030g-21)--</DELETED>
<DELETED> (1) in paragraph (1), by striking ``and'' at the
end;</DELETED>
<DELETED> (2) in paragraph (2), by striking the period and
inserting ``; and''; and</DELETED>
<DELETED> (3) by adding at the end the following:</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 303. GRAB-AND-GO MEALS.</DELETED>
<DELETED> Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by
adding at the end the following:</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(i) ensure that such allowable use supplements
but does not supplant the delivery of services through the
congregate meals program under section 331; and</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 304. NUTRITION SERVICES INCENTIVE PROGRAM
INNOVATION.</DELETED>
<DELETED> Section 311 (42 U.S.C. 3030a) is amended--</DELETED>
<DELETED> (1) in subsection (b)(1), by striking ``subsection
(e)'' and inserting ``subsection (f)(1)'';</DELETED>
<DELETED> (2) by redesignating subsections (e) and (f) as
subsections (f) and (g), respectively;</DELETED>
<DELETED> (3) by inserting after subsection (d) the
following:</DELETED>
<DELETED> ``(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--
</DELETED>
<DELETED> ``(A) the quality, composition, preparation,
modality, delivery, or location of meals provided to older
individuals under this Act; or</DELETED>
<DELETED> ``(B) the efficiency and effectiveness of
distributing, delivering, or otherwise making meals available
to older individuals under this Act.</DELETED>
<DELETED> ``(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).</DELETED>
<DELETED> ``(3) The authority to carry out activities described in
paragraph (1) shall expire on October 1, 2029.</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> (4) in subsection (f), as so redesignated--
</DELETED>
<DELETED> (A) by striking ``There are'' and
inserting ``(1) There are''; and</DELETED>
<DELETED> (B) by adding at the end the
following:</DELETED>
<DELETED> ``(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).''.</DELETED>
<DELETED>SEC. 305. GAO STUDY ON NUTRITION SERVICES INCENTIVE
PROGRAM.</DELETED>
<DELETED> (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'').</DELETED>
<DELETED> (b) Inclusions.--The study under this section--</DELETED>
<DELETED> (1) shall--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (B) identify any challenges or barriers to
increasing the use of local and regional producers
under the Program; and</DELETED>
<DELETED> (2) may make recommendations related to improving
the effectiveness of the Program, including with respect to the
use of local and regional producers.</DELETED>
<DELETED>SEC. 306. INNOVATIONS IN NUTRITION PROGRAMS AND
SERVICES.</DELETED>
<DELETED> 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:</DELETED>
<DELETED>``SEC. 340. INNOVATIONS IN NUTRITION PROGRAMS AND
SERVICES.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(b) Eligibility.--In order to be eligible for a grant
under subsection (a), an entity shall--</DELETED>
<DELETED> ``(1) be--</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(B) a partnership between any entities
described in subparagraph (A); and</DELETED>
<DELETED> ``(2) submit an application at such time and in
such manner as the Assistant Secretary may require, including--
</DELETED>
<DELETED> ``(A) a description of an innovative
approach referred to in subsection (a) that the entity
proposes to implement under the grant;</DELETED>
<DELETED> ``(B) a plan for evaluating the
effectiveness, including cost-effectiveness, of the
innovative approach proposed; and</DELETED>
<DELETED> ``(C) as appropriate, plans for the
publication of the results of such
evaluation.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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).''.</DELETED>
<DELETED>TITLE IV--SUPPORTING FAMILY CAREGIVERS</DELETED>
<DELETED>SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER SUPPORT
PROGRAM.</DELETED>
<DELETED> (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--</DELETED>
<DELETED> (1) in clause (i), by striking ``and'' at the
end;</DELETED>
<DELETED> (2) in clause (ii), by striking the period at the
end and inserting ``; and''; and</DELETED>
<DELETED> (3) by adding at the end the following:</DELETED>
<DELETED> ``(iii) available supports for
family caregivers and older relative caregivers
(as defined in section 372(a)).''.</DELETED>
<DELETED> (b) Area Plan Requirements.--Section 306(a)(7)(D) (42
U.S.C. 3026(a)(7)(D)) is amended--</DELETED>
<DELETED> (1) in clause (i), by striking ``and'' at the
end;</DELETED>
<DELETED> (2) in clause (ii), by adding ``and'' after the
semicolon; and</DELETED>
<DELETED> (3) by adding at the end the following:</DELETED>
<DELETED> ``(iii) available supports for
family caregivers and older relative caregivers
(as defined in section 372(a));''.</DELETED>
<DELETED> (c) Definitions Relating to the National Family Caregiver
Support Program.--</DELETED>
<DELETED> (1) In general.--Section 372(a) (42 U.S.C.
3030s(a)) is amended--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) in the first sentence, by
striking ``The term'' and inserting the
following:</DELETED>
<DELETED> ``(A) In general.--The term'';
and</DELETED>
<DELETED> (ii) in subparagraph (A) (as so
designated), in the second sentence--</DELETED>
<DELETED> (I) by striking the period
at the end and inserting ``; and'';
and</DELETED>
<DELETED> (II) by striking ``Such
assessment shall be administered
through'' and inserting the
following:</DELETED>
<DELETED> ``(B) Administration of assessments.--A
caregiver assessment under subparagraph (A) shall--
</DELETED>
<DELETED> ``(i) be administered through'';
and</DELETED>
<DELETED> (III) by adding at the end
the following:</DELETED>
<DELETED> ``(ii) take into account--
</DELETED>
<DELETED> ``(I) linguistic and
cultural differences;</DELETED>
<DELETED> ``(II) the ease for the
caregiver to access information,
supports, or services, and the
timeliness of access to such
information, supports, or
services;</DELETED>
<DELETED> ``(III) barriers to
accessing information, supports, or
services;</DELETED>
<DELETED> ``(IV) the availability of
information, supports, or services in
accessible formats; and</DELETED>
<DELETED> ``(V) the quality of
information, supports, or services
received, and the degree to which it is
helpful to the caregiver.'';</DELETED>
<DELETED> (B) by striking paragraph (2) and
inserting the following:</DELETED>
<DELETED> ``(2) Child or youth.--The term `child or youth'
means an individual who is not more than--</DELETED>
<DELETED> ``(A) 18 years of age; or</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> (C) in paragraph (4)(B)(i), by inserting
``adult'' after ``or other''.</DELETED>
<DELETED> (2) Conforming amendments.--Part E of title III
(42 U.S.C. 3030s et seq.) is amended--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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)).</DELETED>
<DELETED> (d) Program Authorized.--Section 373 (42 U.S.C. 3030s-1)
is amended--</DELETED>
<DELETED> (1) in subsection (b)(3)--</DELETED>
<DELETED> (A) by inserting ``which may include
trauma-informed services, peer supports,'' after
``individual counseling,''; and</DELETED>
<DELETED> (B) by inserting ``elder abuse
prevention,'' after ``nutrition,'';</DELETED>
<DELETED> (2) in subsection (c)--</DELETED>
<DELETED> (A) in the subsection heading, by striking
``Priority'' and inserting ``Priority; Consideration'';
and</DELETED>
<DELETED> (B) by adding at the end the
following:</DELETED>
<DELETED> ``(3) Consideration.--In providing services under
this part, the State shall consider--</DELETED>
<DELETED> ``(A) that older relative caregivers
caring for multiple children or youth may need greater
resources and supports; and</DELETED>
<DELETED> ``(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.'';</DELETED>
<DELETED> (3) in subsection (e)--</DELETED>
<DELETED> (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'';</DELETED>
<DELETED> (B) in paragraph (1)--</DELETED>
<DELETED> (i) in subparagraph (B)--
</DELETED>
<DELETED> (I) by inserting ``or
evidence-informed'' after ``evidence
based''; and</DELETED>
<DELETED> (II) by striking ``and''
at the end;</DELETED>
<DELETED> (ii) by redesignating subparagraph
(C) as subparagraph (D); and</DELETED>
<DELETED> (iii) by inserting after
subparagraph (B) the following:</DELETED>
<DELETED> ``(C) the use of caregiver assessments;
and''; and</DELETED>
<DELETED> (C) in paragraph (2), by striking ``make
available'' and inserting ``prepare, publish, and
disseminate'';</DELETED>
<DELETED> (4) in subsection (i)--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (B) in paragraph (2), by inserting
``(including outcome measures)'' after ``program
evaluation''; and</DELETED>
<DELETED> (5) in subsection (j)--</DELETED>
<DELETED> (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'';</DELETED>
<DELETED> (B) in paragraph (2), by striking ``and''
at the end;</DELETED>
<DELETED> (C) by redesignating paragraph (3) as
paragraph (4); and</DELETED>
<DELETED> (D) by inserting after paragraph (2) the
following:</DELETED>
<DELETED> ``(3) the quality and consistency of caregiver
assessments used across States; and''.</DELETED>
<DELETED>SEC. 402. EMPHASIZING RESPITE CARE.</DELETED>
<DELETED> Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is amended to
read as follows:</DELETED>
<DELETED> ``(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;''.</DELETED>
<DELETED>SEC. 403. CLARIFYING SUPPORTIVE SERVICES.</DELETED>
<DELETED> 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''.</DELETED>
<DELETED>SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER.</DELETED>
<DELETED> Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amended--
</DELETED>
<DELETED> (1) by striking subparagraph (B);</DELETED>
<DELETED> (2) by striking ``(13)'' and all that follows
through ``(A) to'' and inserting the following:</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> ``(B) supporting the demonstration of new,
and promoting existing, strategies for the recruitment,
retention, career development, or advancement of direct
care workers to''; and</DELETED>
<DELETED> (3) in subparagraph (B), as so designated in
paragraph (2), by striking ``; and'' at the end and inserting a
semicolon.</DELETED>
<DELETED>SEC. 405. SUPPORTING GRANDPARENTS RAISING GRANDCHILDREN
ACT.</DELETED>
<DELETED> (a) Findings.--The Supporting Grandparents Raising
Grandchildren Act (Public Law 115-196; 132 Stat. 1511) is amended by
striking section 2.</DELETED>
<DELETED> (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.</DELETED>
<DELETED> (c) Advisory Council.--Section 3 of the Supporting
Grandparents Raising Grandchildren Act is amended--</DELETED>
<DELETED> (1) in subsection (b)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) by redesignating subparagraphs
(G) through (I) as subparagraphs (H) through
(J);</DELETED>
<DELETED> (ii) by inserting after
subparagraph (F) the following:</DELETED>
<DELETED> ``(G) The Assistant Secretary for
Health.'';</DELETED>
<DELETED> (iii) in subparagraph (I), as so
redesignated, by striking ``of children'';
and</DELETED>
<DELETED> (iv) in subparagraph (J), as so
redesignated, by striking ``relatives'' and
inserting ``relative caregivers'';
and</DELETED>
<DELETED> (B) by adding at the end the
following:</DELETED>
<DELETED> ``(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.'';</DELETED>
<DELETED> (2) in subsection (c)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) in subparagraph (A)--
</DELETED>
<DELETED> (I) in the matter
preceding clause (i), by striking
``relatives'' and inserting ``relative
caregivers''; and</DELETED>
<DELETED> (II) in clause (i)--
</DELETED>
<DELETED> (aa) by striking
``the health,'' and inserting
``the near- and long-term
health, including mental
health,''; and</DELETED>
<DELETED> (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</DELETED>
<DELETED> (ii) in subparagraph (B)--
</DELETED>
<DELETED> (I) by striking ``(B)''
and all that follows through ``In'' and
inserting the following:</DELETED>
<DELETED> ``(B) Considerations.--In''; and</DELETED>
<DELETED> (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.'';</DELETED>
<DELETED> (B) in paragraph (2)--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (ii) in subparagraph (B)--
</DELETED>
<DELETED> (I) in clause (i)--
</DELETED>
<DELETED> (aa) by striking
``relatives'' and inserting
``relative caregivers'';
and</DELETED>
<DELETED> (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;'';</DELETED>
<DELETED> (II) in clause (ii), by
striking the ``and'' at the
end;</DELETED>
<DELETED> (III) by redesignating
clause (iii) as clause (iv);
and</DELETED>
<DELETED> (IV) by inserting after
clause (ii) the following:</DELETED>
<DELETED> ``(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'';</DELETED>
<DELETED> (C) in paragraph (3)--</DELETED>
<DELETED> (i) in the matter preceding
subparagraph (A)--</DELETED>
<DELETED> (I) by striking ``(3)''
and all that follows through ``Not''
and inserting the following:</DELETED>
<DELETED> ``(3) Follow-up reports.--Not'';</DELETED>
<DELETED> (II) by striking ``2
years'' and inserting ``180 days'';
and</DELETED>
<DELETED> (III) by inserting after
``submitted,'' the following: ``and
every 2 years thereafter until the
Advisory Council terminates under
subsection (f),''; and</DELETED>
<DELETED> (D) in paragraph (4) by striking
``relatives'' each place it appears and inserting
``relative caregivers'';</DELETED>
<DELETED> (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</DELETED>
<DELETED> (4) in subsection (f), by striking ``terminate''
and all that follows and inserting ``terminate on September 30,
2029.''.</DELETED>
<DELETED>SEC. 406. RAISE FAMILY CAREGIVERS ACT.</DELETED>
<DELETED> (a) Strategy.--Section 3 of the RAISE Family Caregivers
Act (42 U.S.C. 3030s note) is amended--</DELETED>
<DELETED> (1) in subsection (c)--</DELETED>
<DELETED> (A) in the matter preceding paragraph (1),
by inserting ``(or the Secretary's designee)'' after
``The Secretary''; and</DELETED>
<DELETED> (B) in paragraph (1), by inserting ``and
made publicly available by the Secretary,'' after
``caregiver programs,''; and</DELETED>
<DELETED> (2) in subsection (d)(2), by inserting ``in''
after ``caregiver programs''.</DELETED>
<DELETED> (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,''.</DELETED>
<DELETED> (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.''.</DELETED>
<DELETED>TITLE V--COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT</DELETED>
<DELETED>SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOYMENT
PROGRAM.</DELETED>
<DELETED> (a) Program.--Section 502(b)(1) (42 U.S.C. 3056(b)(1) is
amended--</DELETED>
<DELETED> (1) in subparagraph (C)(ii), by striking ``section
513(a)(2)(E)'' and inserting ``section 513(a)(2)(F)'';
and</DELETED>
<DELETED> (2) in subparagraph (E), by inserting ``older
individuals,'' after ``youth,''.</DELETED>
<DELETED> (b) Performance.--Section 513 (42 U.S.C. 3056k) is
amended--</DELETED>
<DELETED> (1) in subsection (a)(2)--</DELETED>
<DELETED> (A) by redesignating subparagraph (E) as
subparagraph (F); and</DELETED>
<DELETED> (B) by inserting after subparagraph (D)
the following:</DELETED>
<DELETED> ``(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).'';</DELETED>
<DELETED> (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</DELETED>
<DELETED> (3) in subsection (d)--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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.''.</DELETED>
<DELETED> (c) Definitions.--Section 518(a)(1)(A) (42 U.S.C.
3056p(a)(1)(A)) is amended to read as follows:</DELETED>
<DELETED> ``(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;''.</DELETED>
<DELETED>SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COMMUNITY SERVICE
EMPLOYMENT PROGRAM.</DELETED>
<DELETED> (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--</DELETED>
<DELETED> (1) evaluates--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (B) how the programs described in
subparagraph (A) serve older individuals in seeking and
obtaining community service employment;</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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.</DELETED>
<DELETED> (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.</DELETED>
<DELETED>TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS</DELETED>
<DELETED>SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE.</DELETED>
<DELETED> Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at
the end the following:</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(B) The Committee shall be composed of 11
voting, non-Federal members, including--</DELETED>
<DELETED> ``(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;</DELETED>
<DELETED> ``(ii) not less than 1 member who is an
Alaska Native; and</DELETED>
<DELETED> ``(iii) not less than 1 member who is a
Native Hawaiian.</DELETED>
<DELETED> ``(C) The Committee shall include non-voting, ex
officio representatives of relevant Federal departments and
agencies, including--</DELETED>
<DELETED> ``(i) the Administration;</DELETED>
<DELETED> ``(ii) the Indian Health
Service;</DELETED>
<DELETED> ``(iii) the Centers for Medicare &
Medicaid Services;</DELETED>
<DELETED> ``(iv) the Department of the
Interior;</DELETED>
<DELETED> ``(v) the Department of Labor;
and</DELETED>
<DELETED> ``(vi) any other agency or office with
subject matter expertise that the Assistant Secretary
determines appropriate.</DELETED>
<DELETED> ``(D) The Committee shall meet in person not less
frequently than twice each year.</DELETED>
<DELETED> ``(E) The Committee shall coordinate, as
appropriate, with the Secretary's Tribal Advisory Committee of
the Department of Health and Human Services.</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(I) the activities of the Committee
during the previous year; and</DELETED>
<DELETED> ``(II) recommendations for administrative
action, including the identification of any statutory
barriers to carrying out such recommendations, for the
following year.</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(G) Chapter 10 of title 5, United States Code, shall not
apply to the Committee.</DELETED>
<DELETED> ``(H) In establishing, developing procedures for, and
operating the Committee, the Assistant Secretary shall--</DELETED>
<DELETED> ``(i) consult with Indian tribes and confer with
organizations representing Native Hawaiians; and</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 602. SUPPORTIVE SERVICES; SET ASIDE.</DELETED>
<DELETED> (a) Supportive Services.--Section 636 (42 U.S.C. 3057k-21)
is amended--</DELETED>
<DELETED> (1) in subsection (a), by striking ``may'' and
inserting ``shall, as practicable,''; and</DELETED>
<DELETED> (2) in subsection (b)(2), by striking ``in-home
assistance'' and inserting ``in-home services''.</DELETED>
<DELETED> (b) Funding Set Aside.--Section 644 (42 U.S.C. 3057o) is
amended--</DELETED>
<DELETED> (1) by striking ``Of'' and inserting ``(a) In
General.--Of''; and</DELETED>
<DELETED> (2) by adding at the end the following:</DELETED>
<DELETED> ``(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--</DELETED>
<DELETED> ``(1) the total amount of funds made available
under subsection (a) to carry out part D for each fiscal
year;</DELETED>
<DELETED> ``(2) a list of award recipients under part D;
and</DELETED>
<DELETED> ``(3) a summary of supportive services for healthy
aging and independence provided under part D.''.</DELETED>
<DELETED>SEC. 603. GAO REPORT ON TRIBAL SERVICES.</DELETED>
<DELETED> 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--</DELETED>
<DELETED> (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--</DELETED>
<DELETED> (A) estimating the number of Native
Americans unserved by programs under such title
VI;</DELETED>
<DELETED> (B) identifying States making grants to
Indian Tribes under such title III; and</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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.</DELETED>
<DELETED>TITLE VII--STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS
AND ELDER ABUSE PREVENTION</DELETED>
<DELETED>SEC. 701. DIRECTOR OF THE OFFICE OF LONG-TERM CARE OMBUDSMAN
PROGRAMS.</DELETED>
<DELETED> 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''.</DELETED>
<DELETED>SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RELATING TO
ELDER ABUSE PREVENTION.</DELETED>
<DELETED> Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is amended
by striking clause (v) and inserting the following:</DELETED>
<DELETED> ``(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;''.</DELETED>
<DELETED>SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER THE STATE
LONG-TERM CARE OMBUDSMAN PROGRAM.</DELETED>
<DELETED> Section 712 (42 U.S.C. 3058g) is amended--</DELETED>
<DELETED> (1) in subsection (h)(5)--</DELETED>
<DELETED> (A) in the matter preceding subparagraph
(A)--</DELETED>
<DELETED> (i) by striking ``the
representatives'' and inserting ``each type of
representative''; and</DELETED>
<DELETED> (ii) by inserting ``types of''
before ``unpaid volunteers'';</DELETED>
<DELETED> (B) in subparagraph (A), by inserting
``for each such type of representative'' before the
semicolon at the end;</DELETED>
<DELETED> (C) in subparagraph (B)(iii), by striking
``and'' at the end;</DELETED>
<DELETED> (D) in subparagraph (C), by adding ``and''
at the end; and</DELETED>
<DELETED> (E) by adding at the end the
following:</DELETED>
<DELETED> ``(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</DELETED>
<DELETED> (2) by adding at the end the following:</DELETED>
<DELETED> ``(k) Training Requirements for Unpaid Volunteers.--
</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(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.''.</DELETED>
<DELETED>SEC. 704. REPORTING ON STATE LONG-TERM CARE OMBUDSMAN
PROGRAMS.</DELETED>
<DELETED> Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f et
seq.) is amended by adding at the end the following:</DELETED>
<DELETED>``SEC. 714. REPORTS TO CONGRESS.</DELETED>
<DELETED> ``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--</DELETED>
<DELETED> ``(1) aggregates all reports submitted under
section 712(h) for such year; and</DELETED>
<DELETED> ``(2) provides a summary of the findings of such
reports.''.</DELETED>
<DELETED>SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN
PROGRAMS.</DELETED>
<DELETED> (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.</DELETED>
<DELETED> (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.</DELETED>
<DELETED>TITLE VIII--AUTHORIZATIONS OF APPROPRIATIONS</DELETED>
<DELETED>SEC. 801. ADMINISTRATION ON AGING.</DELETED>
<DELETED> Section 216 (42 U.S.C. 3020f) is amended--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (2) in subsection (b)--</DELETED>
<DELETED> (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'';</DELETED>
<DELETED> (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'';</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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''.</DELETED>
<DELETED>SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS ON
AGING.</DELETED>
<DELETED> (a) In General.--Section 303 (42 U.S.C. 3023) is amended--
</DELETED>
<DELETED> (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'';</DELETED>
<DELETED> (2) in subsection (b)--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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'';</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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''.</DELETED>
<DELETED> (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''.</DELETED>
<DELETED>SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND
LONGEVITY.</DELETED>
<DELETED> Section 411(b) (42 U.S.C. 3032(b)) is amended--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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''.</DELETED>
<DELETED>SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES
ACT.</DELETED>
<DELETED> 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''.</DELETED>
<DELETED>SEC. 805. GRANTS FOR NATIVE AMERICANS.</DELETED>
<DELETED> Section 643 (42 U.S.C. 3057n) is amended--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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''.</DELETED>
<DELETED>SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION
ACTIVITIES.</DELETED>
<DELETED> Section 702 (42 U.S.C. 3058a) is amended--</DELETED>
<DELETED> (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</DELETED>
<DELETED> (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''.</DELETED>
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.
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. National resource center for engaging older adults.
Sec. 207. Multigenerational and civic engagement activities.
Sec. 208. GAO study and report on access to housing for older
individuals.
Sec. 209. Report relating to health outcomes for older individuals
living with or near family members.
Sec. 210. 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.
Sec. 604. Technical amendments.
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 impairments,
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 under, 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 relies 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.
(a) In General.--Section 212 (42 U.S.C. 3020c) is amended--
(1) in the section heading, by striking ``and grant
authority'';
(2) 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 a contract, commercial
relationship, or other business arrangement (referred to in this
section as 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.'';
(3) 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 Programs 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.'';
(4) in subsection (c), by striking ``subsection (a)'' and
inserting ``subsection (a)(1)''; and
(5) by striking subsection (e) and inserting 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.
``(f) Definitions.--In this section:
``(1) Cost.--The term `cost' means an expense, including an
administrative expense, incurred by a recipient in developing
or carrying out an agreement described in subsection (a),
whether the recipient contributed funds, staff time, or other
plant, equipment, or services to meet the expense.
``(2) Recipient.--The term `recipient' means an area agency
on aging in a State with multiple planning and service
areas.''.
(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
for excellence in developmental disabilities education,
research, and service, 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 for excellence in developmental disabilities,
education, research, and service, 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, Tribal, 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 section 201(c);
``(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 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) Chronic Disease Self-management Education.--Section 411(a)(16)
(42 U.S.C. 3032(a)(16)) is amended 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. NATIONAL RESOURCE CENTER FOR ENGAGING OLDER ADULTS.
Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is amended by inserting
``, such as providing appropriate training, resources, and best
practices to the aging network'' after ``older individuals''.
SEC. 207. 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. 208. GAO STUDY AND REPORT ON ACCESS TO HOUSING FOR OLDER
INDIVIDUALS.
(a) In General.--The Comptroller General of the United States shall
conduct 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.).
(b) Inclusions.--The study under this section shall include--
(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.
(c) Report to Congress.--Not later than 2 years after the date of
enactment of this Act, the Comptroller General of the United States
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 the study under this section.
SEC. 209. 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 the Workforce of the
House of Representatives the report required by subsection (a).
SEC. 210. 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) is amended--
(1) in paragraph (1), by striking ``and'' at the end;
(2) in paragraph (2)(L), by striking the period at the end
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 sites and locations, such as carry-out or similar meals. A
State electing to allow use of funds under the preceding sentence
shall--
``(i) ensure that such allowable use complements 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, through grants to, or contracts with, recipients (as
determined eligible by the State agency or title VI grantee), 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 the prior fiscal year or fiscal year 2024, whichever is greater, 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 the prior
fiscal year or fiscal year 2024, whichever is greater, for activities
described in subsection (e).''.
SEC. 305. GAO STUDY ON NUTRITION SERVICES INCENTIVE PROGRAM.
(a) In General.--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.
(c) Report to Congress.--Not later than 18 months after the date of
enactment of this Act, the Comptroller General of the United States
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 the study under this section.
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 another 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(f), 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
through ``epidemic;'' 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 through ``Act.'' 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 4(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 through
``Act.'' 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), and
(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 with States and
local workforce development areas under title I of the
Workforce Innovation and Opportunity Act to serve older
individuals.
(b) Report to Congress.--Not later than 18 months 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
the review under this section.
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 the following:
``(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 and area agencies on aging
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 (25
U.S.C. 5304)) 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.
SEC. 604. TECHNICAL AMENDMENTS.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 102 (42 U.S.C. 3002)--
(A) in paragraph (27), by striking ``the term
`Indian tribe' means any tribe'' and inserting ``the
term `Indian Tribe' means any Tribe''; and
(B) in paragraph (56), by striking ``the term
`tribal organization' means'' and inserting ``the term
`Tribal organization' means'';
(2) in section 612(c) (42 U.S.C. 3057c(c))--
(A) by striking ``terms `Indian tribe' and `tribal
organization' have'' and inserting ``terms `Indian
Tribe' and `Tribal organization' have''; and
(B) by striking ``(25 U.S.C. 450b)'' and inserting
``(25 U.S.C. 5304)''; and
(3) by striking ``tribe'', ``tribes'', and ``tribal'' each
place such terms appear and inserting ``Tribe'', ``Tribes'',
and ``Tribal'', respectively.
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 State
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),
and 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 the study under this
section.
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''.
Calendar No. 505
118th CONGRESS
2d Session
S. 4776
_______________________________________________________________________
A BILL
To amend the Older Americans Act of 1965 to authorize appropriations
for fiscal years 2025 through 2029, and for other purposes.
_______________________________________________________________________
September 12, 2024
Reported with an amendment