[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4334 Enrolled Bill (ENR)]
H.R.4334
One Hundred Sixteenth Congress
of the
United States of America
AT THE SECOND SESSION
Begun and held at the City of Washington on Friday,
the third day of January, two thousand and twenty
An Act
To amend the Older Americans Act of 1965 to authorize appropriations for
fiscal years 2020 through 2024, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

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This Act may be cited as the ``Supporting Older Americans Act of
2020''.

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The table of contents of this Act is as follows:

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public health emergencies and emerging health threats;
negative health effects associated with social isolation.

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TITLE I

-MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION

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effects associated with social isolation.

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practices, and procedures through a uniform e-format.

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the long-term and adverse consequences of trauma.

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TITLE II

-IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

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TITLE III

-MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND

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TITLE V

-ENHANCING GRANTS FOR NATIVE AMERICANS

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TITLE VI

-MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION

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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.).

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TITLE VII

-MISCELLANEOUS

In this Act, the terms ``area agency on aging'', ``Assistant
Secretary'', ``greatest social need'', ``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).
ON AGING

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Section 216 (42 U.S.C. 3020f) is amended to read as follows:
``SEC. 216. AUTHORIZATION OF APPROPRIATIONS.
``(a) In General.--For purposes of carrying out this Act, there are
authorized to be appropriated for administration, salaries, and
expenses of the Administration $43,937,410 for fiscal year 2020,
$46,573,655 for fiscal year 2021, $49,368,074 for fiscal year 2022,
$52,330,158 for fiscal year 2023, and $55,469,968 for fiscal year 2024.
``(b) Additional Authorizations.--There are authorized to be
appropriated--
``(1) to carry out section 202(a)(21) (relating to the National
Eldercare Locator Service), $2,180,660 for fiscal year 2020,
$2,311,500 for fiscal year 2021, $2,450,190 for fiscal year 2022,
$2,597,201 for fiscal year 2023, and $2,753,033 for fiscal year
2024;
``(2) to carry out section 215, $1,988,060 for fiscal year
2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal year
2022, $2,367,811 for fiscal year 2023, and $2,509,880 for fiscal
year 2024;
``(3) to carry out section 202 (relating to Elder Rights
Support Activities under this title), $1,371,740 for fiscal year
2020, $1,454,044 for fiscal year 2021, $1,541,287 for fiscal year
2022, $1,633,764 for fiscal year 2023, and $1,731,790 for fiscal
year 2024; and
``(4) to carry out section 202(b) (relating to the Aging and
Disability Resource Centers), $8,687,330 for fiscal year 2020,
$9,208,570 for fiscal year 2021, $9,761,084 for fiscal year 2022,
$10,346,749 for fiscal year 2023, and $10,967,554 for fiscal year
2024.''.

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

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

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The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the end
the following:
``(C) The term `State assistive technology entity' means the
agency, office, or other entity designated under subsection (c)(1) of
section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to
carry out State activities under such section.'';
(2) in section 306 (42 U.S.C. 3026)--
(A) in subsection (a)(6)--
(i) in subparagraph (G), by striking ``; and'' and
inserting a semicolon;
(ii) in subparagraph (H), by striking ``appropriate;''
and inserting ``appropriate; and''; and
(iii) by adding at the end the following:
``(I) to the extent feasible, coordinate with the State agency
to disseminate information about the State assistive technology
entity and access to assistive technology options for serving older
individuals;''; and
(B) in subsection (b)(3)--
(i) in subparagraph (K)--
(I) by aligning the margins of the subparagraph
with the margins of subparagraph (J); and
(II) by striking ``; and'' and inserting a
semicolon;
(ii) by redesignating subparagraph (L) as subparagraph
(M); and
(iii) by inserting after subparagraph (K) the
following:
``(L) assistive technology devices and services; and''; and
(3) in section 411(a) (42 U.S.C. 3032(a))--
(A) in paragraph (2), by inserting ``, aligned with
evidence-based practice,'' after ``applied social research'';
and
(B) in paragraph (10), by inserting ``consistent with
section 508 of the Rehabilitation Act of 1973 (29 U.S.C.
794d)'' after ``other technologies''.

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

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

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

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

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

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ADDRESSING PUBLIC HEALTH EMERGENCIES AND EMERGING HEALTH THREATS;
NEGATIVE HEALTH EFFECTS ASSOCIATED WITH SOCIAL ISOLATION.
Section 102(14) (42 U.S.C. 3002(14)) is amended--
(1) by redesignating subparagraphs (H) through (J), and
subparagraphs (K) and (L), as subparagraphs (I) through (K), and
subparagraphs (M) and (O), respectively;
(2) by inserting after subparagraph (G) the following:
``(H) screening for fall-related traumatic brain injury and
other fall-related injuries, coordination of treatment,
rehabilitation and related services, and referral services
related to such injury or injuries;'';
(3) by inserting after subparagraph (K), as redesignated by
paragraph (1), the following:
``(L) services that are a part of responses to a public
health emergency or emerging health threat;''; and
(4) in subparagraph (M), as redesignated by paragraph (1), by
striking ``; and'' and inserting a semicolon;
(5) by inserting after subparagraph (M), as redesignated by
paragraph (1), the following:
``(N) screening for the prevention of negative health
effects associated with social isolation and coordination of
supportive services and health care to address negative health
effects associated with social isolation; and''; and
(6) in subparagraph (O), as redesignated, by striking ``(A)
through (K)'' and inserting ``(A) through (N)''.

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

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Section 102 (42 U.S.C. 3002) is amended--
(1) by redesignating paragraphs (41) through (54) as paragraphs
(42) through (55), respectively; and
(2) by inserting after paragraph (40) the following:
``(41) The term `person-centered, trauma-informed', with
respect to services, means services provided through an aging
program that--
``(A) use a holistic approach to providing services or
care;
``(B) promote the dignity, strength, and empowerment of
victims of trauma; and
``(C) incorporate evidence-based practices based on
knowledge about the role of trauma in trauma victims' lives.''.

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Section 102 (42 U.S.C. 3002), as amended by section 112, is further
amended--
(1) by redesignating paragraph (55) as paragraph (56); and
(2) by inserting after paragraph (54) the following:
``(55) The term `traumatic brain injury' has the meaning given
such term in section 393B(d) of the Public Health Service Act (42
U.S.C. 280b-1c(d)).''.

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TECHNICAL ASSISTANCE FOR DISASTERS.
(a) Review of Applications.--Section 202 (42 U.S.C. 3012) is
amended--
(1) by amending subsection (a)(4) to read as follows:
``(4) administer the grants provided by this Act, but not
approve an application submitted by an applicant for a grant for an
activity under a provision of this Act for which such applicant
previously received a grant under such provision unless the
Assistant Secretary determines--
``(A) the activity for which such application was submitted
is being operated, or was operated, effectively to achieve its
stated purpose; and
``(B) such applicant has complied with the assurances
provided to the Assistant Secretary with the application for
such previous grant.''; and
(2) by adding at the end the following:
``(h) The Assistant Secretary shall publish, on an annual basis, a
list of centers and demonstration projects funded under each title of
this Act. The Assistant Secretary shall ensure that this information is
also directly provided to State agencies and area agencies on aging.''.
(b) Addressing the Needs of Older Individuals in Disasters.--
Section 202(a) (42 U.S.C. 3012(a)) is amended--
(1) in paragraph (30), by striking ``; and'' and inserting a
semicolon;
(2) in paragraph (31), by striking the period at the end and
inserting a semicolon; and
(3) by adding at the end the following:
``(32) provide technical assistance to, and share best
practices with, State agencies and area agencies on aging on how to
collaborate and coordinate activities and develop long-range
emergency preparedness plans with local and State emergency
response agencies, relief organizations, local and State
governments, Federal agencies as appropriate, and any other
institutions that have responsibility for disaster relief service
delivery;''.

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EFFECTS ASSOCIATED WITH SOCIAL ISOLATION.
Section 202(a) (42 U.S.C. 3012(a)), as amended by section 114(b),
is further amended by adding at the end the following:
``(33) with input from aging network stakeholders, including
caregivers, develop objectives, priorities, and a long-term plan
for supporting State and local efforts involving education about
prevention of, detection of, and response to negative health
effects associated with social isolation among older individuals,
and submit a report to Congress on this effort by January 2021;
and''.

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PRACTICES, AND PROCEDURES THROUGH A UNIFORM E-FORMAT.
Section 202(a) (42 U.S.C. 3012(a)), as amended by sections 114(b)
and 115, is further amended by adding at the end the following:
``(34) provide (to the extent practicable) a standardized
notification to State agencies, area agencies on aging, providers
of services under this Act, and grantees or contract awardees under
this Act, through an electronic format (e-mail or other electronic
notification), of the availability of, or updates to, policies,
practices, and procedures under this Act.''.

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

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OUTSIDE FUNDING FOR AREA AGENCIES ON AGING.
(a) Assistance Relating To Growing and Sustaining Capacity.--
Section 202(b)(9) (42 U.S.C. 3012(b)(9)) is amended--
(1) in subparagraph (A), by striking ``and'' after the
semicolon at the end;
(2) in subparagraph (B), as amended by section 117(a)(2), by
inserting ``and'' after the semicolon at the end; and
(3) by adding at the end the following:
``(C) activities for increasing business acumen, capacity
building, organizational development, innovation, and other
methods of growing and sustaining the capacity of the aging
network to serve older individuals and caregivers most
effectively;''.
(b) Clarifying Partnerships for Area Agencies on Aging.--Section
306 (42 U.S.C. 3026) is amended by adding at the end the following:
``(g) Nothing in this Act shall restrict an area agency on aging
from providing services not provided or authorized by this Act,
including through--
``(1) contracts with health care payers;
``(2) consumer private pay programs; or
``(3) other arrangements with entities or individuals that
increase the availability of home- and community-based services and
supports.''.
(c) Conforming Amendment.--Section 307(a) (42 U.S.C. 3027(a)) is
amended--
(1) by striking paragraph (26); and
(2) by redesignating paragraphs (27) through (30) as paragraphs
(26) through (29).

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Section 411(a) (42 U.S.C. 3032(a)) is amended--
(1) by redesignating paragraphs (13) and (14) as paragraphs
(14) and (15), respectively; and
(2) by inserting after paragraph (12) the following:
``(13) in coordination with the Secretary of Labor, the
demonstration of new strategies for the recruitment, retention, or
advancement of direct care workers, and the soliciting,
development, and implementation of strategies--
``(A) to reduce barriers to entry for a diverse and high-
quality direct care workforce, including providing wages,
benefits, and advancement opportunities needed to attract or
retain direct care workers; and
``(B) to provide education and workforce development
programs for direct care workers that include supportive
services and career planning;''.

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EXPERIENCING THE LONG-TERM AND ADVERSE CONSEQUENCES OF TRAUMA.
Section 411(a) (42 U.S.C. 3032(a)), as amended by section 119, is
further amended--
(1) by redesignating paragraphs (14) and (15) as paragraphs
(15) and (16), respectively; and
(2) by inserting after paragraph (13) the following:
``(14) the establishment and operation of a national resource
center that shall--
``(A) provide training and technical assistance to agencies
in the aging network delivering services to older individuals
experiencing the long-term and adverse consequences of trauma;
``(B) share best practices with the aging network; and
``(C) make subgrants to the agencies best positioned to
advance and improve the delivery of person-centered, trauma-
informed services for older individuals experiencing the long-
term and adverse consequences of trauma;''.

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Section 215 (42 U.S.C. 3020e-1) is amended by adding at the end the
following:
``(k)(1) The Assistant Secretary shall, directly or by grant or
contract, operate the National Resource Center for Women and Retirement
(in this subsection referred to as the `Center').
``(2) The Center shall--
``(A) provide tools, such as basic financial management,
retirement planning, and other tools that promote financial
literacy and help to identify and prevent exploitation (including
fraud), and integrate these with information on health and long-
term care;
``(B) annually disseminate a summary of outreach activities
provided, including work to provide user-friendly consumer
information and public education materials;
``(C) develop targeted outreach strategies;
``(D) provide technical assistance to State agencies and to
other public and nonprofit private agencies and organizations; and
``(E) develop partnerships and collaborations to address
program objectives.''.

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(a) Administration.--Section 202 (42 U.S.C. 3012), as amended by
section 114, is further amended by adding at the end the following:
``(i) The Assistant Secretary shall carry out the RAISE Family
Caregivers Act (42 U.S.C. 3030s note).''.
(b) Sunset.--Section 6 of the RAISE Family Caregivers Act (42
U.S.C. 3030s note) is amended by striking ``3 years'' and inserting ``4
years''.
(c) Conforming Amendment.--Section 2(3) of the RAISE Family
Caregivers Act (42 U.S.C. 3030s note) is amended by inserting ``,
acting through the Assistant Secretary for Aging'' before the period at
the end.

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

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HEALTHY AGING AND AGE-FRIENDLY COMMUNITIES.
(a) Federal Agency Consultation.--Section 203(b) (42 U.S.C.
3013(b)) is amended--
(1) in paragraph (18), by striking ``and'' at the end;
(2) in paragraph (19), by striking the period at the end and
inserting ``, and''; and
(3) by adding at the end the following:
``(20) section 393D of the Public Health Service Act (42 U.S.C.
280b-1f), relating to safety of seniors.''.
(b) Modernization.--Section 203(c) (42 U.S.C. 3013(c)) is amended--
(1) in paragraph (1)--
(A) by striking ``the Federal officials'' and inserting
``other Federal officials'';
(B) by striking ``Committee on Aging'' and inserting
``Committee on Healthy Aging and Age-Friendly Communities'';
and
(C) by inserting ``and the development of a national set of
recommendations, in accordance with paragraph (6), to support
the ability of older individuals to age in place and access
homelessness prevention services, preventive health care,
promote age-friendly communities, and address the ability of
older individuals to access long-term care supports, including
access to caregivers and home- and community-based health
services'' before the period;
(2) in paragraph (4), by adding at the end the following: ``The
first term, after the date of enactment of the Supporting Older
Americans Act of 2020, shall start not later than 1 year after such
date of enactment.'';
(3) in paragraph (6)--
(A) in the matter preceding subparagraph (A), by striking
``The Committee shall'' and inserting ``The recommendations
described in paragraph (1) may include recommendations for'';
(B) in subparagraph (A)--
(i) by striking ``share information with and establish
an ongoing system to'' and inserting ``ways to''; and
(ii) by striking ``for older individuals and recommend
improvements'' and all that follows through ``accessibility
of such programs and services'' and inserting ``that impact
older individuals'';
(C) in subparagraph (B)--
(i) by striking ``identify, promote, and implement (as
appropriate),'';
(ii) in clause (i), by striking ``and'' after the
semicolon;
(iii) in clause (ii), by inserting ``and'' after the
semicolon; and
(iv) by adding at the end the following:
``(iii) best practices identified in coordination with the
Centers for Disease Control and Prevention, the National
Institute on Aging, the Centers for Medicare & Medicaid
Services, the Office of Lead Hazard Control and Healthy Homes
of the Department of Housing and Urban Development, and other
Federal agencies, as appropriate, to reduce and prevent falls
among older individuals, that incorporate evidence-based falls
prevention programs and home modifications, which
recommendations shall supplement and not unnecessarily
duplicate activities authorized under section 393D of the
Public Health Service Act (42 U.S.C. 280b-1f), relating to
safety of seniors;'';
(D) in subparagraph (C)--
(i) by inserting ``ways to'' before ``collect'';
(ii) by striking ``older individuals and''; and
(iii) by striking ``the individuals to ensure'' and all
that follows through ``information'' and inserting ``older
individuals to ensure that such information is
accessible'';
(E) in subparagraph (D), by striking ``work with'' and all
that follows through ``member agencies to ensure'' and
inserting ``ways to ensure'';
(F) in subparagraph (E), by striking ``seek input'' and all
that follows through ``foundations'' and inserting ``seeking
input from and consulting with nonprofit organizations,
academic or research institutions, community-based
organizations, philanthropic organizations, or other entities
supporting age-friendly communities'';
(G) in subparagraph (F), by striking ``identify'' and
inserting ``identifying''; and
(H) by amending subparagraph (G) to read as follows:
``(G) ways to improve coordination to provide housing, health
care, and other supportive services to older individuals.'';
(4) in paragraph (7)(A)(i), by striking ``services for older
individuals'' and inserting ``services that impact older
individuals''; and
(5) by adding at the end the following:
``(9) In this subsection, the term `age-friendly community' means a
community that--
``(A) is taking measurable steps to--
``(i) include adequate and accessible housing, public
spaces and buildings, safe and secure paths, variable route
transportation services, and programs and services designed to
support health and well-being;
``(ii) respect and include older individuals in social
opportunities, civic participation, volunteerism, and
employment; and
``(iii) facilitate access to supportive services for older
individuals;
``(B) is not an assisted living facility or long-term care
facility; and
``(C) has a plan in place to meet local needs for housing,
transportation, civic participation, social connectedness, and
accessible public spaces.''.
(c) Administration of the Act.--Section 205(a)(2) (42 U.S.C.
3016(a)(2)) is amended--
(1) by redesignating subparagraph (C) as subparagraph (D); and
(2) by inserting after subparagraph (B) the following:
``(C) The Assistant Secretary may provide technical assistance,
including through the regional offices of the Administration, to State
agencies, area agencies on aging, local government agencies, or leaders
in age-friendly communities (as defined, for purposes of this
subparagraph, in section 203(c)(9)) regarding--
``(i) dissemination of, or consideration of ways to implement,
best practices and recommendations from the Interagency
Coordinating Committee on Healthy Aging and Age-Friendly
Communities established under section 203(c); and
``(ii) methods for managing and coordinating existing programs
to meet the needs of growing age-friendly communities.''.

1f84a9cae9c7eb0ac4d3d60899e73d9ccd007a38920d6af363a9575ebdbdf518

ASSISTANT SECRETARY.
Section 205(a)(2)(D)(ii) (42 U.S.C. 3016(a)(2)(D)(ii)), as
redesignated by section 124(c)(1), is amended to read as follows:
``(ii) be a registered dietitian or registered dietitian
nutritionist.''.

3eca2c250722724802f0e66ee7eaa561470c24304dbd326e27791984f04ccb40

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

da7997fc94db9f940ab145f2ecbdb66381ba5fb978561114febc2cf9fafc7c3a

(a) Center.--Section 201 (42 U.S.C. 3011) is amended by adding at
the end the following:
``(g)(1) The Assistant Secretary shall, as appropriate, coordinate
the research and evaluation functions of this Act under a Research,
Demonstration, and Evaluation Center for the Aging Network (in this
subsection referred to as the `Center'), which shall be headed by a
director designated by the Assistant Secretary from individuals
described in paragraph (4).
``(2) The purpose of the Center shall be--
``(A) to coordinate, as appropriate, research, research
dissemination, evaluation, demonstration projects, and related
activities carried out under this Act;
``(B) to provide assessment of the programs and interventions
authorized under this Act; and
``(C) to increase the repository of information on evidence-
based programs and interventions available to the aging network,
which information shall be applicable to existing programs and
interventions and help in the development of new evidence-based
programs and interventions.
``(3) Activities of the Center shall include, as appropriate,
conducting, promoting, coordinating, and providing support for--
``(A) research and evaluation activities that support the
objectives of this Act, including--
``(i) evaluation of new and existing programs and
interventions authorized by this Act; and
``(ii) research on and assessment of the relationship
between programs and interventions under this Act and the
health outcomes, social determinants of health, quality of
life, and independence of individuals served under this Act;
``(B) demonstration projects that support the objectives of
this Act, including activities to bring effective demonstration
projects to scale with a prioritization of projects that address
the needs of underserved populations, and promote partnerships
among aging services, community-based organizations, and Medicare
and Medicaid providers, plans, and health (including public health)
systems;
``(C) outreach and dissemination of research findings; and
``(D) technical assistance related to the activities described
in this paragraph.
``(4) The director shall be an individual with substantial
knowledge of and experience in aging and health policy, and research
administration.
``(5) Not later than October 1, 2020, and at 5-year intervals
thereafter, the director shall prepare and publish in the Federal
Register for public comment a draft of a 5-year plan that--
``(A) outlines priorities for research, research dissemination,
evaluation, demonstration projects, and related activities;
``(B) explains the basis for such priorities; and
``(C) describes how the plan will meet the needs of underserved
populations.
``(6) The director shall coordinate, as appropriate, research,
research dissemination, evaluation, and demonstration projects, and
related activities with appropriate agency program staff, and, as
appropriate, with other Federal departments and agencies involved in
research in the field of aging.
``(7) Not later than December 31, 2020, and annually thereafter,
the director shall prepare, and submit to the Secretary, the Committee
on Health, Education, Labor, and Pensions of the Senate, the Special
Committee on Aging of the Senate, and the Committee on Education and
Labor of the House of Representatives, a report on the activities
funded under this section and title IV.
``(8) The director shall, as appropriate, consult with experts on
aging research and evaluation and aging network stakeholders on the
implementation of the activities described under paragraph (3) of this
subsection.
``(9) The director shall coordinate, as appropriate, all research
and evaluation authorities under this Act.''.
(b) Evaluation.--Section 206 (42 U.S.C. 3017) is amended--
(1) by redesignating subsections (b) through (g) as subsections
(c) through (h), respectively; and
(2) by inserting after subsection (a) the following:
``(b) Not later than July 1, 2020, the Secretary shall provide,
directly or through grant or contract, for an evaluation of programs
under this Act, which shall include, to the extent practicable, an
analysis of the relationship of such programs, including demonstration
projects under title IV of this Act, to health care expenditures under
the Medicare program established under title XVIII of the Social
Security Act (42 U.S.C. 1395 et seq.) and the Medicaid program
established under title XIX of the Social Security Act (42 U.S.C. 1396
et seq.). The Secretary shall oversee analyses of data obtained in
connection with program evaluation to evaluate, where feasible, the
relationship of programs under this Act to health care expenditures,
including under the Medicare and Medicaid programs.''.
(c) Report on Health Care Expenditures.--Section 207 (42 U.S.C.
3018) is amended by adding at the end the following:
``(d) The Assistant Secretary shall provide the evaluation required
under section 206(b) to--
``(1) the Committee on Health, Education, Labor, and Pensions
of the Senate;
``(2) the Committee on Appropriations of the Senate;
``(3) the Special Committee on Aging of the Senate;
``(4) the Committee on Education and Labor of the House of
Representatives; and
``(5) the Committee on Appropriations of the House of
Representatives.''.

b3b3e55d8fc0108d7420359f68af2e55944083424baaf367cdd668c3fdbc5f63

Section 301(a)(1) (42 U.S.C. 3021(a)(1)) is amended--
(1) in subparagraph (C), by striking ``and'' at the end;
(2) in subparagraph (D), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following:
``(E) measure impacts related to social determinants of
health of older individuals.''.

cd8da3f84af050f67cbef0e3a47e2c1ec7212f9c51aab27926ce1d6a51a77ee5

The Act (42 U.S.C. 3001 et seq.) is amended--
(1) in section 302(3) (42 U.S.C. 3022(3)), by inserting ``of
any age'' after ``an individual''; and
(2) in section 711(6) (42 U.S.C. 3058f(6)), by inserting ``of
any age'' after ``individual''.

eb1c22b18bf92195786a121b1c5f8c92855e6c0b2b9a70bcfe355d519258684a

(a) Grants for State and Community Programs on Aging.--Subsections
(a) through (e) of section 303 (42 U.S.C. 3023) are amended to read as
follows:
``(a)(1) There are authorized to be appropriated to carry out part
B (relating to supportive services) $412,029,180 for fiscal year 2020,
$436,750,931 for fiscal year 2021, $462,955,987 for fiscal year 2022,
$490,733,346 for fiscal year 2023, and $520,177,347 for fiscal year
2024.
``(2) Funds appropriated under paragraph (1) shall be available to
carry out section 712.
``(b)(1) There are authorized to be appropriated to carry out
subpart 1 of part C (relating to congregate nutrition services)
$530,015,940 for fiscal year 2020, $561,816,896 for fiscal year 2021,
$595,525,910 for fiscal year 2022, $631,257,465 for fiscal year 2023,
and $669,132,913 for fiscal year 2024.
``(2) There are authorized to be appropriated to carry out subpart
2 of part C (relating to home delivered nutrition services)
$268,935,940 for fiscal year 2020, $285,072,096 for fiscal year 2021,
$302,176,422 for fiscal year 2022, $320,307,008 for fiscal year 2023,
and $339,525,428 for fiscal year 2024.
``(c) Grants made under part B, and subparts 1 and 2 of part C, of
this title may be used for paying part of the cost of--
``(1) the administration of area plans by area agencies on
aging designated under section 305(a)(2)(A), including the
preparation of area plans on aging consistent with section 306 and
the evaluation of activities carried out under such plans; and
``(2) the development of comprehensive and coordinated systems
for supportive services, and congregate and home delivered
nutrition services under subparts 1 and 2 of part C, the
development and operation of multipurpose senior centers, and the
delivery of legal assistance.
``(d) There are authorized to be appropriated to carry out part D
(relating to disease prevention and health promotion services)
$26,587,360 for fiscal year 2020, $28,182,602 for fiscal year 2021,
$29,873,558 for fiscal year 2022, $31,665,971 for fiscal year 2023, and
$33,565,929 for fiscal year 2024.
``(e) There are authorized to be appropriated to carry out part E
(relating to family caregiver support) $193,869,020 for fiscal year
2020, $205,501,161 for fiscal year 2021, $217,831,231 for fiscal year
2022, $230,901,105 for fiscal year 2023, and $244,755,171 for fiscal
year 2024.''.
(b) Nutrition Services Incentive Program.--Section 311(e) (42
U.S.C. 3030a(e)) is amended to read as follows:
``(e) There are authorized to be appropriated to carry out this
section (other than subsection (c)(1)) $171,273,830 for fiscal year
2020, $181,550,260 for fiscal year 2021, $192,443,275 for fiscal year
2022, $203,989,872 for fiscal year 2023, and $216,229,264 for fiscal
year 2024.''.

cf633a10097a401498cfb8da67ddd0170d32636c2bd071222ff1fb0807cf33dc

(a) In General.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is
amended to read as follows:
``(D)(i) In this subparagraph and paragraph (5)--
``(I) the term `allot' means allot under this
subsection from a sum appropriated under section 303(a) or
303(b)(1), as the case may be; and
``(II) the term `covered fiscal year' means any of
fiscal years 2020 through 2029.
``(ii) If the sum appropriated under section 303(a) or
303(b)(1) for a particular covered fiscal year is less than or
equal to the sum appropriated under section 303(a) or
303(b)(1), respectively, for fiscal year 2019, amounts shall be
allotted to States from the sum appropriated for the particular
year in accordance with paragraphs (1) and (2), and
subparagraphs (A) through (C) as applicable, but no State shall
be allotted an amount that is less than--
``(I) for fiscal year 2020, 99.75 percent of the
State's allotment from the corresponding sum appropriated
for fiscal year 2019;
``(II) for fiscal year 2021, 99.50 percent of that
allotment;
``(III) for fiscal year 2022, 99.25 percent of that
allotment;
``(IV) for fiscal year 2023, 99.00 percent of that
allotment;
``(V) for fiscal year 2024, 98.75 percent of that
allotment;
``(VI) for fiscal year 2025, 98.50 percent of that
allotment;
``(VII) for fiscal year 2026, 98.25 percent of that
allotment;
``(VIII) for fiscal year 2027, 98.00 percent of that
allotment;
``(IX) for fiscal year 2028, 97.75 percent of that
allotment; and
``(X) for fiscal year 2029, 97.50 percent of that
allotment.
``(iii) If the sum appropriated under section 303(a) or
303(b)(1) for a particular covered fiscal year is greater than
the sum appropriated under section 303(a) or 303(b)(1),
respectively, for fiscal year 2019, the allotments to States
from the sum appropriated for the particular year shall be
calculated as follows:
``(I) From the portion equal to the corresponding sum
appropriated for fiscal year 2019, amounts shall be
allotted in accordance with paragraphs (1) and (2), and
subparagraphs (A) through (C) as applicable, but no State
shall be allotted an amount that is less than the
percentage specified in clause (ii), for that particular
year, of the State's allotment from the corresponding sum
appropriated for fiscal year 2019.
``(II) From the remainder, amounts shall be allotted in
accordance with paragraph (1), subparagraphs (A) through
(C) as applicable, and paragraph (2) to the extent needed
to meet the requirements of those subparagraphs.''.
(b) Repeal.--Section 304(a)(3)(D) (42 U.S.C. 3024(a)(3)(D)) is
repealed, effective October 1, 2029.
(c) Conforming Amendment.--Section 304(a)(5) (42 U.S.C. 3024(a)(5))
is amended by striking ``of the prior year'' and inserting ``as
required by paragraph (3)''.

4f955b3c7d2d01a8fe3ba00aa654a9faa87db9e9d4179a6b939a31271fd051c3

Section 306(a)(4)(B) (42 U.S.C. 3026(a)(4)(B)) is amended--
(1) in clause (i)(VII), by inserting ``, specifically including
survivors of the Holocaust'' after ``placement''; and
(2) in clause (ii), by striking ``(VI)'' and inserting
``(VII)''.

b3e0cec2dca442fe47bcd7c846c8583802cb308830527994c86b90d2785a10f6

AND MAINTENANCE OF EFFORT.
The Act (42 U.S.C. 3001 et seq.) is amended--
(1) by amending section 306(a)(9) (42 U.S.C. 3026(a)(9)) to
read as follows:
``(9) provide assurances that--
``(A) the area agency on aging, in carrying out the State
Long-Term Care Ombudsman program under section 307(a)(9), will
expend not less than the total amount of funds appropriated
under this Act and expended by the agency in fiscal year 2019
in carrying out such a program under this title; and
``(B) funds made available to the area agency on aging
pursuant to section 712 shall be used to supplement and not
supplant other Federal, State, and local funds expended to
support activities described in section 712;''; and
(2) by amending section 307(a)(9) (42 U.S.C. 3027(a)(9)) to
read as follows:
``(9) The plan shall provide assurances that--
``(A) the State agency will carry out, through the Office
of the State Long-Term Care Ombudsman, a State Long-Term Care
Ombudsman program in accordance with section 712 and this
title, and will expend for such purpose an amount that is not
less than the amount expended by the State agency with funds
received under this title for fiscal year 2019, and an amount
that is not less than the amount expended by the State agency
with funds received under title VII for fiscal year 2019; and
``(B) funds made available to the State agency pursuant to
section 712 shall be used to supplement and not supplant other
Federal, State, and local funds expended to support activities
described in section 712.''.

ae0b78bc94ef2886ff71a8338fc46e19e5eba8e02c6791e0a36d9a1082a56190

(a) Area Plans.--Section 306(a) (42 U.S.C. 3026(a)) is amended--
(1) in paragraph (16), by striking ``and'' at the end;
(2) in paragraph (17), by striking the period at the end and
inserting a semicolon; and
(3) by adding at the end the following:
``(18) provide assurances that the area agency on aging will
collect data to determine--
``(A) the services that are needed by older individuals
whose needs were the focus of all centers funded under title IV
in fiscal year 2019; and
``(B) the effectiveness of the programs, policies, and
services provided by such area agency on aging in assisting
such individuals; and
``(19) provide assurances that the area agency on aging will
use outreach efforts that will identify individuals eligible for
assistance under this Act, with special emphasis on those
individuals whose needs were the focus of all centers funded under
title IV in fiscal year 2019.''.
(b) State Plans.--Section 307(a) (42 U.S.C. 3027(a)), as amended by
section 118(c), is further amended by adding at the end the following:
``(30) The plan shall contain an assurance that the State shall
prepare and submit to the Assistant Secretary annual reports that
describe--
``(A) data collected to determine the services that are
needed by older individuals whose needs were the focus of all
centers funded under title IV in fiscal year 2019;
``(B) data collected to determine the effectiveness of the
programs, policies, and services provided by area agencies on
aging in assisting such individuals; and
``(C) outreach efforts and other activities carried out to
satisfy the assurances described in paragraphs (18) and (19) of
section 306(a).''.

547390fa4ca00067c8ae4abd091f378dba2ec1aa9456d63490d0ab5822f6561f

Not later than 4 years after the date of enactment of this Act, the
Assistant Secretary shall prepare and submit to Congress a report
containing--
(1) information on which States or localities operate senior
legal hotlines;
(2) information on how such hotlines operated by States or
localities are funded;
(3) information on the usefulness of senior legal hotlines in
the coordination and provision of legal assistance; and
(4) recommendations on additional actions that should be taken
related to senior legal hotlines.

dd236311dd1caf7952d554b68a457b960fd56bc959c68f2ded2c0e310923c7ef

ADMINISTRATIVE COSTS.
Section 308 (42 U.S.C. 3028) is amended--
(1) in subsection (a), in paragraphs (1) and (2), by striking
``subsection (b)(1)'' and inserting ``subsection (b)''; and
(2) in subsection (b)--
(A) in each of paragraphs (1) and (2)--
(i) in subparagraph (A)--
(I) by striking ``clause (ii)'' and inserting
``subparagraph (B)''; and
(II) by striking ``greater of'' and all that
follows through ``or'' and inserting the following:
``greater of--
``(i) 5 percent of the total amount of the allotments
made to a State under sections 304(a)(1) and 373(f); or
``(ii)''; and
(ii) in subparagraph (B), by striking ``such
allotment'' and inserting ``such total amount''; and
(B) in paragraph (2)(A), by striking ``$500,000'' and
inserting ``$750,000''.

5d6d0d8ace9b56a6ee0220a1caa3d6db02ca776b814c3795962e29343c539344

Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at
the end the following:
``(D) The State, in consultation with area agencies on aging, shall
ensure the process used by the State in transferring funds under this
paragraph (including requirements relating to the authority and timing
of such transfers) is simplified and clarified to reduce administrative
barriers and direct limited resources to the greatest nutrition service
needs at the community level. Such process shall be modified to attempt
to lessen the administrative barriers of such transfers, and help
direct limited resources to where they are needed the most as the unmet
need for nutrition services grows.''.

b0729f8b49bc34cec4d52c22cde0f4001709a4efeb6df5d174a04b4e1625a87b

Section 308(b) (42 U.S.C. 3028(b)) is amended by adding at the end
the following:
``(8) The Assistant Secretary shall review the reports submitted
under section 307(a)(30) and include aggregate data in the report
required by section 207(a), including data on--
``(A) the effectiveness of the programs, policies, and services
provided by area agencies on aging in assisting older individuals
whose needs were the focus of all centers funded under title IV in
fiscal year 2019; and
``(B) outreach efforts and other activities carried out to
satisfy the assurances described in paragraphs (18) and (19) of
section 306(a), to identify such older individuals and their
service needs.''.

37cd5ee989406e11f748fd68b2f44fafaf2aacb4080d7045a8f6fe9ff6c0e860

Section 315 (42 U.S.C. 3030c-2) is amended by adding at the end the
following:
``(e) Response to Area Agencies on Aging.--
``(1) In general.--Upon request from an area agency on aging,
the State shall make available any policies or guidance pertaining
to policies established under this section.
``(2) Rule of construction.--Nothing in paragraph (1) shall
require a State to develop policies or guidance pertaining to
policies established under this section.''.

f47e5706dde17c0cd85c8879d9a99721613909d6c648db234794805e19d20d55

SOCIAL ISOLATION AND TRAUMATIC BRAIN INJURY.
Section 321(a)(8) (42 U.S.C. 3030d(a)(8)) is amended--
(1) by striking ``screening and'' and inserting ``screening,
screening for negative health effects associated with social
isolation,''; and
(2) by inserting ``, and traumatic brain injury screening''
after ``falls prevention services screening''.

c024178eccb84ed2aea13d50cb6720f9f74c17b31bdbce826a5cd943786ebdf3

(a) In General.--Section 321(a) (42 U.S.C. 3030d(a)) is amended--
(1) in paragraph (24), by striking ``and'' at the end;
(2) by redesignating paragraph (25) as paragraph (26); and
(3) by inserting after paragraph (24) the following:
``(25) services that promote or support social connectedness
and reduce negative health effects associated with social
isolation; and''.
(b) Supportive Services.--Section 321(a)(7) (42 U.S.C. 3030d(a)(7))
is amended by inserting ``cultural experiences (including the arts),''
after ``art therapy,''.

9b619df76d12e51b6bfc9086319951fc07f6b0ad138b988964e8ffa0feb0a511

Section 339(2)(A)(iii) (42 U.S.C. 3030g-21(2)(A)(iii)) is amended
by inserting ``, including meals adjusted for cultural considerations
and preferences and medically tailored meals'' before the comma at the
end.

e82cecf6093bff99262925b3928c2ef32934a1fc89ecbf447e162a10a397b13e

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. 339B. NUTRITION SERVICES IMPACT STUDY.
``(a) Study.--
``(1) In general.--The Assistant Secretary shall perform a
study to assess how to measure and evaluate the discrepancy between
available services and the demand for such services in the home
delivered nutrition services program and the congregate nutrition
services program under this part, which shall include assessing
various methods (such as those that States use) to measure and
evaluate the discrepancy (such as measurement through the length of
waitlists).
``(2) Contents.--In performing the study, the Assistant
Secretary shall--
``(A) consider means of obtaining information in rural and
underserved communities; and
``(B) consider using existing tools (existing as of the
date the Assistant Secretary begins the study) such as the
tools developed through the Performance Outcome Measurement
Project.
``(3) Analysis.--The Assistant Secretary shall analyze and
determine which methods are the least burdensome and most effective
for measuring and evaluating the discrepancy described in paragraph
(1).
``(b) Recommendations.--
``(1) Preparation.--Not later than 3 years after the date of
enactment of the Supporting Older Americans Act of 2020, the
Assistant Secretary shall prepare recommendations--
``(A) on how to measure and evaluate, with the least burden
and the most effectiveness, the discrepancy described in
subsection (a)(1) (such as measurement through the length of
waitlists); and
``(B) about whether studies similar to the study described
in subsection (a) should be carried out for programs carried
out under this Act, other than this part.
``(2) Issuance.--The Assistant Secretary shall issue the
recommendations, and make the recommendations available as a
notification pursuant to section 202(a)(34) and to the committees
of the Senate and of the House of Representatives with jurisdiction
over this Act, and the Special Committee on Aging of the Senate.''.

4b287f1803e2766289722d94f581811ed133ba4b542e9b0de8f66120b0c553fe

(a) Definitions for National Family Caregiver Support Program.--
Section 372(a) (42 U.S.C. 3030s(a)) is amended--
(1) by redesignating paragraphs (1) through (3) as paragraphs
(2) through (4), respectively; and
(2) by inserting before paragraph (2), as so redesignated, the
following:
``(1) Caregiver assessment.--The term `caregiver assessment'
means a defined process of gathering information to identify the
specific needs, barriers to carrying out caregiving
responsibilities, and existing supports of a family caregiver or
older relative caregiver, as identified by the caregiver involved,
to appropriately target recommendations for support services
described in section 373(b). Such assessment shall be administered
through direct contact with the caregiver, which may include
contact through a home visit, the Internet, telephone or
teleconference, or in-person interaction.''.
(b) General Authority.--Section 373 (42 U.S.C. 3030s-1) is
amended--
(1) in subsection (b), in the matter preceding paragraph (1),
by inserting ``which may be informed through the use of caregiver
assessments,'' after ``provided,'';
(2) in subsection (e)(3), in the first sentence, by inserting
``, including caregiver assessments used in the State,'' after
``mechanisms'';
(3) by redesignating subsections (e) through (g) as subsections
(f) through (h), respectively;
(4) by inserting after subsection (d) the following:
``(e) Best Practices.--Not later than 1 year after the date of
enactment of the Supporting Older Americans Act of 2020 and every 5
years thereafter, the Assistant Secretary shall--
``(1) identify best practices relating to the programs carried
out under this section and section 631, regarding--
``(A) the use of procedures and tools to monitor and
evaluate the performance of the programs carried out under such
sections;
``(B) the use of evidence-based caregiver support services;
and
``(C) any other issue determined relevant by the Assistant
Secretary; and
``(2) make available, including on the website of the
Administration and pursuant to section 202(a)(34), best practices
described in paragraph (1), to carry out the programs under this
section and section 631.''; and
(5) by adding at the end the following:
``(i) Activities of National Significance.--The Assistant Secretary
may award funds authorized under this section to States, public
agencies, private nonprofit agencies, institutions of higher education,
and organizations, including tribal organizations, for conducting
activities of national significance that--
``(1) promote quality and continuous improvement in the support
provided to family caregivers and older relative caregivers through
programs carried out under this section and section 631; and
``(2) include, with respect to such programs, program
evaluation, training, technical assistance, and research.
``(j) Technical Assistance for Caregiver Assessments.--Not later
than 1 year after the date of enactment of the Supporting Older
Americans Act of 2020, the Assistant Secretary, in consultation with
stakeholders with appropriate expertise and, as appropriate, informed
by the strategy developed under the RAISE Family Caregivers Act (42
U.S.C. 3030s note), shall provide technical assistance to promote and
implement the use of caregiver assessments. Such technical assistance
may include sharing available tools or templates, comprehensive
assessment protocols, and best practices concerning--
``(1) conducting caregiver assessments (including
reassessments) as needed;
``(2) implementing such assessments that are consistent across
a planning and service area, as appropriate; and
``(3) implementing caregiver support service plans, including
conducting referrals to and coordination of activities with
relevant State services.''.
(c) Report on Caregiver Assessments.--
(1) In general.--Not later than 3 years after the date of
enactment of this Act, the Assistant Secretary shall issue a report
on the use of caregiver assessments by area agencies on aging,
entities contracting with such agencies, and tribal organizations.
Such report shall include--
(A) an analysis of the current use of caregiver
assessments, as of the date of the report;
(B) an analysis of the potential impact of caregiver
assessments on--
(i) family caregivers and older relative caregivers;
and
(ii) the older individuals to whom the caregivers
described in clause (i) provide care;
(C) an analysis of the potential impact of using caregiver
assessments on the aging network;
(D) an analysis of how caregiver assessments are being used
to identify the specific needs, barriers to carrying out
caregiving responsibilities, and existing supports of family
caregivers and older relative caregivers, with particular
consideration to supporting--
(i) a caregiver specified in this subparagraph who is
caring for individuals with disabilities, or, if
appropriate, with a serious illness; and
(ii) caregivers with disabilities;
(E) recommendations for furthering the use of caregiver
assessments, as appropriate, including in rural or underserved
areas; and
(F) recommendations for assisting State agencies and area
agencies on aging, particularly in rural or underserved areas,
in implementing the use of caregiver assessments.
(2) Submission.--Not later than 6 months after the issuance of
the report specified in paragraph (1), the Assistant Secretary
shall submit the report to the committees of the Senate and the
House of Representatives with jurisdiction over this Act, and the
Special Committee on Aging of the Senate.
(3) Definitions.--In this subsection--
(A) the terms ``caregiver assessment'' and ``older relative
caregiver'' have the meanings given such terms in section
372(a) of the Older Americans Act of 1965 (42 U.S.C. 3030s(a));
(B) the term ``family caregiver'' has the meaning given the
term in section 302 of such Act (42 U.S.C. 3022); and
(C) the terms ``State agency'' and ``tribal organization''
have the meanings given the terms in section 102 of such Act
(42 U.S.C. 3002).
(d) Conforming Amendment.--Section 631(b) of such Act (42 U.S.C.
3057k-11(b)) is amended by striking ``(c), (d), and (e)'' and inserting
``(c), (d), and (f)''.

015dac62d32359aab2420f5f77bd06d394c79092d1a3ad89da63462b5a8c8f13

(a) Federal Share.--Subsection (h)(2), as redesignated by section
217(b)(3) of this Act, of section 373 (42 U.S.C. 3030s-1) is amended by
striking subparagraph (C).
(b) Monitoring the Impact of the Elimination of the Cap on Funds
for Older Relative Caregivers.--
(1) Report.--Not later than 18 months after the date of
enactment of this Act, and annually thereafter, the Assistant
Secretary shall submit to the Committee on Health, Education,
Labor, and Pensions of the Senate and the Committee on Education
and Labor of the House of Representatives a report on the impact of
the amendment made by subsection (a) to eliminate the limitation on
funds that States may allocate to provide support services to older
relative caregivers in the National Family Caregiver Support
Program established under part E of title III of the Older
Americans Act of 1965 (42 U.S.C. 3030s et seq.). Each such report
shall also be made available to the public.
(2) Contents.--For purposes of reports required by paragraph
(1), each State that receives an allotment under such National
Family Caregiver Support Program for fiscal year 2020 or a
subsequent fiscal year shall report to the Assistant Secretary for
the fiscal year involved the amount of funds of the total Federal
and non-Federal shares described in section 373(h)(2) of the Older
Americans Act of 1965 (42 U.S.C. 3030s-1(h)(2)) used by the State
to provide support services for older relative caregivers and the
amount of such funds so used for family caregivers.
LONGEVITY

4286d09c38b49cc4edde6c5dc96a343d5f198237fb9f5685912914455924495b

Section 411(b) (42 U.S.C. 3032(b)) is amended to read as follows:
``(b) Authorization of Appropriations.--There are authorized to be
appropriated to carry out--
``(1) aging network support activities under this section,
$14,514,550 for fiscal year 2020, $15,385,423 for fiscal year 2021,
$16,308,548 for fiscal year 2022, $17,287,061 for fiscal year 2023,
and $18,324,285 for fiscal year 2024; and
``(2) elder rights support activities under this section,
$15,613,440 for fiscal year 2020, $16,550,246 for fiscal year 2021,
$17,543,261 for fiscal year 2022, $18,595,857 for fiscal year 2023,
and $19,711,608 for fiscal year 2024.''.

9a7a33d3eeec0b5c1ed53c7ec0cf4a9282434b6434fa2132f876f180a4feded8

Section 411(a)(12) (42 U.S.C. 3032(a)(12)) is amended--
(1) by striking ``impairments'' and inserting ``impairments,'';
and
(2) by striking ``, and mental disorders'' and inserting ``,
mental disorders, and traumatic brain injury''.

53c2aef53fcd496be675c0599b8a616c141b51939467d15f38d8a97866229662

EDUCATION.
Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 119 and
120, is further amended--
(1) by redesignating paragraphs (15) and (16) as paragraphs
(17) and (18), respectively; and
(2) by inserting after paragraph (14) the following:
``(15) bringing to scale and sustaining evidence-based falls
prevention programs that will reduce the number of falls, fear of
falling, and fall-related injuries in older individuals, including
older individuals with disabilities;
``(16) bringing to scale and sustaining evidence-based chronic
disease self-management programs that empower older individuals,
including older individuals with disabilities, to better manage
their chronic conditions;''.

17b2c5a57b8f665b45ffe8d6c454bda28246a7db5547ee9b43a57a7259fce50c

ASSOCIATED WITH SOCIAL ISOLATION.
Section 411(a) (42 U.S.C. 3032(a)), as amended by sections 119,
120, and 303, is further amended--
(1) in paragraph (17), by striking ``; and'' and inserting a
semicolon;
(2) by redesignating paragraph (18) as paragraph (19); and
(3) by inserting after paragraph (17), the following:
``(18) projects that address negative health effects associated
with social isolation among older individuals; and''.

16020ae39b535f67b70bbaf3f3a422518a72f257c89d100aa02ae42a24ada068

TRANSPORTATION FOR OLDER INDIVIDUALS.
Section 416(b)(2) (42 U.S.C. 3032e(b)(2)) is amended--
(1) in subparagraph (B), by inserting before the semicolon ``,
call center, website or Internet-based portal, mobile application,
or other technological tools'';
(2) in subparagraph (C), by striking ``; and'' and inserting a
semicolon;
(3) by redesignating subparagraph (D) as subparagraph (G); and
(4) by inserting after subparagraph (C) the following:
``(D)(i) improving the aggregation, availability, and
accessibility of information on options for transportation
services for older individuals, including information on public
transit, on-demand transportation services, volunteer-based
transportation services, and other private transportation
providers; and
``(ii) providing older individuals with the ability to
schedule trips both in advance and on demand, as appropriate;
``(E) identifying opportunities to share resources and
reduce costs of transportation services for older individuals;
``(F) coordinating individualized trip planning responses
to requests from older individuals for transportation services;
and''.

2851d111b833837d58efdf8157bbd2e6c1594bf5d2c3bd90757e8fa89f697461

Section 417 (42 U.S.C. 3032f) is amended--
(1) by amending subsection (a) to read as follows:
``(a) Grants and Contracts.--The Assistant Secretary shall award
grants to and enter into contracts with eligible organizations to carry
out projects, serving individuals in younger generations and older
individuals, to--
``(1) provide opportunities for older individuals to
participate in multigenerational activities and civic engagement
activities that contribute to the health and wellness of older
individuals and individuals in younger generations by promoting--
``(A) meaningful roles for participants;
``(B) reciprocity in relationship building;
``(C) reduced social isolation and improved participant
social connectedness;
``(D) improved economic well-being for older individuals;
``(E) increased lifelong learning; or
``(F) support for caregivers of families by--
``(i) providing support for older relative caregivers
(as defined in section 372(a)) raising children (such as
support for kinship navigator programs); or
``(ii) involving volunteers who are older individuals
who provide support and information to families who have a
child with a disability or chronic illness, or other
families in need of such family support;
``(2) coordinate multigenerational activities and civic
engagement activities, including multigenerational nutrition and
meal service programs;
``(3) promote volunteerism, including by providing
opportunities for older individuals to become a mentor to
individuals in younger generations; and
``(4) facilitate development of, and participation in,
multigenerational activities and civic engagement activities.'';
(2) by striking subsection (g);
(3) by redesignating subsections (b) through (f) as subsections
(c) through (g), respectively;
(4) by inserting after subsection (a) the following:
``(b) Grant and Contract Periods.--Each grant awarded and contract
entered into under subsection (a) shall be for a period of not less
than 36 months.'';
(5) by amending subsection (c), as so redesignated, to read as
follows:
``(c) Use of Funds.--
``(1) In general.--An eligible organization shall use funds
made available under a grant awarded, or a contract entered into,
under this section to carry out a project described in subsection
(a).
``(2) Provision of projects through grantees.--In awarding
grants and entering into contracts under this section, the
Assistant Secretary shall ensure that such grants and contracts are
for the projects that satisfy each requirement under paragraphs (1)
through (4) of subsection (a).'';
(6) in subsection (d), as so redesignated--
(A) in paragraph (1), by inserting ``, intent to carry out,
or intent to partner with local organizations or multiservice
organizations to carry out,'' after ``record of carrying out'';
(B) in paragraph (3), by striking ``; and'' and inserting a
semicolon;
(C) in paragraph (4), by striking the period and inserting
``; and''; and
(D) by adding at the end the following:
``(5) eligible organizations proposing multigenerational
activity projects that utilize shared site programs, such as
collocated child care and long-term care facilities.'';
(7) by amending subsections (f) and (g), as so redesignated, to
read as follows:
``(f) Eligible Organizations.--Organizations eligible to receive a
grant or enter into a contract under subsection (a) shall--
``(1) be a State, an area agency on aging, or an organization
that provides opportunities for older individuals to participate in
activities described in such subsection; and
``(2) have the capacity to conduct the coordination, promotion,
and facilitation described in such subsection through the use of
multigenerational coordinators.
``(g) Evaluation.--
``(1) In general.--Not later than 3 years after the date of
enactment of the Supporting Older Americans Act of 2020, the
Assistant Secretary shall, through data submitted by organizations
carrying out projects through grants or contracts under this
section, evaluate the activities supported through such grants and
contracts to determine--
``(A) the effectiveness of such activities;
``(B) the impact of such activities on the community being
served and the organization providing the activities; and
``(C) the impact of such activities on older individuals
participating in such projects.
``(2) Report to congress.--Not later than 6 months after the
Assistant Secretary completes the evaluation under paragraph (1),
the Assistant Secretary shall prepare and submit to the Speaker of
the House of Representatives and the President pro tempore of the
Senate a report that assesses such evaluation and contains, at a
minimum--
``(A) the names or descriptive titles of the projects
funded under subsection (a);
``(B) a description of the nature and operation of such
projects;
``(C) the names and addresses of organizations that
conducted such projects;
``(D) a description of the methods and success of such
projects in recruiting older individuals as employees and as
volunteers to participate in the projects;
``(E) a description of the success of the projects in
retaining older individuals participating in such projects as
employees and as volunteers;
``(F) the rate of turnover of older individuals who are
employees or volunteers in such projects;
``(G) a strategy for disseminating the findings resulting
from such projects; and
``(H) any policy change recommendations relating to such
projects.''; and
(8) in subsection (h)(2)(B)(i), by striking ``individuals from
the generations with older individuals'' and inserting ``older
individuals''.

afe09a82afcc912261ad2a2aaeb1745a7d0552b31aa8457d587121fd1a1b8227

PROGRAM.
(a) Priority.--The Act (42 U.S.C. 3001 et seq.) is amended--
(1) in section 503(a)(4)(C) (42 U.S.C. 3056a(a)(4)(C))--
(A) in clause (iii), by striking ``and'' at the end;
(B) in clause (iv), by adding ``and'' at the end; and
(C) by adding at the end the following:
``(v) eligible individuals who have been incarcerated
within the last 5 years or are under supervision following
release from prison or jail within the last 5 years;'';
(2) in section 514(e)(1) (42 U.S.C. 3056l(e)(1)), by inserting
``eligible individuals who have been incarcerated or are under
supervision following release from prison or jail,'' after
``need,''; and
(3) in section 518 (42 U.S.C. 3056p)--
(A) in subsection (a)(3)(B)(ii)--
(i) in subclause (IV), by striking ``or'' at the end;
(ii) in subclause (V), by striking the period at the
end and inserting ``; or''; and
(iii) by adding at the end the following:
``(VI) have been incarcerated within the last 5
years or are under supervision following release from
prison or jail within the last 5 years.''; and
(B) in subsection (b)(2)--
(i) in subparagraph (F), by striking ``or'' at the end;
(ii) in subparagraph (G), by striking the period at the
end and inserting ``; or''; and
(iii) by adding at the end the following:
``(H) has been incarcerated within the last 5 years or is
under supervision following release from prison or jail within
the last 5 years.''.
(b) Transition Period.--This section shall take effect 1 year after
the date of enactment of this Act.

79586f5f06a2191e0080509a4c2441337a01f895531693d9ae571922d38b0f63

TITLE IV

-SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM

Section 517(a) (42 U.S.C. 3056o(a)) is amended to read as follows:
``(a) In General.--There are authorized to be appropriated to carry
out this title $428,000,000 for fiscal year 2020, $453,680,000 for
fiscal year 2021, $480,900,800 for fiscal year 2022, $509,754,848 for
fiscal year 2023, and $540,340,139 for fiscal year 2024.''.

d18d36d6bd7e829aab07aa2a498f38d30eb0aed63f27ef36cf83a00cc13111c8

Title VI (42 U.S.C. 3057 et seq.) is amended--
(1) in part D (42 U.S.C. 3057l et seq.)--
(A) by amending section 643 (42 U.S.C. 3057n) to read as
follows:
``SEC. 643. AUTHORIZATION OF APPROPRIATIONS.
``There are authorized to be appropriated to carry out this title--
``(1) for parts A and B, $37,102,560 for fiscal year 2020,
$39,298,714 for fiscal year 2021, $41,626,636 for fiscal year 2022,
$44,094,235 for fiscal year 2023, and $46,709,889 for fiscal year
2024; and
``(2) for part C, $10,759,920 for fiscal year 2020, $11,405,515
for fiscal year 2021, $12,089,846 for fiscal year 2022, $12,815,237
for fiscal year 2023, and $13,584,151 for fiscal year 2024.''; and
(B) by adding at the end the following:
``SEC. 644. FUNDING SET ASIDE.
``Of the funds appropriated under section 643(1) for a fiscal year,
not more than 5 percent shall be made available to carry out part D for
such fiscal year, provided that for such fiscal year--
``(1) the funds appropriated for parts A and B are greater than
the funds appropriated for fiscal year 2019; and
``(2) the Assistant Secretary makes available for parts A and B
no less than the amount of resources made available for fiscal year
2019.'';
(2) by redesignating part D, as so amended, as part E; and
(3) by inserting after part C the following:
``PART D--SUPPORTIVE SERVICES FOR HEALTHY AGING AND INDEPENDENCE
``SEC. 636. PROGRAM.
``(a) In General.--The Assistant Secretary may carry out a
competitive demonstration program for making grants to tribal
organizations or organizations serving Native Hawaiians with
applications approved under parts A and B, to pay for the Federal share
of carrying out programs, to enable the organizations described in this
subsection to build their capacity to provide a wider range of in-home
and community supportive services to enable older individuals to
maintain their health and independence and to avoid long-term care
facility placement.
``(b) Supportive Services.--
``(1) In general.--Subject to paragraph (2), supportive
services described in subsection (a) may include any of the
activities described in section 321(a).
``(2) Priority.--The Assistant Secretary, in making grants
under this section, shall give priority to organizations that will
use the grant funds for supportive services described in subsection
(a) that are for in-home assistance, transportation, information
and referral, case management, health and wellness programs, legal
services, family caregiver support services, and other services
that directly support the independence of the older individuals
served.
``(3) Rule of construction.--Nothing in this section shall be
construed or interpreted to prohibit the provision of supportive
services under part A or B.''.
ACTIVITIES AND OTHER PROGRAMS

e0d43dcc48f1e61b750e51a8f69723f66aa68d30484c0e2c58f114d93794e152

ACTIVITIES.
Section 702 (42 U.S.C. 3058a) is amended by striking subsections
(a) and (b) and inserting the following:
``(a) Ombudsman Program.--There are authorized to be appropriated
to carry out chapter 2, $18,066,950 for fiscal year 2020, $19,150,967
for fiscal year 2021, $20,300,025 for fiscal year 2022, $21,518,027 for
fiscal year 2023, and $22,809,108 for fiscal year 2024.
``(b) Other Programs.--There are authorized to be appropriated to
carry out chapters 3 and 4, $5,107,110 for fiscal year 2020, $5,413,537
for fiscal year 2021, $5,738,349 for fiscal year 2022, $6,082,650 for
fiscal year 2023, and $6,447,609 for fiscal year 2024.''.

441e99df354a9391c92fb40ff7f49bb2d70f4d0feb8f044342cdd083afbf4f4a

Section 712(a)(5) (42 U.S.C. 3058g(a)(5)) is amended by adding at
the end the following:
``(E) Rule of construction for volunteer ombudsman
representatives.--Nothing in this paragraph shall be construed
as prohibiting the program from providing and financially
supporting recognition for an individual designated under
subparagraph (A) as a volunteer to represent the Ombudsman
program, or from reimbursing or otherwise providing financial
support to such an individual for any costs, such as
transportation costs, incurred by the individual in serving as
such volunteer.''.

1035b7cf7e956c2547f4467644e588705923688f43a5985aa70fb88e6185cf27

Section 721(b)(12) (42 U.S.C. 3058i(b)(12)) is amended--
(1) in subparagraph (C), by inserting ``community outreach and
education,'' after ``technical assistance,''; and
(2) in subparagraph (F)--
(A) by striking ``studying'' and inserting
``implementing''; and
(B) by inserting ``, programs, and materials'' after
``practices''.

0ccf8b2554b561a3996faaa040745c3cf42060be4ac2952de48d6976a976a6e0

DURING SERIOUS ILLNESS.
(a) Definitions.--
(1) Administrator.--The term ``Administrator'' means the
Administrator of the Administration for Community Living.
(2) Covered agency.--The term ``covered agency'' means--
(A) a State agency or area agency on aging; and
(B) a Federal agency other than the Department of Health
and Human Services, and a unit of that Department other than
the Administration on Aging, that the Assistant Secretary
determines performs functions for which the principles are
relevant, and the Centers for Medicare & Medicaid Services.
(3) Principles.--The term ``principles'' means the Principles
for Person-directed Services and Supports during Serious Illness,
issued by the Administration for Community Living on September 1,
2017, or an updated set of such Principles.
(4) State agency.--The term ``State agency'' has the meaning
given the term in section 102 of the Older Americans Act of 1965
(42 U.S.C. 3002).
(b) Dissemination.--The Administrator shall disseminate the
principles to appropriate stakeholders within the aging network, as
determined by the Assistant Secretary, and to covered agencies. The
covered agencies may use the principles in setting priorities for
service delivery and care plans in programs carried out by the
agencies.
(c) Feedback.--The Administrator shall solicit, on an ongoing
basis, feedback on the principles from covered agencies, experts in the
fields of aging and dementia, and stakeholders who provide or receive
disability services.
(d) Report.--Not less often than once, but not more often than
annually, during the 3 years after the date of enactment of this Act,
the Administrator shall prepare and submit to Congress a report
describing the feedback received under subsection (c) and indicating if
any changes or updates are needed to the principles.

9edf3d2840ce9d6188ce9b925032231bf3833c417fc3a0dc85010b0bbac8e4c6

GRANDCHILDREN ACT.
Section 3(f) of the Supporting Grandparents Raising Grandchildren
Act (Public Law 115-196) is amended by striking ``3'' and inserting
``4''.

3ca1da496a985856155cb70d7b631e562da92b0808d4a43fc7715945920a6ef1

Not later than 3 years after the date of enactment of this Act, the
Assistant Secretary shall issue a report updating the best practices
for home and community-based ombudsmen that were included in the report
entitled ``Best Practices for Home and Community-Based Ombudsmen'',
issued by the National Direct Service Workforce Resource Center of the
Centers for Medicare & Medicaid Services and prepared by the Research
and Training Center at the University of Minnesota and The Lewin Group
(January 2013).

aaf0c849711fa2093ef93fcb26fb96200de0d176c3dc726615718bea981315ae

Not later than 2 years after the date of enactment of this Act, the
Comptroller General of the United States shall conduct a study and
issue a report that includes--
(1) an inventory of Federal programs, administered by the
Department of Health and Human Services, the Department of Housing
and Urban Development, or any other Federal agency or department
determined appropriate by the Comptroller General, that support
evidence-based falls prevention, home assessments, and home
modifications for older individuals and individuals with
disabilities;
(2) statistical data, for recent fiscal years, on the number of
older individuals and individuals with disabilities served by each
Federal program described in paragraph (1) and the approximate
amount of Federal funding invested in each such program;
(3) a demographic analysis of individuals served by each such
program for recent fiscal years;
(4) an analysis of duplication and gaps in populations
supported by the Federal programs described in paragraph (1);
(5) what is known about the impact of the Federal programs
described in paragraph (1) on health status and health outcomes in
populations supported by such programs;
(6) a review of Federal efforts to coordinate Federal programs
existing prior to the date of enactment of this Act that support
evidence-based falls prevention, home assessments, and home
modifications for older individuals and individuals with
disabilities and any considerations for improving coordination,
which may include an indication of the Federal agency or department
that is best suited to coordinate such Federal programs; and
(7) information on the extent to which consumer-friendly
resources, such as a brochure, are available through the National
Eldercare Locator Service established under section 202(a)(21) of
the Older Americans Act of 1965 (42 U.S.C. 3012(a)(21)), are
accessible to all area agencies on aging, and contain information
on evidence-based falls prevention, home assessments, and home
modifications for older individuals attempting to live
independently and safely in their homes and for the caregivers of
such individuals.

535c51287039198d7ecb113d17217f8f3f909f39fd3b289698aac284924d8da2

The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is
amended--
(1) in section 102(37)(A) (42 U.S.C. 3002(37)(A)), by striking
``paragraph (5)'' and inserting ``paragraph (26)'';
(2) in section 202(a)(23) (42 U.S.C. 3012(a)(23)), by striking
``sections 307(a)(18) and 731(b)(2)'' and inserting ``sections
307(a)(13) and 731'';
(3) in section 202(e)(1)(A) (42 U.S.C. 3012(e)(1)(A)), by
moving the left margin of clause (i) 2 ems to the left;
(4) in sections 203(c)(7) (42 U.S.C. 3013(c)(7)), 207(b)(2)(B)
(42 U.S.C. 3018(b)(2)(B)), and 215(i) (42 U.S.C. 3020e-1(i)), by
striking ``Committee on Education and the Workforce'' each place it
appears and inserting ``Committee on Education and Labor'';
(5) in section 207(b)(3)(A) (42 U.S.C. 3018(b)(3)(A)), by
striking ``Administrator of the Health Care Finance
Administration'' and inserting ``Administrator of the Centers for
Medicare & Medicaid Services'';
(6) in section 304(a)(3)(C) (42 U.S.C. 3024(a)(3)(C)), by
striking ``term'' and all that follows through ``does'' and
inserting ``term `State' does'';
(7) in section 304(d)(1)(B), by striking ``(excluding'' and all
that follows through ``303(a)(3))'';
(8) in section 306(a) (42 U.S.C. 3026(a))--
(A) in paragraph (1), by inserting ``the number of older
individuals at risk for institutional placement residing in
such area,'' before ``and the number of older individuals who
are Indians''; and
(B) in paragraph (2)(B), by striking ``who are victims of''
and inserting ``with'';
(9) in section 339(2)(A)(ii)(I) (42 U.S.C. 3030g-
21(2)(A)(ii)(I)), by striking ``Institute of Medicine of the
National Academy of Sciences'' and inserting ``National Academies
of Sciences, Engineering, and Medicine'';
(10) in section 611 (42 U.S.C. 3057b), by striking ``(a)'';
(11) in section 614(c)(4) (42 U.S.C. 3057e(c)(4)), by striking
``(a)(12)'' and inserting ``(a)(11)''; and
(12) in section 721(i) (42 U.S.C. 3058i(i), by striking
``section 206(g)'' and inserting ``section 206(h)''.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.

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Supporting Older Americans Act of 2020 — HR. 4334

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