No official summary available for this bill.
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2120 Introduced in Senate (IS)]
<DOC>
119th CONGRESS
1st Session
S. 2120
To amend the Older Americans Act of 1965 to authorize appropriations
for fiscal years 2026 through 2030, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
June 18, 2025
Mr. Cassidy (for himself, Mr. Sanders, Mr. Scott of Florida, Mrs.
Gillibrand, Ms. Collins, Mr. Kaine, Mr. Mullin, Mr. Markey, Ms.
Murkowski, and Mr. Lujan) introduced the following bill; which was read
twice and referred to the Committee on Health, Education, Labor, and
Pensions
_______________________________________________________________________
A BILL
To amend the Older Americans Act of 1965 to authorize appropriations
for fiscal years 2026 through 2030, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Older Americans Act Reauthorization
Act of 2025''.
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 reallocation 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.
Sec. 114. Technical amendments.
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. Technical assistance on evidence-based programs.
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. Report relating to health outcomes for older individuals
living with or near family members.
Sec. 209. Improving broadband coordination and reducing social
isolation.
TITLE III--ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES
Sec. 301. Medically tailored meals.
Sec. 302. Grab-and-go meals.
Sec. 303. GAO study on Nutrition Services Incentive Program.
Sec. 304. 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 2025, 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 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 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, Alaskan Native, and
Native Hawaiian Aging and the prior approval of the
Assistant Secretary), after timely submission of all
relevant documents related to the agreement including
information on all costs incurred; or
``(B) directly or indirectly provide for, or have
the effect of, paying, reimbursing, subsidizing, or
otherwise compensating an individual or entity in an
amount that exceeds the fair market value of the
services subject to such agreement; and
``(2) described in subsection (a) may not--
``(A) result in the displacement of services
otherwise available to an older individual with
greatest social need, an older individual with greatest
economic need, or an older individual who is at risk
for institutional placement; or
``(B) in any other way compromise, undermine, or be
inconsistent with the objective of serving the needs of
older individuals, as determined by the Assistant
Secretary.'';
(4) by striking subsection (c) and inserting the following:
``(c) Monitoring and Reporting.--To ensure that any agreement
described in subsection (a)(1) complies with the requirements of this
section and other applicable provisions of this Act, the Assistant
Secretary shall develop and implement uniform monitoring procedures and
reporting requirements consistent with the provisions of subparagraphs
(A) through (E) of section 306(a)(13) in consultation with the State
agencies and area agencies on aging. The Assistant Secretary shall
conduct a review on the impact of such agreements on the provision of
services under this Act, including the number of agreements per State,
summaries of such agreements, and the impact of such agreements on
access to services consistent with the goals of this Act. The Assistant
Secretary shall annually prepare and submit 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 Workforce of
the House of Representatives the findings of such review.''; 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 REALLOCATION OF FUNDING BETWEEN AREA AGENCIES ON
AGING.
(a) In General.--Not later than 1 year after the date of enactment
of this Act, the Assistant Secretary shall disseminate one-time
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 reallocate between area agencies on aging within
a single State, with the approval of the State agency and the
concurrence of any involved area agencies on aging, within a budget
year.
(b) Considerations.--In disseminating the guidance under subsection
(a), the Assistant Secretary may consider circumstances that affect the
expenditure of the funds described in such subsection.
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 2025, 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,'' and all
that follows through ``the area plan.'' 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.
In designating an area agency on aging within the planning and service
area or within any unit of general purpose local government designated
as a planning and service area, the State shall give preference to an
established office on aging, unless the State agency finds that no such
office within the planning and service area will have the capacity to
carry out the area plan.''.
(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.
(c) Definitions.--Section 102 (42 U.S.C. 3002) is amended--
(1) in paragraph (4), by striking ``(as defined in section
3 of the Americans with Disabilities Act of 1990 (42 U.S.C.
12102))'';
(2) in paragraph (13), by striking ``The term'' and all
that follows through ``adjustment.'' and inserting ``The term
`disability' has the meaning given such term in section 3 of
the Americans with Disabilities Act of 1990 (42 U.S.C.
12102).''; and
(3) in paragraph (49)(B), by striking ``of the major life
activities specified in subparagraphs (A) through (G) of
paragraph (8)'' and inserting ``major life activities specified
in section 3(2) of the Americans with Disabilities Act of 1990
(42 U.S.C. 12102(2)).''.
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, to the extent feasible and when applicable and
appropriate, provides technical assistance 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.
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 & 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) be informed by the work and recommendations of the
Interagency Coordinating Committee on Healthy Aging and Age-
Friendly Communities, evaluate the recommendations of the
Committee, and, as appropriate, suggest implementation
strategies for such recommendations; and
``(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.''.
SEC. 114. TECHNICAL AMENDMENTS.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 201(d)(3)(J) (42 U.S.C. 3011(d)(3)(J)), by
striking ``Speaker of the House of Representatives and the
President pro tempore of the Senate'' and inserting ``Committee
on Health, Education, Labor, and Pensions of the Senate and the
Committee on Education and Workforce of the House of
Representatives'';
(2) in section 202(b)(8)(E) (42 U.S.C. 3012(b)(8)(E)), by
striking ``preventative health benefits under the provisions
of, and amendments made by, the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003'' and inserting
``preventive health benefits under such program'';
(3) in section 203(c)(7) (42 U.S.C. 3013(c)(7))--
(A) in the matter preceding subparagraph (A), by
striking ``the Committee on Education and Labor of the
House of Representatives'' and inserting ``the
Committee on Education and Workforce of the House of
Representatives''; and
(B) in subparagraph (C), by striking ``chairman''
and inserting ``chairperson'';
(4) in section 339 (42 U.S.C. 3030g-21), by striking ``this
chapter'' each place it appears and inserting ``this part'';
and
(5) in section 432(b)(1) (42 U.S.C. 3033a(b)(1)), by
striking ``Speaker of the House of Representatives and the
President pro tempore of the Senate'' and inserting ``Committee
on Health, Education, Labor, and Pensions of the Senate and the
Committee on Education and Workforce of the House of
Representatives''.
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
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), as amended by section 114(3)--
(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. TECHNICAL ASSISTANCE ON EVIDENCE-BASED PROGRAMS.
(a) Technical Assistance.--The Assistant Secretary, at the request
of a State agency (as defined in section 102 of the Older Americans Act
of 1965 (42 U.S.C. 3002)) or area agencies on aging, may provide
technical assistance on the requirements of evidence-based programs
under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).
(b) Consideration.--The Assistant Secretary may consider whether
there are evidence-informed practices, based on the best available
science, that may improve health outcomes.
SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS.
(a) In General.--Section 202(a)(30) (42 U.S.C. 3012(a)(30)) is
amended by inserting ``, access to services provided at multipurpose
senior centers, and (where appropriate) the establishment and
maintenance of 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 in obtaining and maintaining 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 (as applicable and appropriate) 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 through
``to--'' and inserting the following: ``projects to
serve individuals in younger generations and older
individuals by developing, carrying out, and promoting
participation in multigenerational activities to--'';
(B) in paragraph (2), by adding ``and'' at the end;
(C) in paragraph (3), by striking ``opportunities
for older individuals to become a mentor to individuals
in younger generations; and'' and inserting
``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.''; and
(D) by striking paragraph (4);
(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), respectively;
(4) in subsection (g)--
(A) in paragraph (1), in the matter preceding
subparagraph (A), by striking ``of enactment of the
Supporting Older Americans Act of 2020,'' and inserting
``on which the first grant is awarded under this
section following the date of enactment of the Older
Americans Act Reauthorization Act of 2025,''; and
(B) in paragraph (2), in the matter preceding
subparagraph (A), by striking ``the Speaker of the
House of Representatives and the President pro tempore
of the Senate'' and inserting ``the Committee on
Health, Education, Labor, and Pensions of the Senate
and the Committee on Education and Workforce of the
House of Representatives''; and
(5) 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. 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
individuals; and
(3) a description of the different types of such settings
and whether, and to what extent, findings under paragraphs (1)
and (2) vary across such different types.
(c) Submission.--Not later than 2 years after the date of enactment
of this Act, the Secretary shall submit to the Committee on Health,
Education, Labor, and Pensions and the Special Committee on Aging of
the Senate and the Committee on Education and Workforce of the House of
Representatives the report required by subsection (a).
SEC. 209. IMPROVING BROADBAND COORDINATION AND REDUCING SOCIAL
ISOLATION.
(a) In General.--The Assistant Secretary shall, as appropriate,
coordinate with the Assistant Secretary of Commerce for Communications
and Information of the National Telecommunications and Information
Administration to ensure that the aging network (as defined in section
102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) and other
relevant stakeholders are aware of, and, subject to applicable
eligibility criteria, have access to, Federal programs relating to
digital literacy and the adoption of broadband that may support healthy
aging and 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
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. 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. 303. 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 Workforce of the House of Representatives a report on the
results of the study under this section.
SEC. 304. 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) Demonstration To Reduce Hunger, Food Insecurity, and
Malnutrition.--
``(1) In general.--From funds available under paragraph
(5), the Assistant Secretary shall make grants, on a
competitive basis, to eligible entities, to achieve the
purposes of section 330(1) by developing, testing,
implementing, and evaluating innovative local or regional
approaches to improve the quality, effectiveness, efficiency,
and outcomes of nutrition projects and services described in
sections 311, 331, and 336.
``(2) Eligibility.--In order to be eligible for a grant
under paragraph (1), an entity shall--
``(A) be--
``(i) a State agency, an area agency on
aging, an Indian Tribe, a Tribal organization,
or another public or nonprofit private entity,
including a nutrition service provider, a
multipurpose senior center, a health care
entity, or an institution of higher education;
or
``(ii) a partnership between any entities
described in clause (i); and
``(B) submit an application at such time and in
such manner as the Assistant Secretary may require,
including--
``(i) a description of an innovative
approach referred to in paragraph (1) that the
entity proposes to implement under the grant;
``(ii) a plan for evaluating the
effectiveness, including cost-effectiveness, of
the innovative approach proposed; and
``(iii) a plan for the publication of the
results of such evaluation.
``(3) Priority.--In selecting eligible entities for grants
under this subsection, the Assistant Secretary shall give
priority to eligible entities proposing to carry out a grant in
1 or more rural areas.
``(4) Report.--Not later than 1 year after the date of
enactment of the Older Americans Act Reauthorization Act of
2025, 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 Workforce of the House of
Representatives describing any activities carried out under
paragraph (1), an assessment of the outcomes of such activities
using rigorous methodologies, and recommendations for inclusion
of any successful innovative approaches within nutrition
programs established under this Act.
``(5) 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 paragraph (1) of this
subsection.
``(b) Innovative Approaches To Reduce Hunger, Food Insecurity, and
Malnutrition.--
``(1) In general.--Subject to paragraph (6), in carrying
out nutrition projects established under this Act, a State
agency or title VI grantee may implement innovative approaches,
including any applicable approaches implemented previously by
the Assistant Secretary or pursuant to subsection (a), that are
demonstrated to be effective, 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) Waiver.--At the request of a State agency
implementing an approach under paragraph (1), the Assistant
Secretary may waive any requirements of subpart 1 or 2 with
respect to such State agency if such requirements impede the
ability of such State agency to successfully implement such an
approach.
``(3) Flexibility.--The Secretary shall provide maximum
flexibility to a title VI grantee implementing an approach
under paragraph (1) in the same manner as the Secretary
provides maximum flexibility in accordance with section
614(c)(3).
``(4) Sunset.--The authority to carry out activities
described in paragraph (1) shall expire on October 1, 2030.
``(5) Report.--Not later than September 30, 2029, 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 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 using rigorous methodologies, and recommendations
for inclusion of any successful innovative approaches within
nutrition programs established under this Act.
``(6) Use of allotment.--If the amount appropriated to
carry out section 311 for a fiscal year exceeds the amount
appropriated to carry out section 311 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 section
311(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 paragraph (1).
``(7) Rule of construction.--Nothing in this subsection
shall be construed as limiting or prohibiting the requirements
described in section 339 from applying to nutrition projects
utilizing an innovative approach under this subsection.''.
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'';
(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) in clause (i), by inserting ``adult''
after ``or other''; and
(ii) by amending clause (iii) to read as
follows:
``(iii)(I) has a legal relationship to the
child or youth, such as legal custody,
adoption, or guardianship, or is raising the
child or youth informally; and
``(II) in the case of a child or youth
described in paragraph (2)(B) who is 18 years
of age or older, had established such a legal
relationship, or began raising such child or
youth informally, prior to the child or youth
reaching the age of 18; and''.
(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 sections 372(a)(2) (as
amended by paragraph (1)(B)) and 372(a)(4)(B)(iii) (as
amended by paragraph (1)(C)(ii))); and
(B) in section 373(c)(2)(B) (42 U.S.C. 3030s-
1(c)(2)(B)), by inserting ``or youth'' after
``children''.
(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 or youth 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), 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 2025, 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) in subparagraph (B), by adding ``and'' at the end;
(2) by redesignating subparagraphs (A) and (B) as clauses
(i) and (ii), respectively, and adjusting the margins
accordingly;
(3) in the matter preceding clause (i) (as so
redesignated)--
(A) by inserting ``and, as appropriate, the heads
of other relevant Federal departments and agencies''
after ``Labor''; and
(B) by striking ``workers, and the soliciting,''
and inserting the following: ``workers, including--
``(A) the soliciting,''; and
(4) by adding at the end the following:
``(B) 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--
``(i) the provision of training and
technical assistance, including through the
development and dissemination of educational
materials, to States, long-term services and
supports providers, direct care workers, and
family caregivers; and
``(ii) promoting existing, and supporting
the demonstration of new, strategies for the
recruitment, retention, career development, or
advancement of direct care workers to reduce
barriers to entry for a diverse and high-
quality direct care workforce, including
providing wages, benefits, and advancement
opportunities needed to attract or retain
direct care workers;''.
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
2025''; 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
``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, 2030.''.
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, 2030.''.
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) in subparagraph (D)(iii), by inserting ``,
including toward the long-term performance goals
determined by the Department of Labor under the
Government Performance and Results Act of 1993 (Public
Law 103-62; 107 Stat. 285) and the amendments made by
such Act,'' after ``core measures'';
(B) by redesignating subparagraph (E) as
subparagraph (F); and
(C) 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 2025, and every 2 years
thereafter during the period of the program described
in section 502(a)(1), the Secretary shall prepare, make
publicly available, 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 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 (b)(1)(C), by striking ``fourth quarter
after exit from the project'' and inserting ``second quarter
after exit from the project and remain in unsubsidized
employment during the fourth quarter after exit from the
project'';
(3) 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
(4) 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 2025, 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 2025, 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 and Rule.--
(1) 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;''.
(2) Rule.--Section 518(b)(2)(F) (42 U.S.C. 3056p(b)(2)(F))
is amended to read as follows:
``(F) has failed to find employment after receiving any
combination of training services or the following career
services provided under title I of the Workforce Innovation and
Opportunity Act (29 U.S.C. 3111 et seq.)--
``(i) initial or comprehensive skills assessment;
``(ii) labor exchange services;
``(iii) provision of workforce and labor market
information or job search assistance;
``(iv) development of an individual employment
plan;
``(v) group or individual counseling;
``(vi) career planning;
``(vii) internship, work experience, workforce
preparation activities, or prevocational services;
``(viii) English language acquisition and
integrated education and training; or
``(ix) followup 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 expected levels of performance described
in section 513(a) of the Older Americans Act of 1965 (42 U.S.C.
3056k(a)), 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 expected levels of
performance, 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,
including the efficacy of the indicators of performance
described in section 513(b) of the Older Americans Act of 1965
(42 U.S.C. 3056k(b)) for individuals described in subsection
(a)(3)(B)(ii) or subsection (b) of section 518 of the Older
Americans Act of 1965 (42 U.S.C. 3056p);
(3) develops recommendations for any alternative measures
that may better measure the efficacy of 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.)
for individuals described in subsection (a)(3)(B)(ii) or
subsection (b) of section 518 of the Older Americans Act of
1965 (42 U.S.C. 3056p) to achieve the objectives described in
section 101 of the Older Americans Act of 1965 (42 U.S.C.
3001); and
(4) 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 (42 U.S.C. 3056 et
seq.) and with States and local workforce development areas
under title I of the Workforce Innovation and Opportunity Act
(29 U.S.C. 3111 et seq.) to serve older individuals.
(b) Report to Congress.--Not later than 180 days after the review
required under this section is completed, 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 Workforce of the House of Representatives a report on the
results of such review.
TITLE VI--IMPROVING SERVICES FOR NATIVE ELDERS
SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE.
Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at the end
the following:
``(4)(A) In addition to other methods of government-to-
government consultation between the Administration and Indian
Tribes and conferring with organizations representing Native
Hawaiians, the Assistant Secretary shall establish an advisory
committee, to be known as the `Older Americans Tribal Advisory
Committee' (referred to in this paragraph as the `Committee')
to provide advice and guidance to the Assistant Secretary on
matters relating to the needs of older individuals who are
Native Americans and implementation of related programs and
activities under this Act.
``(B) The Committee shall be composed of 11 voting, non-
Federal members, including--
``(i) geographically diverse individuals with
expertise on the range of issues affecting Indian
Tribes, organizations representing Native Hawaiians,
and older individuals who are Native Americans;
``(ii) not less than 1 member who is an Alaska
Native; and
``(iii) not less than 1 member who is a Native
Hawaiian.
``(C) The Committee shall include non-voting, ex officio
representatives of relevant Federal departments and agencies,
including--
``(i) the Administration;
``(ii) the Indian Health Service;
``(iii) the Centers for Medicare & Medicaid
Services;
``(iv) the Department of the Interior;
``(v) the Department of Labor; and
``(vi) any other agency or office with subject
matter expertise that the Assistant Secretary
determines appropriate.
``(D) The Committee shall meet in person not less
frequently than twice each year.
``(E) The Committee shall coordinate, as appropriate, with
the Secretary's Tribal Advisory Committee of the Department of
Health and Human Services.
``(F)(i) Not less frequently than once each year, the
Committee shall submit to the Assistant Secretary and make
publicly available a report that describes--
``(I) the activities of the Committee during the
previous year; and
``(II) recommendations for administrative action,
including the identification of any statutory barriers
to carrying out such recommendations, for the following
year.
``(ii) Not later than 60 days after the date on which the
Assistant Secretary receives a report under clause (i), the
Assistant Secretary shall submit to the Committee a written
response to such report.
``(G) Chapter 10 of title 5, United States Code, shall not apply to
the Committee.
``(H) In establishing, developing procedures for, and operating the
Committee, the Assistant Secretary shall--
``(i) consult with Indian Tribes and confer with
organizations representing Native Hawaiians; and
``(ii) take into consideration best practices of other
Tribal advisory committees operated by the Department of Health
and Human Services before the date of enactment of the Older
Americans Act Reauthorization Act of 2025.''.
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 2025, the Assistant
Secretary shall submit to the Committee on Health, Education, Labor,
and Pensions of the Senate and the Committee on Education and 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 418(a)(2)(6) (42 U.S.C. 3032g(a)(2)(6)), by
striking ``Speaker of the House of Representatives and the
President pro tempore of the Senate'' and inserting ``Committee
on Health, Education, Labor, and Pensions of the Senate and the
Committee on Education and Workforce of the House of
Representatives'';
(3) 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
(4) 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,
promotion of self-determination, 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 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 2026, $58,034,197 for fiscal year
2027, $60,716,964 for fiscal year 2028, $63,523,747 for fiscal
year 2029, and $66,460,281 for fiscal year 2030''; 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 2026, $2,880,298
for fiscal year 2027, $3,013,447 for fiscal year 2028,
$3,152,751 for fiscal year 2029, and $3,298,494 for
fiscal year 2030'';
(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 2026, $2,625,905
for fiscal year 2027, $2,747,294 for fiscal year 2028,
$2,874,294 for fiscal year 2029, and $3,007,165 for
fiscal year 2030'';
(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 2026, $1,811,846
for fiscal year 2027, $1,895,603 for fiscal year 2028,
$1,983,232 for fiscal year 2029, and $2,074,911 for
fiscal year 2030''; 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 2026,
$11,474,555 for fiscal year 2027, $12,004,993 for
fiscal year 2028, $12,559,952 for fiscal year 2029, and
$13,140,565 for fiscal year 2030''.
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 2026, $544,223,762 for fiscal
year 2027, $569,381,780 for fiscal year 2028, $595,702,785 for
fiscal year 2029, and $623,240,541 for fiscal year 2030'';
(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 2026,
$700,065,148 for fiscal year 2027, $732,427,298 for
fiscal year 2028, $766,285,465 for fiscal year 2029,
and $801,708,804 for fiscal year 2030''; 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 2026,
$355,220,786 for fiscal year 2027, $371,641,698 for
fiscal year 2028, $388,821,705 for fiscal year 2029,
and $406,795,899 for fiscal year 2030'';
(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 2026, $35,117,593 for fiscal year
2027, $36,740,986 for fiscal year 2028, $38,439,424 for fiscal
year 2029, and $40,216,376 for fiscal year 2030''; 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 2026, $256,069,552 for fiscal
year 2027, $267,906,966 for fiscal year 2028, $280,291,593 for
fiscal year 2029, and $293,248,728 for fiscal year 2030''.
(b) Nutrition Services Incentive Program.--Section 311(e) (42
U.S.C. 3030a(e)) is amended by striking ``$171,273,830'' and all that
follows through ``fiscal year 2024'' and inserting ``$216,229,264 for
fiscal year 2026, $226,224,968 for fiscal year 2027, $236,682,747 for
fiscal year 2028, $247,623,961 for fiscal year 2029, and $259,070,958
for fiscal year 2030''.
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 2026, $19,171,368 for fiscal year
2027, $20,057,609 for fiscal year 2028, $20,984,819 for fiscal
year 2029, and $21,954,892 for fiscal year 2030''; 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 2026, $20,622,823 for fiscal year
2027, $21,576,161 for fiscal year 2028, $22,573,570 for fiscal
year 2029, and $23,617,086 for fiscal year 2030''.
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 ``$540,340,139 for fiscal year 2026, $565,318,627 for fiscal
year 2027, $591,451,804 for fiscal year 2028, $618,793,048 for fiscal
year 2029, and $647,398,205 for fiscal year 2030''.
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 2026, $49,202,434 for fiscal year
2027, $51,476,932 for fiscal year 2028, $53,856,574 for fiscal
year 2029, and $56,346,220 for fiscal year 2030''; 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 2026, $14,212,110 for fiscal year
2027, $14,869,098 for fiscal year 2028, $15,556,457 for fiscal
year 2029, and $16,275,591 for fiscal year 2030''.
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 2026, $23,863,512 for fiscal year
2027, $24,966,659 for fiscal year 2028, $26,120,801 for fiscal
year 2029, and $27,328,297 for fiscal year 2030''; 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 2026, $6,745,665 for fiscal year
2027, $7,057,499 for fiscal year 2028, $7,383,748 for fiscal
year 2029, and $7,725,079 for fiscal year 2030''.
<all>
Introduced in Senate
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
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