[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6197 Enrolled Bill (ENR)]
H.R.6197
One Hundred Ninth Congress
of the
United States of America
AT THE SECOND SESSION
Begun and held at the City of Washington on Tuesday,
the third day of January, two thousand and six
An Act
To amend the Older Americans Act of 1965 to authorize appropriations for
fiscal years 2007 through 2011, 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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(a) Short Title.--This Act may be cited as the ``Older Americans
Act Amendments of 2006''.
(b) Table of Contents.--The table of contents for this Act is as
follows:

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TITLE II

-ADMINISTRATION ON AGING

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TITLE III

-GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING

0230274eff48296d1238b06c39131ff983d51526513c2f39b0d4da89754fa47c

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TITLE IV

-ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY

multigenerational activities and civic engagement activities.

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(a) In General.--Section 102 of the Older Americans Act of 1965 (42
U.S.C. 3002) is amended--
(1) by striking paragraph (10) and inserting the following:
``(10)(A) The term `assistive device' includes an assistive
technology device.
``(B) The terms `assistive technology', `assistive technology
device', and `assistive technology service' have the meanings given
such terms in section 3 of the Assistive Technology Act of 1998 (29
U.S.C. 3002).'';
(2) by striking paragraph (12)(D) and inserting the following:
``(D) evidence-based health promotion programs, including
programs related to the prevention and mitigation of the
effects of chronic disease (including osteoporosis,
hypertension, obesity, diabetes, and cardiovascular disease),
alcohol and substance abuse reduction, smoking cessation,
weight loss and control, stress management, falls prevention,
physical activity, and improved nutrition;'';
(3) by striking paragraph (24) and inserting the following:
``(24)(A) The term `exploitation' means the fraudulent or
otherwise illegal, unauthorized, or improper act or process of an
individual, including a caregiver or fiduciary, that uses the
resources of an older individual for monetary or personal benefit,
profit, or gain, or that results in depriving an older individual
of rightful access to, or use of, benefits, resources, belongings,
or assets.
``(B) In subparagraph (A), the term `caregiver' means an
individual who has the responsibility for the care of an older
individual, either voluntarily, by contract, by receipt of payment
for care, or as a result of the operation of law and means a family
member or other individual who provides (on behalf of such
individual or of a public or private agency, organization, or
institution) compensated or uncompensated care to an older
individual.'';
(4) in paragraph (29)(E)--
(A) in clause (i), by striking ``and'' at the end;
(B) in clause (ii), by striking the period at the end and
inserting ``; and''; and
(C) by adding at the end the following:
``(iii) older individuals at risk for institutional
placement.'';
(5) in paragraph (32)(D), by inserting ``, including an
assisted living facility,'' after ``home'';
(6) by striking paragraph (34) and inserting the following:
``(34) The term `neglect' means--
``(A) the failure of a caregiver (as defined in paragraph
(18)(B)) or fiduciary to provide the goods or services that are
necessary to maintain the health or safety of an older
individual; or
``(B) self-neglect.''; and
(7) by adding at the end the following:
``(44) The term `Aging and Disability Resource Center' means an
entity established by a State as part of the State system of long-
term care, to provide a coordinated system for providing--
``(A) comprehensive information on the full range of
available public and private long-term care programs, options,
service providers, and resources within a community, including
information on the availability of integrated long-term care;
``(B) personal counseling to assist individuals in
assessing their existing or anticipated long-term care needs,
and developing and implementing a plan for long-term care
designed to meet their specific needs and circumstances; and
``(C) consumers access to the range of publicly-supported
long-term care programs for which consumers may be eligible, by
serving as a convenient point of entry for such programs.
``(45) The term `at risk for institutional placement' means,
with respect to an older individual, that such individual is unable
to perform at least 2 activities of daily living without
substantial assistance (including verbal reminding, physical cuing,
or supervision) and is determined by the State involved to be in
need of placement in a long-term care facility.
``(46) The term `civic engagement' means an individual or
collective action designed to address a public concern or an unmet
human, educational, health care, environmental, or public safety
need.
``(47) The term `elder justice'--
``(A) used with respect to older individuals, collectively,
means efforts to prevent, detect, treat, intervene in, and
respond to elder abuse, neglect, and exploitation and to
protect older individuals with diminished capacity while
maximizing their autonomy; and
``(B) used with respect to an individual who is an older
individual, means the recognition of the individual's rights,
including the right to be free of abuse, neglect, and
exploitation.
``(48) The term `fiduciary'--
``(A) means a person or entity with the legal
responsibility--
``(i) to make decisions on behalf of and for the
benefit of another person; and
``(ii) to act in good faith and with fairness; and
``(B) includes a trustee, a guardian, a conservator, an
executor, an agent under a financial power of attorney or
health care power of attorney, or a representative payee.
``(49) The term `Hispanic-serving institution' has the meaning
given the term in section 502 of the Higher Education Act of 1965
(20 U.S.C. 1101a).
``(50) The term `long-term care' means any service, care, or
item (including an assistive device), including a disease
prevention and health promotion service, an in-home service, and a
case management service--
``(A) intended to assist individuals in coping with, and to
the extent practicable compensate for, a functional impairment
in carrying out activities of daily living;
``(B) furnished at home, in a community care setting
(including a small community care setting as defined in
subsection (g)(1), and a large community care setting as
defined in subsection (h)(1), of section 1929 of the Social
Security Act (42 U.S.C. 1396t)), or in a long-term care
facility; and
``(C) not furnished to prevent, diagnose, treat, or cure a
medical disease or condition.
``(51) The term `self-directed care' means an approach to
providing services (including programs, benefits, supports, and
technology) under this Act intended to assist an individual with
activities of daily living, in which--
``(A) such services (including the amount, duration, scope,
provider, and location of such services) are planned, budgeted,
and purchased under the direction and control of such
individual;
``(B) such individual is provided with such information and
assistance as are necessary and appropriate to enable such
individual to make informed decisions about the individual's
care options;
``(C) the needs, capabilities, and preferences of such
individual with respect to such services, and such individual's
ability to direct and control the individual's receipt of such
services, are assessed by the area agency on aging (or other
agency designated by the area agency on aging) involved;
``(D) based on the assessment made under subparagraph (C),
the area agency on aging (or other agency designated by the
area agency on aging) develops together with such individual
and the individual's family, caregiver (as defined in paragraph
(18)(B)), or legal representative--
``(i) a plan of services for such individual that
specifies which services such individual will be
responsible for directing;
``(ii) a determination of the role of family members
(and others whose participation is sought by such
individual) in providing services under such plan; and
``(iii) a budget for such services; and
``(E) the area agency on aging or State agency provides for
oversight of such individual's self-directed receipt of
services, including steps to ensure the quality of services
provided and the appropriate use of funds under this Act.
``(52) The term `self-neglect' means an adult's inability, due
to physical or mental impairment or diminished capacity, to perform
essential self-care tasks including--
``(A) obtaining essential food, clothing, shelter, and
medical care;
``(B) obtaining goods and services necessary to maintain
physical health, mental health, or general safety; or
``(C) managing one's own financial affairs.
``(53) The term `State system of long-term care' means the
Federal, State, and local programs and activities administered by a
State that provide, support, or facilitate access to long-term care
for individuals in such State.
``(54) The term `integrated long-term care'--
``(A) means items and services that consist of--
``(i) with respect to long-term care--
``(I) long-term care items or services provided
under a State plan for medical assistance under the
Medicaid program established under title XIX of the
Social Security Act (42 U.S.C. 1396 et seq.), including
nursing facility services, home and community-based
services, personal care services, and case management
services provided under the plan; and
``(II) any other supports, items, or services that
are available under any federally funded long-term care
program; and
``(ii) with respect to other health care, items and
services covered under--
``(I) the Medicare program established under title
XVIII of the Social Security Act (42 U.S.C. 1395 et
seq.);
``(II) the State plan for medical assistance under
the Medicaid program; or
``(III) any other federally funded health care
program; and
``(B) includes items or services described in subparagraph
(A) that are provided under a public or private managed care
plan or through any other service provider.''.
(b) Redesignation and Reordering of Definitions.--Section 102 of
the Older Americans Act of 1965 (42 U.S.C. 3002) is amended--
(1) by redesignating paragraphs (1) through (54) as paragraphs
(45), (7), (50), (39), (26), (27), (54), (13), (48), (8), (29),
(14), (1), (2), (3), (5), (6), (10), (30), (37), (11), (15), (16),
(18), (21), (22), (23), (24), (28), (31), (33), (35), (36), (38),
(40), (41), (42), (43), (44), (51), (53), (19), (49), (4), (9),
(12), (17), (20), (25), (34), (46), (47), (52), and (32),
respectively; and
(2) so that paragraphs (1) through (54), as so redesignated in
paragraph (1), appear in numerical order.

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TITLE I

-GENERAL PROVISION

Section 201 of the Older Americans Act of 1965 (42 U.S.C. 3011) is
amended by adding at the end the following:
``(e)(1) The Assistant Secretary is authorized to designate within
the Administration a person to have responsibility for elder abuse
prevention and services.
``(2) It shall be the duty of the Assistant Secretary, acting
through the person designated to have responsibility for elder abuse
prevention and services--
``(A) to develop objectives, priorities, policy, and a long-
term plan for--
``(i) facilitating the development, implementation, and
continuous improvement of a coordinated, multidisciplinary
elder justice system in the United States;
``(ii) providing Federal leadership to support State
efforts in carrying out elder justice programs and activities
relating to--
``(I) elder abuse prevention, detection, treatment,
intervention, and response;
``(II) training of individuals regarding the matters
described in subclause (I); and
``(III) the development of a State comprehensive elder
justice system, as defined in section 752(b);
``(iii) establishing Federal guidelines and disseminating
best practices for uniform data collection and reporting by
States;
``(iv) working with States, the Department of Justice, and
other Federal entities to annually collect, maintain, and
disseminate data relating to elder abuse, neglect, and
exploitation, to the extent practicable;
``(v) establishing an information clearinghouse to collect,
maintain, and disseminate information concerning best practices
and resources for training, technical assistance, and other
activities to assist States and communities to carry out
evidence-based programs to prevent and address elder abuse,
neglect, and exploitation;
``(vi) conducting research related to elder abuse, neglect,
and exploitation;
``(vii) providing technical assistance to States and other
eligible entities that provide or fund the provision of the
services described in title VII;
``(viii) carrying out a study to determine the national
incidence and prevalence of elder abuse, neglect, and
exploitation in all settings; and
``(ix) promoting collaborative efforts and diminishing
duplicative efforts in the development and carrying out of
elder justice programs at the Federal, State and local levels;
and
``(B) to assist States and other eligible entities under title
VII to develop strategic plans to better coordinate elder justice
activities, research, and training.
``(3) The Secretary, acting through the Assistant Secretary, may
issue such regulations as may be necessary to carry out this subsection
and section 752.
``(f)(1) The Assistant Secretary may designate an officer or
employee who shall be responsible for the administration of mental
health services authorized under this Act.
``(2) It shall be the duty of the Assistant Secretary, acting
through the individual designated under paragraph (1), to develop
objectives, priorities, and a long-term plan for supporting State and
local efforts involving education about and prevention, detection, and
treatment of mental disorders, including age-related dementia,
depression, and Alzheimer's disease and related neurological disorders
with neurological and organic brain dysfunction.''.

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Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is
amended--
(1) in subsection (a)--
(A) in paragraph (5), by inserting ``assistive
technology,'' after ``housing,'';
(B) by striking paragraph (12) and inserting the following:
``(12)(A) consult and coordinate activities with the
Administrator of the Centers for Medicare & Medicaid Services and
the heads of other Federal entities to implement and build
awareness of programs providing benefits affecting older
individuals; and
``(B) carry on a continuing evaluation of the programs and
activities related to the objectives of this Act, with particular
attention to the impact of the programs and activities carried out
under--
``(i) titles XVIII and XIX of the Social Security Act (42
U.S.C. 1395 et seq., 1396 et seq.);
``(ii) the Age Discrimination in Employment Act of 1967 (29
U.S.C. 621 et seq.); and
``(iii) the National Housing Act (12 U.S.C. 1701 et seq.)
relating to housing for older individuals and the setting of
standards for the licensing of nursing homes, intermediate care
homes, and other facilities providing care for such
individuals;'';
(C) by striking paragraph (20) and inserting the following:
``(20)(A) encourage, and provide technical assistance to,
States, area agencies on aging, and service providers to carry out
outreach and benefits enrollment assistance to inform and enroll
older individuals with greatest economic need, who may be eligible
to participate, but who are not participating, in Federal and State
programs providing benefits for which the individuals are eligible,
including--
``(i) supplemental security income benefits under title XVI
of the Social Security Act (42 U.S.C. 1381 et seq.), or
assistance under a State plan program under such title;
``(ii) medical assistance under title XIX of such Act (42
U.S.C. 1396 et seq.);
``(iii) benefits under the Food Stamp Act of 1977 (7 U.S.C.
2011 et seq.); or
``(iv) benefits under any other applicable program; and
``(B) at the election of the Assistant Secretary and in
cooperation with related Federal agency partners administering the
Federal programs, make a grant to or enter into a contract with a
qualified, experienced entity to establish a National Center on
Senior Benefits Outreach and Enrollment, which shall--
``(i) maintain and update web-based decision support and
enrollment tools, and integrated, person-centered systems,
designed to inform older individuals about the full range of
benefits for which the individuals may be eligible under
Federal and State programs;
``(ii) utilize cost-effective strategies to find older
individuals with greatest economic need and enroll the
individuals in the programs;
``(iii) create and support efforts for Aging and Disability
Resource Centers, and other public and private State and
community-based organizations, including faith-based
organizations and coalitions, to serve as benefits enrollment
centers for the programs;
``(iv) develop and maintain an information clearinghouse on
best practices and cost-effective methods for finding and
enrolling older individuals with greatest economic need in the
programs for which the individuals are eligible; and
``(v) provide, in collaboration with related Federal agency
partners administering the Federal programs, training and
technical assistance on effective outreach, screening,
enrollment, and follow-up strategies;'';
(D) in paragraph (26)--
(i) in subsection (D)--
(I) by striking ``gaps in''; and
(II) by inserting ``(including services that would
permit such individuals to receive long-term care in
home and community-based settings)'' after
``individuals''; and
(ii) in subsection (E), by striking ``and'' at the end;
(E) in paragraph (27)--
(i) in subparagraph (B), by adding ``and'' at the end;
and
(ii) by striking subparagraph (D); and
(F) by adding at the end the following:
``(28) make available to States, area agencies on aging, and
service providers information and technical assistance to support
the provision of evidence-based disease prevention and health
promotion services.'';
(2) by striking subsections (b) and (c), and inserting the
following:
``(b) To promote the development and implementation of
comprehensive, coordinated systems at Federal, State, and local levels
that enable older individuals to receive long-term care in home and
community-based settings, in a manner responsive to the needs and
preferences of older individuals and their family caregivers, the
Assistant Secretary shall, consistent with the applicable provisions of
this title--
``(1) collaborate, coordinate, and consult with other Federal
entities responsible for formulating and implementing programs,
benefits, and services related to providing long-term care, and may
make grants, contracts, and cooperative agreements with funds
received from other Federal entities;
``(2) conduct research and demonstration projects to identify
innovative, cost-effective strategies for modifying State systems
of long-term care to--
``(A) respond to the needs and preferences of older
individuals and family caregivers; and
``(B) target services to individuals at risk for
institutional placement, to permit such individuals to remain
in home and community-based settings;
``(3) establish criteria for and promote the implementation
(through area agencies on aging, service providers, and such other
entities as the Assistant Secretary determines to be appropriate)
of evidence-based programs to assist older individuals and their
family caregivers in learning about and making behavioral changes
intended to reduce the risk of injury, disease, and disability
among older individuals;
``(4) facilitate, in coordination with the Administrator of the
Centers for Medicare & Medicaid Services, and other heads of
Federal entities as appropriate, the provision of long-term care in
home and community-based settings, including the provision of such
care through self-directed care models that--
``(A) provide for the assessment of the needs and
preferences of an individual at risk for institutional
placement to help such individual avoid unnecessary
institutional placement and depletion of income and assets to
qualify for benefits under the Medicaid program under title XIX
of the Social Security Act (42 U.S.C. 1396 et seq.);
``(B) respond to the needs and preferences of such
individual and provide the option--
``(i) for the individual to direct and control the
receipt of supportive services provided; or
``(ii) as appropriate, for a person who was appointed
by the individual, or is legally acting on the individual's
behalf, in order to represent or advise the individual in
financial or service coordination matters (referred to in
this paragraph as a `representative' of the individual), to
direct and control the receipt of those services; and
``(C) assist an older individual (or, as appropriate, a
representative of the individual) to develop a plan for long-
term support, including selecting, budgeting for, and
purchasing home and community-based long-term care and
supportive services;
``(5) provide for the Administration to play a lead role with
respect to issues concerning home and community-based long-term
care, including--
``(A) directing (as the Secretary or the President
determines to be appropriate) or otherwise participating in
departmental and interdepartmental activities concerning long-
term care;
``(B) reviewing and commenting on departmental rules,
regulations, and policies related to providing long-term care;
and
``(C) making recommendations to the Secretary with respect
to home and community-based long-term care, including
recommendations based on findings made through projects
conducted under paragraph (2);
``(6) promote, in coordination with other appropriate Federal
agencies--
``(A) enhanced awareness by the public of the importance of
planning in advance for long-term care; and
``(B) the availability of information and resources to
assist in such planning;
``(7) ensure access to, and the dissemination of, information
about all long-term care options and service providers, including
the availability of integrated long-term care;
``(8) implement in all States Aging and Disability Resource
Centers--
``(A) to serve as visible and trusted sources of
information on the full range of long-term care options,
including both institutional and home and community-based care,
which are available in the community;
``(B) to provide personalized and consumer-friendly
assistance to empower individuals to make informed decisions
about their care options;
``(C) to provide coordinated and streamlined access to all
publicly supported long-term care options so that consumers can
obtain the care they need through a single intake, assessment,
and eligibility determination process;
``(D) to help individuals to plan ahead for their future
long-term care needs; and
``(E) to assist (in coordination with the entities carrying
out the health insurance information, counseling, and
assistance program (receiving funding under section 4360 of the
Omnibus Budget Reconciliation Act of 1990 (42 U.S.C. 1395b-4))
in the States) beneficiaries, and prospective beneficiaries,
under the Medicare program established under title XVIII of the
Social Security Act (42 U.S.C. 1395 et seq.) in understanding
and accessing prescription drug and preventative health
benefits under the provisions of, and amendments made by, the
Medicare Prescription Drug, Improvement, and Modernization Act
of 2003;
``(9) establish, either directly or through grants or
contracts, national technical assistance programs to assist State
agencies, area agencies on aging, and community-based service
providers funded under this Act in implementing--
``(A) home and community-based long-term care systems,
including evidence-based programs; and
``(B) evidence-based disease prevention and health
promotion services programs;
``(10) develop, in collaboration with the Administrator of the
Centers for Medicare & Medicaid Services, performance standards and
measures for use by States to determine the extent to which their
State systems of long-term care fulfill the objectives described in
this subsection; and
``(11) conduct such other activities as the Assistant Secretary
determines to be appropriate.
``(c) The Assistant Secretary, in consultation with the Chief
Executive Officer of the Corporation for National and Community
Service, shall--
``(1) encourage and permit volunteer groups (including
organizations carrying out national service programs and including
organizations of youth in secondary or postsecondary school) that
are active in supportive services and civic engagement to
participate and be involved individually or through representative
groups in supportive service and civic engagement programs or
activities to the maximum extent feasible;
``(2) develop a comprehensive strategy for utilizing older
individuals to address critical local needs of national concern,
including the engagement of older individuals in the activities of
public and nonprofit organizations such as community-based
organizations, including faith-based organizations; and
``(3) encourage other community capacity-building initiatives
involving older individuals, with particular attention to
initiatives that demonstrate effectiveness and cost savings in
meeting critical needs.''; and
(3) in subsection (e)(1)(A), by striking the semicolon at the
end and inserting a period.

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Section 203 of the Older Americans Act of 1965 (42 U.S.C. 3013) is
amended--
(1) in subsection (a)(3)(A)--
(A) by striking ``(with particular attention to low-income
minority older individuals and older individuals residing in
rural areas)'' and inserting ``(with particular attention to
low-income older individuals, including low-income minority
older individuals, older individuals with limited English
proficiency, and older individuals residing in rural areas)'';
and
(B) by striking ``section 507'' and inserting ``section
518'';
(2) in subsection (b)--
(A) in paragraph (17), by striking ``and'' at the end;
(B) in paragraph (18), by striking the period and inserting
``, and''; and
(C) by adding at the end the following:
``(19) sections 4 and 5 of the Assistive Technology Act of 1998
(29 U.S.C. 3003, 3004).''; and
(3) by adding at the end the following:
``(c)(1) The Secretary, in collaboration with the Federal officials
specified in paragraph (2), shall establish an Interagency Coordinating
Committee on Aging (referred to in this subsection as the `Committee')
focusing on the coordination of agencies with respect to aging issues.
``(2) The officials referred to in paragraph (1) shall include the
Secretary of Labor and the Secretary of Housing and Urban Development,
and may include, at the direction of the President, the Attorney
General, the Secretary of Transportation, the Secretary of the
Treasury, the Secretary of Agriculture, the Secretary of Homeland
Security, the Commissioner of Social Security, and such other Federal
officials as the President may direct. An official described in this
paragraph may appoint a designee to carry out the official's duties
under paragraph (1).
``(3) The Secretary of Health and Human Services shall serve as the
first chairperson of the Committee, for 1 term, and the Secretary of
Housing and Urban Development shall serve as the chairperson for the
following term. After that following term, the Committee shall select a
chairperson from among the members of the Committee, and any member may
serve as the chairperson. No member may serve as the chairperson for
more than 1 consecutive term.
``(4) For purposes of this subsection, a term shall be a period of
2 calendar years.
``(5) The Committee shall meet not less often than once each year.
``(6) The Committee shall--
``(A) share information with and establish an ongoing system to
improve coordination among Federal agencies with responsibility for
programs and services for older individuals and recommend
improvements to such system with an emphasis on--
``(i) improving access to programs and services for older
individuals;
``(ii) maximizing the impact of federally funded programs
and services for older individuals by increasing the
efficiency, effectiveness, and delivery of such programs and
services;
``(iii) planning and preparing for the impact of
demographic changes on programs and services for older
individuals; and
``(iv) reducing or eliminating areas of overlap and
duplication by Federal agencies in the provision and
accessibility of such programs and services;
``(B) identify, promote, and implement (as appropriate), best
practices and evidence-based program and service models to assist
older individuals in meeting their housing, health care, and other
supportive service needs, including--
``(i) consumer-directed care models for home and community-
based care and supportive services that link housing, health
care, and other supportive services and that facilitate aging
in place, enabling older individuals to remain in their homes
and communities as the individuals age; and
``(ii) innovations in technology applications (including
assistive technology devices and assistive technology services)
that give older individuals access to information on available
services or that help in providing services to older
individuals;
``(C) collect and disseminate information about older
individuals and the programs and services available to the
individuals to ensure that the individuals can access comprehensive
information;
``(D) work with the Federal Interagency Forum on Aging-Related
Statistics, the Bureau of the Census, and member agencies to ensure
the continued collection of data relating to the housing, health
care, and other supportive service needs of older individuals and
to support efforts to identify and address unmet data needs;
``(E) actively seek input from and consult with nongovernmental
experts and organizations, including public health interest and
research groups and foundations about the activities described in
subparagraphs (A) through (F);
``(F) identify any barriers and impediments, including barriers
and impediments in statutory and regulatory law, to the access and
use by older individuals of federally funded programs and services;
and
``(G) work with States to better provide housing, health care,
and other supportive services to older individuals by--
``(i) holding meetings with State agencies;
``(ii) providing ongoing technical assistance to States
about better meeting the needs of older individuals; and
``(iii) working with States to designate liaisons, from the
State agencies, to the Committee.
``(7) Not later than 90 days following the end of each term, the
Committee shall prepare and submit to the Committee on Financial
Services of the House of Representatives, the Committee on Education
and the Workforce of the House of Representatives, the Committee on
Energy and Commerce of the House of Representatives, the Committee on
Ways and Means of the House of Representatives, the Committee on
Banking, Housing, and Urban Affairs of the Senate, the Committee on
Health, Education, Labor, and Pensions of the Senate, and the Special
Committee on Aging of the Senate, a report that--
``(A) describes the activities and accomplishments of the
Committee in--
``(i) enhancing the overall coordination of federally
funded programs and services for older individuals; and
``(ii) meeting the requirements of paragraph (6);
``(B) incorporates an analysis from the head of each agency
that is a member of the interagency coordinating committee
established under paragraph (1) that describes the barriers and
impediments, including barriers and impediments in statutory and
regulatory law (as the chairperson of the Committee determines to
be appropriate), to the access and use by older individuals of
programs and services administered by such agency; and
``(C) makes such recommendations as the chairman determines to
be appropriate for actions to meet the needs described in paragraph
(6) and for coordinating programs and services designed to meet
those needs.
``(8) On the request of the Committee, any Federal Government
employee may be detailed to the Committee without reimbursement, and
such detail shall be without interruption or loss of civil service
status or privilege.''.

23c74b814e30842d59eb2fce22bc443ca02f4607b86c7e198b10d233effabafa

Section 205 of the Older Americans Act of 1965 (42 U.S.C. 3016) is
amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) in subparagraph (C), by adding ``and'' at the end;
(ii) in subparagraph (D), by striking ``; and'' and
inserting a period; and
(iii) by striking subparagraph (E); and
(B) in paragraph (2)--
(i) in subparagraph (A)--
(I) by amending clause (i) to read as follows:
``(i) designing, implementing, and evaluating evidence-based
programs to support improved nutrition and regular physical
activity for older individuals;'';
(II) by amending clause (iii) to read as follows:
``(iii) conducting outreach and disseminating evidence-based
information to nutrition service providers about the benefits of
healthful diets and regular physical activity, including
information about the most current Dietary Guidelines for Americans
published under section 301 of the National Nutrition Monitoring
and Related Research Act of 1990 (7 U.S.C. 5341), the Food Guidance
System of the Department of Agriculture, and advances in nutrition
science;'';
(III) in clause (vii), by striking ``and'' at the
end; and
(IV) by striking clause (viii) and inserting the
following:
``(viii) disseminating guidance that describes strategies for
improving the nutritional quality of meals provided under title
III, including strategies for increasing the consumption of whole
grains, lowfat dairy products, fruits, and vegetables;
``(ix) developing and disseminating guidelines for conducting
nutrient analyses of meals provided under subparts 1 and 2 of part
C of title III, including guidelines for averaging key nutrients
over an appropriate period of time; and
``(x) providing technical assistance to the regional offices of
the Administration with respect to each duty described in clauses
(i) through (ix).''; and
(ii) by amending subparagraph (C)(i) to read as
follows:
``(i) have expertise in nutrition, energy balance, and meal
planning; and''.

e2bebdf385cc6575ff5ad3829d1865011e3400d0ca925ed8c5f7cf61d4e163ec

The first sentence of section 206(g) of the Older Americans Act of
1965 (42 U.S.C. 3017(g)) is amended to read as follows: ``From the
total amount appropriated for each fiscal year to carry out title III,
the Secretary may use such sums as may be necessary, but not to exceed
\1/2\ of 1 percent of such amount, for purposes of conducting
evaluations under this section, either directly or through grants or
contracts.''.

86e3b0a62a3675c0d0c9161dcaa0cbe5c52ddf7ee74bdd3734b5a24f47bbbd0d

Section 207(b)(2) of the Older Americans Act of 1965 (42 U.S.C.
3018(b)(2)) is amended--
(1) in subparagraph (B), by striking ``Labor'' and inserting
``the Workforce''; and
(2) in subparagraph (C), by striking ``Labor and Human
Resources'' and inserting ``Health, Education, Labor, and
Pensions''.

66550b090244c07687afc9702b679f721ce8326f6401e28653cb840f5fbb1b3b

APPROPRIATE USE OF FUNDS.
Section 212 of the Older Americans Act of 1965 (42 U.S.C. 3020c) is
amended to read as follows:
``SEC. 212. CONTRACTING AND GRANT AUTHORITY; PRIVATE PAY RELATIONSHIPS;
APPROPRIATE USE OF FUNDS.
``(a) In General.--Subject to subsection (b), this Act shall not be
construed to prevent a recipient of a grant or a contract under this
Act (other than title V) from entering into an agreement with a
profitmaking organization for the recipient to provide services to
individuals or entities not otherwise receiving services under this
Act, provided that--
``(1) if funds provided under this Act to such recipient are
initially used by the recipient to pay part or all of a cost
incurred by the recipient in developing and carrying out such
agreement, such agreement guarantees that the cost is reimbursed to
the recipient;
``(2) 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--
``(A) the individuals and entities may only purchase such
services at their fair market rate;
``(B) all costs incurred by the recipient in providing such
services (and not otherwise reimbursed under paragraph (1)),
are reimbursed to such recipient; and
``(C) 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
``(3) 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.
``(b) Ensuring Appropriate Use of Funds.--An agreement described in
subsection (a) may not--
``(1) be made without the prior approval of the State agency
(or, in the case of a grantee under title VI, without the prior
recommendation of the Director of the Office for American Indian,
Alaska Native, and Native Hawaiian Aging and the prior approval of
the Assistant Secretary), after timely submission of all relevant
documents related to the agreement including information on all
costs incurred;
``(2) 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;
``(3) 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
``(4) 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.
``(c) Monitoring and Reporting.--To ensure that any agreement
described in subsection (a) 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
annually prepare and submit to the chairpersons and ranking members of
the appropriate committees of Congress a report analyzing all such
agreements, and the costs incurred and services provided under the
agreements. This report shall contain information on the number of the
agreements per State, summaries of all the agreements, and information
on the type of organizations participating in the agreements, types of
services provided under the agreements, and the net proceeds from, and
documentation of funds spent and reimbursed, under the agreements.
``(d) Timely Reimbursement.--All reimbursements made under this
section shall be made in a timely manner, according to standards
specified by the Assistant Secretary.
``(e) Cost.--In this section, 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.''.

963abf4030643f3ef79978e327b28cd98c9b7d0da8eee8dbb80a5e4244ef6381

Section 214 of the Older Americans Act of 1965 (42 U.S.C. 3020e) is
amended to read as follows:
``SEC. 214. NUTRITION EDUCATION.
``The Assistant Secretary, in consultation with the Secretary of
Agriculture, shall conduct outreach and provide technical assistance to
agencies and organizations that serve older individuals to assist such
agencies and organizations to carry out integrated health promotion and
disease prevention programs that--
``(1) are designed for older individuals; and
``(2) include--
``(A) nutrition education;
``(B) physical activity; and
``(C) other activities to modify behavior and to improve
health literacy, including providing information on optimal
nutrient intake, through nutrition education and nutrition
assessment and counseling, in accordance with section
339(2)(J).''.

bf10fd81b8b39ebb1c6df927442a052b927f2320ad1b6c830c27484258d03b4d

Section 215 of the Older Americans Act of 1965 (42 U.S.C. 3020e-1)
is amended--
(1) in subsection (e)(1)(J), by striking ``and low income
retirees'' and inserting ``, low-income retirees, and older
individuals with limited English proficiency'';
(2) in subsection (f), by striking paragraph (2) and inserting
the following:
``(2) The ability of the entity to perform effective outreach
to affected populations, particularly populations with limited
English proficiency and other populations that are identified as in
need of special outreach.''; and
(3) in subsection (h)(2), by inserting ``(including individuals
with limited English proficiency)'' after ``individuals''.

71ccc5a35706bb111029203de2e429024ed22abc2b9c37326b51aa96c4d21c6f

Section 216 of the Older Americans Act of 1965 (42 U.S.C. 3020f) is
amended--
(1) in subsection (a), by striking ``2001, 2002, 2003, 2004,
and 2005'' and inserting ``2007, 2008, 2009, 2010, and 2011.''; and
(2) in subsections (b) and (c), by striking ``year'' and all
that follows through ``years'', and inserting ``years 2007, 2008,
2009, 2010, and 2011''.

a82564fb42838944d49b13d286003429823a60f958cce9fe2395fb60ebde4ed7

Section 301(a)(2) of the Older Americans Act of 1965 (42 U.S.C.
3021(a)(2)) is amended--
(1) in subparagraph (D), by striking ``and'' at the end;
(2) in subparagraph (E), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following:
``(F) organizations that have experience in providing training,
placement, and stipends for volunteers or participants who are
older individuals (such as organizations carrying out Federal
service programs administered by the Corporation for National and
Community Service), in community service settings.''.

5c5320e411c2be543c4b256f9b19fe49ba2313928f6d1ff1633395a3f497041d

Section 302 of the Older Americans Act of 1965 (42 U.S.C. 3022) is
amended--
(1) by adding at the end the following:
``(4) The term `family caregiver' means an adult family member,
or another individual, who is an informal provider of in-home and
community care to an older individual or to an individual with
Alzheimer's disease or a related disorder with neurological and
organic brain dysfunction.'';
(2) by redesignating paragraphs (2), (3), and (4) as paragraphs
(4), (2), and (3), respectively; and
(3) by moving paragraph (4), as so redesignated, to the end of
the section.

bc8e80bb6aaa8a10b22acac40f7ae06c39eca1dca93301166bc2733a6b6c4fa2

Section 303 of the Older Americans Act of 1965 (42 U.S.C. 3023) is
amended--
(1) in subsections (a)(1), (b), and (d), by striking ``year
2001'' and all that follows through ``years'' each place it
appears, and inserting ``years 2007, 2008, 2009, 2010, and 2011'';
and
(2) in subsection (e)--
(A) in paragraph (1) by striking ``$125,000,000'' and all
that follows and inserting ``$160,000,000 for fiscal year
2007.'';
(B) in paragraph (2), by striking ``such sums'' and all
that follows and inserting ``$166,500,000 for fiscal year 2008,
$173,000,000 for fiscal year 2009, $180,000,000 for fiscal year
2010, and $187,000,000 for fiscal year 2011.''; and
(C) in paragraph (3)--
(i) by striking ``(2)--'' and all that follows through
``1 percent'' and inserting ``(2), not more than 1
percent'';
(ii) by striking ``shall'' and inserting ``may''; and
(iii) by striking ``section 376'' and inserting
``section 411(a)(11)''.

7480a2f3799c75b5d3dfd05206651808de406e63797a15632c3c935c12283f13

Section 304(a)(3)(D) of the Older Americans Act of 1965 (42 U.S.C.
3024(a)(3)(D)) is amended to read as follows:
``(D)(i) No State shall be allotted less than the total amount
allotted to the State for fiscal year 2006.
``(ii) No State shall receive a percentage increase in an
allotment, above the State's fiscal year 2006 allotment, that is less
than--
``(I) for fiscal year 2007, 20 percent of the percentage
increase above the fiscal year 2006 allotments for all of the
States;
``(II) for fiscal year 2008, 15 percent of the percentage
increase above the fiscal year 2006 allotments for all of the
States;
``(III) for fiscal year 2009, 10 percent of the percentage
increase above the fiscal year 2006 allotments for all of the
States; and
``(IV) For fiscal year 2010, 5 percent of the percentage
increase above the fiscal year 2006 allotments for all of the
States.''.

8eb4200b5e5fe71cbc27d01ea5736ebddf2fcf97eccb76ec0dd098d5ba66922f

Section 305(a) of the Older Americans Act of 1965 (42 U.S.C.
3025(a)) is amended--
(1) in paragraph (1)(E)--
(A) by striking ``(with particular attention to low-income
minority individuals and older individuals residing in rural
areas)'' each place it appears and inserting ``(with particular
attention to low-income older individuals, including low-income
minority older individuals, older individuals with limited
English proficiency, and older individuals residing in rural
areas)''; and
(B) by striking ``and'' at the end;
(2) in paragraph (2)--
(A) in subparagraph (E), by striking ``, with particular
attention to low-income minority individuals and older
individuals residing in rural areas'' and inserting ``(with
particular attention to low-income older individuals, including
low-income minority older individuals, older individuals with
limited English proficiency, and older individuals residing in
rural areas)''; and
(B) in subparagraph (G), by striking the period and
inserting ``; and''; and
(3) by adding at the end the following:
``(3) the State agency shall, consistent with this section,
promote the development and implementation of a State system of
long-term care that is a comprehensive, coordinated system that
enables older individuals to receive long-term care in home and
community-based settings, in a manner responsive to the needs and
preferences of the older individuals and their family caregivers,
by--
``(A) collaborating, coordinating, and consulting with
other agencies in such State responsible for formulating,
implementing, and administering programs, benefits, and
services related to providing long-term care;
``(B) participating in any State government activities
concerning long-term care, including reviewing and commenting
on any State rules, regulations, and policies related to long-
term care;
``(C) conducting analyses and making recommendations with
respect to strategies for modifying the State system of long-
term care to better--
``(i) respond to the needs and preferences of older
individuals and family caregivers;
``(ii) facilitate the provision, by service providers,
of long-term care in home and community-based settings; and
``(iii) target services to individuals at risk for
institutional placement, to permit such individuals to
remain in home and community-based settings;
``(D) implementing (through area agencies on aging, service
providers, and such other entities as the State determines to
be appropriate) evidence-based programs to assist older
individuals and their family caregivers in learning about and
making behavioral changes intended to reduce the risk of
injury, disease, and disability among older individuals; and
``(E) providing for the availability and distribution
(through public education campaigns, Aging and Disability
Resource Centers, area agencies on aging, and other appropriate
means) of information relating to--
``(i) the need to plan in advance for long-term care;
and
``(ii) the full range of available public and private
long-term care (including integrated long-term care)
programs, options, service providers, and resources.''.

0c6714e1838ec67d58c106e85a595c3d38a71c90aed1666903f2830dabf71392

Section 306 of the Older Americans Act of 1965 (42 U.S.C. 3026) is
amended--
(1) in subsection (a)--
(A) in paragraph (1)--
(i) by striking ``(with particular attention to low-
income minority individuals and older individuals residing
in rural areas)'' and inserting ``(with particular
attention to low-income older individuals, including low-
income minority older individuals, older individuals with
limited English proficiency, and older individuals residing
in rural areas)'';
(ii) by striking ``(with particular attention to low-
income minority individuals)'' and inserting ``(with
particular attention to low-income older individuals,
including low-income minority older individuals, older
individuals with limited English proficiency, and older
individuals residing in rural areas)''; and
(iii) by inserting ``the number of older individuals at
risk for institutional placement residing in such area,''
after ``individuals) residing in such area,'';
(B) in paragraph (2)(A)--
(i) by inserting after ``transportation,'' the
following: ``health services (including mental health
services),''; and
(ii) by inserting after ``information and assistance''
the following: ``(which may include information and
assistance to consumers on availability of services under
part B and how to receive benefits under and participate in
publicly supported programs for which the consumer may be
eligible)'';
(C) in paragraph (4)--
(i) in subparagraph (A)--
(I) by amending clause (i) to read as follows:
``(i)(I) provide assurances that the area agency on aging
will--
``(aa) set specific objectives, consistent with State
policy, for providing services to older individuals with
greatest economic need, older individuals with greatest social
need, and older individuals at risk for institutional
placement;
``(bb) include specific objectives for providing services
to low-income minority older individuals, older individuals
with limited English proficiency, and older individuals
residing in rural areas; and
``(II) include proposed methods to achieve the objectives
described in items (aa) and (bb) of subclause (I);''; and
(II) in clause (ii), by inserting ``, older
individuals with limited English proficiency,'' after
``low-income minority individuals'' each place it
appears; and
(ii) in subparagraph (B)--
(I) by moving the left margin of each of
subparagraph (B), clauses (i) and (ii), and subclauses
(I) through (VI) of clause (i), 2 ems to the left; and
(II) in clause (i)--
(aa) in subclause (V), by striking ``with
limited English-speaking ability; and'' and
inserting ``with limited English proficiency;'';
(bb) in subclause (VI), by striking ``or
related'' and inserting ``and related''; and
(cc) by adding at the end the following:
``(VII) older individuals at risk for institutional
placement; and'';
(D) in paragraph (5), by inserting ``and individuals at
risk for institutional placement'' after ``severe
disabilities'';
(E) in paragraph (6)--
(i) in subparagraph (C)--
(I) in clause (i), by striking ``and'' at the end;
(II) in clause (ii), by adding ``and'' at the end;
and
(III) by inserting after clause (ii) the following:
``(iii) make use of trained volunteers in providing direct
services delivered to older individuals and individuals with
disabilities needing such services and, if possible, work in
coordination with organizations that have experience in
providing training, placement, and stipends for volunteers or
participants (such as organizations carrying out Federal
service programs administered by the Corporation for National
and Community Service), in community service settings;'';
(ii) in subparagraph (D)--
(I) by inserting ``family caregivers of such
individuals,'' after ``Act,''; and
(II) by inserting ``service providers,
representatives of the business community,'' after
``individuals,''; and
(iii) by amending subparagraph (F) to read as follows:
``(F) in coordination with the State agency and with the
State agency responsible for mental health services, increase
public awareness of mental health disorders, remove barriers to
diagnosis and treatment, and coordinate mental health services
(including mental health screenings) provided with funds
expended by the area agency on aging with mental health
services provided by community health centers and by other
public agencies and nonprofit private organizations;'';
(F) in paragraph (7), to read as follows:
``(7) provide that the area agency on aging shall, consistent
with this section, facilitate the area-wide development and
implementation of a comprehensive, coordinated system for providing
long-term care in home and community-based settings, in a manner
responsive to the needs and preferences of older individuals and
their family caregivers, by--
``(A) collaborating, coordinating activities, and
consulting with other local public and private agencies and
organizations responsible for administering programs, benefits,
and services related to providing long-term care;
``(B) conducting analyses and making recommendations with
respect to strategies for modifying the local system of long-
term care to better--
``(i) respond to the needs and preferences of older
individuals and family caregivers;
``(ii) facilitate the provision, by service providers,
of long-term care in home and community-based settings; and
``(iii) target services to older individuals at risk
for institutional placement, to permit such individuals to
remain in home and community-based settings;
``(C) implementing, through the agency or service
providers, evidence-based programs to assist older individuals
and their family caregivers in learning about and making
behavioral changes intended to reduce the risk of injury,
disease, and disability among older individuals; and
``(D) providing for the availability and distribution
(through public education campaigns, Aging and Disability
Resource Centers, the area agency on aging itself, and other
appropriate means) of information relating to--
``(i) the need to plan in advance for long-term care;
and
``(ii) the full range of available public and private
long-term care (including integrated long-term care)
programs, options, service providers, and resources;'';
(G) by striking paragraph (14) and the 2 paragraphs (15);
(H) by redesignating paragraph (16) as paragraph (14); and
(I) by adding at the end the following:
``(15) provide assurances that funds received under this title
will be used--
``(A) to provide benefits and services to older
individuals, giving priority to older individuals identified in
paragraph (4)(A)(i); and
``(B) in compliance with the assurances specified in
paragraph (13) and the limitations specified in section 212;
``(16) provide, to the extent feasible, for the furnishing of
services under this Act, consistent with self-directed care; and
``(17) include information detailing how the area agency on
aging will coordinate activities, and develop long-range emergency
preparedness plans, with local and State emergency response
agencies, relief organizations, local and State governments, and
any other institutions that have responsibility for disaster relief
service delivery.'';
(2) by redesignating subsections (b), (c), (d), and (e) as
subsections (c), (d), (e), and (f); and
(3) by inserting after subsection (a) the following:
``(b)(1) An area agency on aging may include in the area plan an
assessment of how prepared the area agency on aging and service
providers in the planning and service area are for any anticipated
change in the number of older individuals during the 10-year period
following the fiscal year for which the plan is submitted.
``(2) Such assessment may include--
``(A) the projected change in the number of older individuals
in the planning and service area;
``(B) an analysis of how such change may affect such
individuals, including individuals with low incomes, individuals
with greatest economic need, minority older individuals, older
individuals residing in rural areas, and older individuals with
limited English proficiency;
``(C) an analysis of how the programs, policies, and services
provided by such area agency can be improved, and how resource
levels can be adjusted to meet the needs of the changing population
of older individuals in the planning and service area; and
``(D) an analysis of how the change in the number of
individuals age 85 and older in the planning and service area is
expected to affect the need for supportive services.
``(3) An area agency on aging, in cooperation with government
officials, State agencies, tribal organizations, or local entities, may
make recommendations to government officials in the planning and
service area and the State, on actions determined by the area agency to
build the capacity in the planning and service area to meet the needs
of older individuals for--
``(A) health and human services;
``(B) land use;
``(C) housing;
``(D) transportation;
``(E) public safety;
``(F) workforce and economic development;
``(G) recreation;
``(H) education;
``(I) civic engagement;
``(J) emergency preparedness; and
``(K) any other service as determined by such agency.''.

022254248cd0ffb3231bd19bca512a70cb63cd8a64889920b271db5b06e28d7a

Section 307(a) of the Older Americans Act of 1965 (42 U.S.C.
3027(a)) is amended--
(1) in paragraph (2)(C), by striking ``section 306(b)'' and
inserting ``section 306(c)'';
(2) in paragraph (4), by striking ``, with particular attention
to low-income minority individuals and older individuals residing
in rural areas'' and inserting ``(with particular attention to low-
income minority older individuals, older individuals with limited
English proficiency, and older individuals residing in rural
areas)'';
(3) by striking paragraph (15);
(4) by redesignating paragraph (14) as paragraph (15);
(5) by inserting after paragraph (13) the following:
``(14) The plan shall, with respect to the fiscal year
preceding the fiscal year for which such plan is prepared--
``(A) identify the number of low-income minority older
individuals in the State, including the number of low-income
minority older individuals with limited English proficiency;
and
``(B) describe the methods used to satisfy the service
needs of the low-income minority older individuals described in
subparagraph (A), including the plan to meet the needs of low-
income minority older individuals with limited English
proficiency.'';
(6) in paragraph (16)(A)--
(A) in clauses (ii) and (iii), by striking ``(with
particular attention to low-income minority individuals and
older individuals residing in rural areas)'' each place it
appears and inserting ``(with particular attention to low-
income older individuals, including low-income minority older
individuals, older individuals with limited English
proficiency, and older individuals residing in rural areas)'';
and
(B) in clause (vi), by striking ``or related'' and
inserting ``and related''; and
(7) by adding at the end the following:
``(27) The plan shall provide assurances that area agencies on
aging will provide, to the extent feasible, for the furnishing of
services under this Act, consistent with self-directed care.
``(28)(A) The plan shall include, at the election of the State,
an assessment of how prepared the State is, under the State's
statewide service delivery model, for any anticipated change in the
number of older individuals during the 10-year period following the
fiscal year for which the plan is submitted.
``(B) Such assessment may include--
``(i) the projected change in the number of older
individuals in the State;
``(ii) an analysis of how such change may affect such
individuals, including individuals with low incomes,
individuals with greatest economic need, minority older
individuals, older individuals residing in rural areas, and
older individuals with limited English proficiency;
``(iii) an analysis of how the programs, policies, and
services provided by the State can be improved, including
coordinating with area agencies on aging, and how resource
levels can be adjusted to meet the needs of the changing
population of older individuals in the State; and
``(iv) an analysis of how the change in the number of
individuals age 85 and older in the State is expected to affect
the need for supportive services.
``(29) The plan shall include information detailing how the
State will coordinate activities, and develop long-range emergency
preparedness plans, with area agencies on aging, local emergency
response agencies, relief organizations, local governments, State
agencies responsible for emergency preparedness, and any other
institutions that have responsibility for disaster relief service
delivery.
``(30) The plan shall include information describing the
involvement of the head of the State agency in the development,
revision, and implementation of emergency preparedness plans,
including the State Public Health Emergency Preparedness and
Response Plan.''.

02197fe04353ed7b8eb89d8837302902e24dca837271c0a5a0a4d2f88f781d50

Section 309(b)(2) of the Older Americans Act of 1965 (42 U.S.C.
3029(b)(2)) is amended by striking ``the non-Federal share required
prior to fiscal year 1981'' and inserting ``10 percent of the cost of
the services specified in such section 304(d)(1)(D)''.

b5de64035d1a2037bdfb5c0b7b8bd0d7bc611eb049b7259d9191380f4f5bd99d

Section 311 of the Older Americans Act of 1965 (42 U.S.C. 3030a) is
amended--
(1) in subsection (b), by adding at the end the following:
``(3) State agencies that elect to make grants and enter into
contracts for purposes of this section shall promptly and equitably
disburse amounts received under this subsection to the recipients of
the grants and contracts.'';
(2) in subsection (c)--
(A) in paragraph (1), by inserting ``(including bonus
commodities)'' after ``commodities'';
(B) in paragraph (2), by inserting ``(including bonus
commodities)'' after ``commodities'';
(C) in paragraph (3), by inserting ``(including bonus
commodities)'' after ``products''; and
(D) by adding at the end the following:
``(4) Among the commodities provided under this subsection, the
Secretary of Agriculture shall give special emphasis to foods of high
nutritional value to support the health of older individuals. The
Secretary of Agriculture, in consultation with the Assistant Secretary,
is authorized to prescribe the terms and conditions respecting the
provision of commodities under this subsection.'';
(3) in subsection (d), to read as follows:
``(d)(1) Amounts provided under subsection (b) shall be available
only for the purchase, by State agencies, recipients of grants and
contracts from the State agencies (as applicable), and title VI
grantees, of United States agricultural commodities and other foods for
their respective nutrition projects, subject to paragraph (2).
``(2) An entity specified in paragraph (1) may, at the option of
such entity, use part or all of the amounts received by the entity
under subsection (b) to pay a school food authority (within the meaning
of the Richard B. Russell National School Lunch Act (42 U.S.C. 1751 et
seq.)) to obtain United States agricultural commodities for such
entity's nutrition projects, in accordance with an agreement between
the entity and the school food authority, under which such payments--
``(A) shall cover the cost of such commodities; and
``(B) may cover related expenses incurred by the school food
authority, including the cost of transporting, distributing,
processing, storing, and handling such commodities.'';
(4) in subsection (e), by striking ``2001'' and inserting
``2007''; and
(5) in subsection (f)--
(A) in the matter preceding paragraph (1), by striking
``the Secretary of Agriculture and the Secretary of Health and
Human Services'' and inserting ``the Assistant Secretary and
the Secretary of Agriculture''; and
(B) by striking paragraphs (1) and (2) and inserting the
following:
``(1) school food authorities participating in programs
authorized under the Richard B. Russell National School Lunch Act
within the geographic area served by each such State agency, area
agency on aging, and provider; and
``(2) the foods available to such State agencies, area agencies
on aging, and providers under subsection (c).''.

986b5302adab4f1238d5945218d49fb4f5ac468cefe43101fde144a2772f65d0

Section 315 of the Older Americans Act of 1965 (42 U.S.C. 3030c-2)
is amended--
(1) in subsection (b)--
(A) in paragraph (1)--
(i) by striking ``provided that'' and inserting ``if'';
and
(ii) by adding at the end the following: ``Such
contributions shall be encouraged for individuals whose
self-declared income is at or above 185 percent of the
poverty line, at contribution levels based on the actual
cost of services.''; and
(B) in paragraph (4)(E), by inserting ``and to supplement
(not supplant) funds received under this Act'' after ``given'';
(2) in subsection (c)(2), by striking ``(with particular
attention to low-income minority individuals and older individuals
residing in rural areas)'' and inserting ``(with particular
attention to low-income older individuals, including low-income
minority older individuals, older individuals with limited English
proficiency, and older individuals residing in rural areas)''; and
(3) in subsection (d), by striking ``with particular attention
to low-income and minority older individuals and older individuals
residing in rural areas'' and inserting ``(with particular
attention to low-income older individuals, including low-income
minority older individuals, older individuals with limited English
proficiency, and older individuals residing in rural areas)''.

a297573f7c7879d9798c37fb946f20f8b151c1c5b539df307594b05fe0cfe12a

Section 321(a) of the Older Americans Act of 1965 (42 U.S.C.
3030d(a)) is amended--
(1) in paragraph (8), by inserting ``(including mental health
screening)'' after ``screening'';
(2) in paragraph (11), by striking ``services'' and inserting
``provision of services and assistive devices (including provision
of assistive technology services and assistive technology
devices)'';
(3) in paragraph (14)(B) by inserting ``(including mental
health)'' after ``health'';
(4) in paragraph (21)--
(A) by striking ``school-age children'' and inserting
``students''; and
(B) by inserting ``services for older individuals with
limited English proficiency and'' after ``including'';
(5) in paragraph (22) by striking the period at the end and
inserting a semicolon;
(6) by redesignating paragraph (23) as paragraph (25); and
(7) by inserting after paragraph (22) the following:
``(23) services designed to support States, area agencies on
aging, and local service providers in carrying out and coordinating
activities for older individuals with respect to mental health
services, including outreach for, education concerning, and
screening for such services, and referral to such services for
treatment;
``(24) activities to promote and disseminate information about
life-long learning programs, including opportunities for distance
learning; and''.

5bf4dc1c472a3e60c52efa579153ce035d5856be40c236fd0548f2109c6fd2a9

After the part heading of part C of title III of the Older
Americans Act of 1965 (42 U.S.C. 3030e et seq.), insert the following:
``SEC. 330. PURPOSES.
``The purposes of this part are--
``(1) to reduce hunger and food insecurity;
``(2) to promote socialization of older individuals; and
``(3) to promote the health and well-being of older individuals
by assisting such individuals to gain access to nutrition and other
disease prevention and health promotion services to delay the onset
of adverse health conditions resulting from poor nutritional health
or sedentary behavior.''.

09c327672f56cdb907be396a456ef29a2e9262028f01ac87b859c833b62da480

Section 331 of the Older Americans Act of 1965 (42 U.S.C. 3030e) is
amended--
(1) by striking ``projects--'' and inserting ``projects
that--'';
(2) in paragraph (1), by striking ``which,'';
(3) in paragraph (2), by striking ``which''; and
(4) by striking paragraph (3), and inserting the following:
``(3) provide nutrition education, nutrition counseling, and
other nutrition services, as appropriate, based on the needs of
meal participants.''.

71d56f983ab1cd342fbcd2ab283b20f075e773686fc8d65388d78a296d433bf5

Section 336 of the Older Americans Act of 1965 (42 U.S.C. 3030f) is
amended to read as follows:
``SEC. 336. PROGRAM AUTHORIZED.
``The Assistant Secretary shall establish and carry out a program
to make grants to States under State plans approved under section 307
for the establishment and operation of nutrition projects for older
individuals that provide--
``(1) on 5 or more days a week (except in a rural area where
such frequency is not feasible (as defined by the Assistant
Secretary by rule) and a lesser frequency is approved by the State
agency) at least 1 home delivered meal per day, which may consist
of hot, cold, frozen, dried, canned, fresh, or supplemental foods
and any additional meals that the recipient of a grant or contract
under this subpart elects to provide; and
``(2) nutrition education, nutrition counseling, and other
nutrition services, as appropriate, based on the needs of meal
recipients.''.

663f21441a34f03ac99538fad09588ff7416d270fcd4a65b1d8cabe2bebc7a53

Section 337 of the Older Americans Act of 1965 (42 U.S.C. 3030g) is
amended to read as follows:
``SEC. 337. CRITERIA.
``The Assistant Secretary, in consultation with recognized experts
in the fields of nutrition science, dietetics, meal planning and food
service management, and aging, shall develop minimum criteria of
efficiency and quality for the furnishing of home delivered meal
services for projects described in section 336.''.

c22bfaf696a98c3ccbab5b6ac2c217e6d59fc4fcb07c88c5cf6a973cd431bbda

Section 339 of the Older Americans Act of 1965 (42 U.S.C. 3030g-21)
is amended--
(1) in paragraph (1), to read as follows:
``(1) solicit the expertise of a dietitian or other individual
with equivalent education and training in nutrition science, or if
such an individual is not available, an individual with comparable
expertise in the planning of nutritional services, and''; and
(2) in paragraph (2)--
(A) in subparagraph (A)--
(i) in clause (i), to read as follows:
``(i) comply with the most recent Dietary Guidelines
for Americans, published by the Secretary and the Secretary
of Agriculture, and''; and
(ii) in clause (ii)(I), by striking ``daily recommended
dietary allowances as'' and inserting ``dietary reference
intakes'';
(B) in subparagraph (D), by inserting ``joint'' after
``encourages'';
(C) in subparagraph (G), to read as follows:
``(G) ensures that meal providers solicit the advice and
expertise of--
``(i) a dietitian or other individual described in
paragraph (1),
``(ii) meal participants, and
``(iii) other individuals knowledgeable with regard to
the needs of older individuals,'';
(D) in subparagraph (H), by striking ``and accompany'';
(E) in subparagraph (I), by striking ``and'' at the end;
and
(F) by striking subparagraph (J) and inserting the
following:
``(J) provides for nutrition screening and nutrition
education, and nutrition assessment and counseling if
appropriate, and
``(K) encourages individuals who distribute nutrition
services under subpart 2 to provide, to homebound older
individuals, available medical information approved by health
care professionals, such as informational brochures and
information on how to get vaccines, including vaccines for
influenza, pneumonia, and shingles, in the individuals'
communities.''.

485f037d99b07d9392a5e66dd959efd526abb57008427b3d3e70f10cdc623d2b

(a) Study.--
(1) In general.--The Assistant Secretary for Aging shall use
funds allocated in section 206(g) of the Older Americans Act of
1965 (42 U.S.C. 3017(g)) to enter into a contract with the Food and
Nutrition Board of the Institute of Medicine of the National
Academy of Sciences, for the purpose of establishing an independent
panel of experts that will conduct an evidence-based study of the
nutrition projects authorized by such Act.
(2) Study.--Such study shall, to the extent data are available,
include--
(A) an evaluation of the effect of the nutrition projects
authorized by such Act on--
(i) improvement of the health status, including
nutritional status, of participants in the projects;
(ii) prevention of hunger and food insecurity of the
participants; and
(iii) continuation of the ability of the participants
to live independently;
(B) a cost-benefit analysis of nutrition projects
authorized by such Act, including the potential to affect costs
of the Medicaid program under title XIX of the Social Security
Act (42 U.S.C. 1396 et seq.); and
(C) an analysis of how and recommendations for how
nutrition projects authorized by such Act may be modified to
improve the outcomes described in subparagraph (A), including
recommendations for improving the nutritional quality of the
meals provided through the projects and undertaking other
potential strategies to improve the nutritional status of the
participants.
(b) Reports.--
(1) Report to the assistant secretary.--The panel described in
subsection (a)(1) shall submit to the Assistant Secretary a report
containing the results of the evidence-based study described in
subsection (a), including any recommendations described in
subsection (a)(2)(C).
(2) Report to congress.--The Assistant Secretary shall submit a
report containing the results described in paragraph (1) to the
Committee on Education and the Workforce of the House of
Representatives and the Committee on Health, Education, Labor, and
Pensions of the Senate.

c6b31505514f4874c8df0e57584c6302576ecd67c3e14632763fd15910a61900

TO THE HEALTH OF OLDER ADULTS.
(a) Findings.--Congress finds that--
(1) good nutrition is vital to good health, and a diet based on
the Dietary Guidelines for Americans may reduce the risk of chronic
diseases such as cardiovascular disease, osteoporosis, diabetes,
macular degeneration, and cancer;
(2) the American Dietetic Association and the American Academy
of Family Physicians have estimated that the percentage of older
adults who are malnourished is estimated at 20 to 60 percent for
those who are in home care and at 40 to 85 percent for those who
are in nursing homes;
(3) the Institute of Medicine of the National Academy of
Sciences has estimated that approximately 40 percent of community-
residing persons age 65 and older have inadequate nutrient intakes;
(4) older adults are susceptible to nutrient deficiencies for a
number of reasons, including a reduced capacity to absorb and
utilize nutrients, difficulty chewing, and loss of appetite;
(5) while diet is the preferred source of nutrition, evidence
suggests that the use of a single daily multivitamin-mineral
supplement may be an effective way to address nutritional gaps that
exist among the elderly population, especially the poor; and
(6) the Dietary Guidelines for Americans state that
multivitamin-mineral supplements may be useful when they fill a
specific identified nutrient gap that cannot be or is not otherwise
being met by the individual's intake of food.
(b) Sense of Congress.--It is the sense of Congress that--
(1) meal programs funded by the Older Americans Act of 1965
contribute to the nutritional health of older adults;
(2) when the nutritional needs of older adults are not fully
met by diet, use of a single, daily multivitamin-mineral supplement
may help prevent nutrition deficiencies common in many older
adults;
(3) use of a single, daily multivitamin-mineral supplement can
be a safe and inexpensive strategy to help ensure the nutritional
health of older adults; and
(4) nutrition service providers under the Older Americans Act
of 1965 should consider whether individuals participating in
congregate and home-delivered meal programs would benefit from a
single, daily multivitamin-mineral supplement that is in compliance
with all applicable government quality standards and provides at
least \2/3\ of the essential vitamins and minerals at 100 percent
of the daily value levels as determined by the Commissioner of Food
and Drugs.

6822b41d9739996af25f7708ac1c1d86fa0875d8ded50659513c2cb000a95e2b

INDIVIDUALS CONGREGATE.
Section 361 of the Older Americans Act of 1965 (42 U.S.C. 3030m) is
amended by adding at the end the following:
``(c) The Assistant Secretary shall work in consultation with
qualified experts to provide information on methods of improving indoor
air quality in buildings where older individuals congregate.''.

836d73eb12c2e31796858f84e0a18780cf4d166c7eb3d73a62db63a3ad1ed1f9

Section 372 of the National Family Caregiver Support Act (42 U.S.C.
3030s) is amended--
(1) in paragraph (1), by inserting ``or who is an individual
with a disability'' after ``age'';
(2) in paragraph (3)--
(A) by striking ``a child by blood or marriage'' and
inserting ``a child by blood, marriage, or adoption''; and
(B) by striking ``60'' and inserting ``55'';
(3) by inserting before ``In this subpart'' the following:
``(a) In General.--'';
(4) by striking paragraph (2);
(5) by redesignating paragraph (3) as paragraph (2);
(6) by adding at the end the following:
``(b) Rule.--In providing services under this subpart--
``(1) for family caregivers who provide care for individuals
with Alzheimer's disease and related disorders with neurological
and organic brain dysfunction, the State involved shall give
priority to caregivers who provide care for older individuals with
such disease or disorder; and
``(2) for grandparents or older individuals who are relative
caregivers, the State involved shall give priority to caregivers
who provide care for children with severe disabilities.''.

456d9c066d31a328724221f52a01a0039709e6a44b823d02f5d6d32f8fd27777

Section 373 of the National Family Caregiver Support Act (42 U.S.C.
3030s-1) is amended--
(1) in subsection (b)(3), by striking ``caregivers to assist''
and all that follows through the end and inserting the following:
``assist the caregivers in the areas of health, nutrition, and
financial literacy, and in making decisions and solving problems
relating to their caregiving roles;'';
(2) in subsection (c)--
(A) in paragraph (1)(B), by striking ``subparagraph (A)(i)
or (B) of section 102(28)'' and inserting ``subparagraph (A)(i)
or (B) of section 102(22)''; and
(B) by striking paragraph (2) and inserting the following:
``(2) Priority.--In providing services under this subpart, the
State, in addition to giving the priority described in section
372(b), shall give priority--
``(A) to caregivers who are older individuals with greatest
social need, and older individuals with greatest economic need
(with particular attention to low-income older individuals);
and
``(B) to older individuals providing care to individuals
with severe disabilities, including children with severe
disabilities.'';
(3) in subsection (d), to read as follows:
``(d) Use of Volunteers.--In carrying out this subpart, each area
agency on aging shall make use of trained volunteers to expand the
provision of the available services described in subsection (b) and, if
possible, work in coordination with organizations that have experience
in providing training, placement, and stipends for volunteers or
participants (such as organizations carrying out Federal service
programs administered by the Corporation for National and Community
Service), in community service settings.'';
(4) in subsection (e)(3), by adding at the end the following:
``The reports shall describe any mechanisms used in the State to
provide to persons who are family caregivers, or grandparents or
older individuals who are relative caregivers, information about
and access to various services so that the persons can better carry
out their care responsibilities.'';
(5) in subsection (f)(1), by striking ``2001 through 2005'' and
inserting ``2007, 2008, 2009, 2010, and 2011''; and
(6) in subsection (g)(2)(C), by inserting ``of a child who is
not more than 18 years of age'' before the period at the end.

1265551ceb8cc4db756c9e362777eb4ec73e103e7847bb0b91c9400661e4ca12

Subpart 2 of part E of title III of the Older Americans Act of 1965
(42 U.S.C. 3030s-11 et seq.) is repealed.

b86e12e10924d7b8dfcfb39858b312f420fd6826026072a060ad633bded91bc4

The Older Americans Act of 1965 is amended by inserting before
section 401 (42 U.S.C. 3031) the following:
``TITLE IV--ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY''.

6f63bc2421cce7b95b437dca83e322f3582d932bc09127d56aeb9bea8030ec02

Section 411 of the Older Americans Act of 1965 (42 U.S.C. 3032) is
amended--
(1) in subsection (a)--
(A) in paragraph (8), by striking ``and'' at the end;
(B) by redesignating paragraph (9) as paragraph (13); and
(C) by inserting after paragraph (8) the following:
``(9) planning activities to prepare communities for the aging
of the population, which activities may include--
``(A) efforts to assess the aging population;
``(B) activities to coordinate the activities of State and
local agencies in order to meet the needs of older individuals;
and
``(C) training and technical assistance to support States,
area agencies on aging, and organizations receiving grants
under title VI, in engaging in community planning activities;
``(10) the development, implementation, and assessment of
technology-based service models and best practices, to support the
use of health monitoring and assessment technologies, communication
devices, assistive technologies, and other technologies that may
remotely connect family and professional caregivers to frail older
individuals residing in home and community-based settings or rural
areas;
``(11) conducting activities of national significance to
promote quality and continuous improvement in the support provided
to family and other informal caregivers of older individuals
through activities that include program evaluation, training,
technical assistance, and research, including--
``(A) programs addressing unique issues faced by rural
caregivers;
``(B) programs focusing on the needs of older individuals
with cognitive impairment such as Alzheimer's disease and
related disorders with neurological and organic brain
dysfunction, and their caregivers; and
``(C) programs supporting caregivers in the role they play
in providing disease prevention and health promotion services;
``(12) building public awareness of cognitive impairments such
as Alzheimer's disease and related disorders with neurological and
organic brain dysfunction, depression, and mental disorders; and'';
and
(2) in subsection (b), by striking ``year'' and all that
follows through ``years'' and inserting ``years 2007, 2008, 2009,
2010, and 2011''.

24acb995ea509c2d4785b6d7862c0f44070e10f73526ed64860111501b85f07e

Section 412(a) of the Older Americans Act of 1965 (42 U.S.C.
3032a(a)) is amended to read as follows:
``(a) Grants.--The Assistant Secretary shall make grants to
institutions of higher education, including historically Black colleges
or universities, Hispanic-serving institutions, and Hispanic Centers of
Excellence in Applied Gerontology, to provide education and training
that prepares students for careers in the field of aging.''.

dcb35639c5a77698c30247769ec45fac05eb99eb5e762f3af0dd61b5e7f65261

Section 414 of the Older Americans Act of 1965 (42 U.S.C. 3032c) is
amended--
(1) in subsection (a), by inserting ``mental health services,''
after ``care,''; and
(2) in subsection (b)(1)(B)(i), by inserting ``mental health,''
after ``health,''.

09fcf575a672ba1b61dd6bcf63ad5df0b248b1bd1547b6b7815d3437cf3d5763

FOR OLDER INDIVIDUALS.
Section 416 of the Older Americans Act of 1965 (42 U.S.C. 3032e) is
amended to read as follows:
``SEC. 416. TECHNICAL ASSISTANCE AND INNOVATION TO IMPROVE
TRANSPORTATION FOR OLDER INDIVIDUALS.
``(a) In General.--The Secretary may award grants or contracts to
nonprofit organizations to improve transportation services for older
individuals.
``(b) Use of Funds.--
``(1) In general.--A nonprofit organization receiving a grant
or contract under subsection (a) shall use the funds received
through such grant or contract to carry out a demonstration
project, or to provide technical assistance to assist local transit
providers, area agencies on aging, senior centers, and local senior
support groups, to encourage and facilitate coordination of
Federal, State, and local transportation services and resources for
older individuals. The organization may use the funds to develop
and carry out an innovative transportation demonstration project to
create transportation services for older individuals.
``(2) Specific activities.--In carrying out a demonstration
project or providing technical assistance under paragraph (1) the
organization may carry out activities that include--
``(A) developing innovative approaches for improving access
by older individuals to transportation services, including
volunteer driver programs, economically sustainable
transportation programs, and programs that allow older
individuals to transfer their automobiles to a provider of
transportation services in exchange for the services;
``(B) preparing information on transportation options and
resources for older individuals and organizations serving such
individuals, and disseminating the information by establishing
and operating a toll-free telephone number;
``(C) developing models and best practices for providing
comprehensive integrated transportation services for older
individuals, including services administered by the Secretary
of Transportation, by providing ongoing technical assistance to
agencies providing services under title III and by assisting in
coordination of public and community transportation services;
and
``(D) providing special services to link older individuals
to transportation services not provided under title III.
``(c) Economically Sustainable Transportation.--In this section,
the term `economically sustainable transportation' means demand
responsive transportation for older individuals--
``(1) that may be provided through volunteers; and
``(2) that the provider will provide without receiving Federal
or other public financial assistance, after a period of not more
than 5 years of providing the services under this section.''.

183a405eb3c1ede9b2ca5b54de4afce108a1c023a9f1e08d3d8d4886effeb111

MULTIGENERATIONAL ACTIVITIES AND CIVIC ENGAGEMENT
ACTIVITIES.
Section 417 of the Older Americans Act of 1965 (42 U.S.C. 3032f) is
amended to read as follows:
``SEC. 417. DEMONSTRATION, SUPPORT, AND RESEARCH PROJECTS FOR
MULTIGENERATIONAL AND CIVIC ENGAGEMENT ACTIVITIES.
``(a) Grants and Contracts.--The Assistant Secretary shall award
grants and enter into contracts with eligible organizations to carry
out projects to--
``(1) provide opportunities for older individuals to
participate in multigenerational activities and civic engagement
activities designed to meet critical community needs, and use the
full range of time, skills, and experience of older individuals,
including demonstration and support projects that--
``(A) provide support for grandparents and other older
individuals who are relative caregivers raising children (such
as kinship navigator programs); or
``(B) involve 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; and
``(2) coordinate multigenerational activities and civic
engagement activities, promote volunteerism, and facilitate
development of and participation in multigenerational activities
and civic engagement activities.
``(b) Use of Funds.--An eligible organization shall use funds made
available under a grant awarded, or a contract entered into, under this
section to--
``(1) carry out a project described in subsection (a); and
``(2) evaluate the project in accordance with subsection (f).
``(c) Preference.--In awarding grants and entering into contracts
to carry out a project described in subsection (a), the Assistant
Secretary shall give preference to--
``(1) eligible organizations with a demonstrated record of
carrying out multigenerational activities or civic engagement
activities;
``(2) eligible organizations proposing multigenerational
activity projects that will serve older individuals and communities
with the greatest need (with particular attention to low-income
minority individuals, older individuals with limited English
proficiency, older individuals residing in rural areas, and low-
income minority communities);
``(3) eligible organizations proposing civic engagement
projects that will serve communities with the greatest need; and
``(4) eligible organizations with the capacity to develop
meaningful roles and assignments that use the time, skills, and
experience of older individuals to serve public and nonprofit
organizations.
``(d) Application.--To be eligible to receive a grant or enter into
a contract under subsection (a), an organization shall submit an
application to the Assistant Secretary at such time, in such manner,
and accompanied by such information as the Assistant Secretary may
reasonably require.
``(e) Eligible Organizations.--Organizations eligible to receive a
grant or enter into a contract under subsection (a)--
``(1) to carry out activities described in subsection (a)(1),
shall be organizations that provide opportunities for older
individuals to participate in activities described in subsection
(a)(1); and
``(2) to carry out activities described in subsection (a)(2),
shall be organizations with the capacity to conduct the
coordination, promotion, and facilitation described in subsection
(a)(2), through the use of multigenerational coordinators.
``(f) Local Evaluation and Report.--
``(1) Evaluation.--Each organization receiving a grant or a
contract under subsection (a) to carry out a project described in
subsection (a) shall evaluate the multigenerational activities or
civic engagement activities carried out under the project to
determine--
``(A) the effectiveness of the activities involved;
``(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
involved in such project.
``(2) Report.--The organization shall submit a report to the
Assistant Secretary containing the evaluation not later than 6
months after the expiration of the period for which the grant or
contract is in effect.
``(g) Report to Congress.--Not later than 6 months after the
Assistant Secretary receives the reports described in subsection
(f)(2), 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 the evaluations and includes, at a
minimum--
``(1) the names or descriptive titles of the projects funded
under subsection (a);
``(2) a description of the nature and operation of the
projects;
``(3) the names and addresses of organizations that conducted
the projects;
``(4) in the case of projects carried out under subsection
(a)(1), a description of the methods and success of the projects in
recruiting older individuals as employees and as volunteers to
participate in the projects;
``(5) in the case of projects carried out under subsection
(a)(1), a description of the success of the projects in retaining
older individuals participating in the projects as employees and as
volunteers;
``(6) in the case of projects carried out under subsection
(a)(1), the rate of turnover of older individual employees and
volunteers in the projects;
``(7) a strategy for disseminating the findings resulting from
the projects described in paragraph (1); and
``(8) any policy change recommendations relating to the
projects.
``(h) Definitions.--As used in this section:
``(1) Multigenerational activity.--The term `multigenerational
activity' means an activity that provides an opportunity for
interaction between 2 or more individuals of different generations,
including activities connecting older individuals and youth in a
child care program, a youth day care program, an educational
assistance program, an at-risk youth intervention program, a
juvenile delinquency treatment program, a before- or after-school
program, a library program, or a family support program.
``(2) Multigenerational coordinator.--The term
`multigenerational coordinator' means a person who--
``(A) builds the capacity of public and nonprofit
organizations to develop meaningful roles and assignments, that
use the time, skill, and experience of older individuals to
serve those organizations; and
``(B) nurtures productive, sustainable working
relationships between--
``(i) individuals from the generations with older
individuals; and
``(ii) individuals in younger generations.''.

e2d5ff8c1ac4f2685a27731b8985f387e0acb7a152f57fec389f648c43b9d251

Section 418(a)(2)(B)(i) of the Older Americans Act of 1965 (42
U.S.C. 3032g(a)(2)(B)(i)) is amended by inserting ``(including mental
health)'' after ``health''.

fa63420d562dd63ec9ad808915a95eaa602fc6fddac771334eb6fd56e4c27d43

Section 419 of the Older Americans Act of 1965 (42 U.S.C. 3032h) is
amended--
(1) by striking the title and inserting the following:
``SEC. 419. MULTIDISCIPLINARY CENTERS AND MULTIDISCIPLINARY SYSTEMS.'';
(2)(A) in subsection (b)(2), by redesignating subparagraphs (A)
through (G) as clauses (i) through (vii), respectively;
(B) in subsection (c)(2), by redesignating subparagraphs (A)
through (D) as clauses (i) through (iv), respectively; and
(C) by aligning the margins of the clauses described in
subparagraphs (A) and (B) with the margins of clause (iv) of
section 418(a)(2)(A) of such Act;
(3)(A) in subsection (b), by redesignating paragraphs (1) and
(2) as subparagraphs (A) and (B), respectively;
(B) in subsection (c), by redesignating paragraphs (1) and (2)
as subparagraphs (A) and (B), respectively; and
(C) by aligning the margins of the subparagraphs described in
subparagraphs (A) and (B) with the margins of subparagraph (D) of
section 420(a)(1) of such Act;
(4) in subsection (a), by striking ``(a)'' and all that follows
through ``The'' and inserting the following:
``(a) Multidisciplinary Centers.--
``(1) Program authorized.--The'';
(5) in subsection (b)--
(A) by striking the following:
``(b) Use of Funds.--'' and inserting the following:
``(2) Use of funds.--''; and
(B) by striking ``subsection (a)'' each place it appears
and inserting ``paragraph (1)'';
(6) in subsection (c)--
(A) by striking the following:
``(c) Data.--'' and inserting the following:
``(3) Data.--'';
(B) by striking ``subsection (a)'' and inserting
``paragraph (1)'';
(C) by striking ``such subsection'' and inserting ``such
paragraph'';
(D) by striking ``paragraph (1)'' and inserting
``subparagraph (A)''; and
(E) by striking ``this section'' and inserting ``this
subsection'';
(7) in subsection (a) (as so redesignated)--
(A) in paragraph (1), by inserting ``diverse populations of
older individuals residing in urban communities,'' after
``minority populations,'';
(B) in paragraph (2)(B)--
(C)(i) in clause (v), by inserting ``, including
information about best practices in long-term care service
delivery, housing, and transportation'' before the semicolon at
the end;
(ii) in clause (vi)--
(I) by striking ``consultation and'';
(II) by inserting ``and other technical assistance''
after ``information''; and
(III) by striking ``and'' at the end;
(iii) in clause (vii), by striking the period at the end
and inserting ``; and''; and
(iv) by adding at the end the following:
``(viii) provide training and technical assistance to
support the provision of community-based mental health
services for older individuals.''; and
(8) by adding at the end the following:
``(b)  Multidisciplinary Health Services in Communities.--
``(1) Program authorized.--The Assistant Secretary shall make
grants to States, on a competitive basis, for the development and
operation of--
``(A) systems for the delivery of mental health screening
and treatment services for older individuals who lack access to
such services; and
``(B) programs to--
``(i) increase public awareness regarding the benefits
of prevention and treatment of mental disorders in older
individuals;
``(ii) reduce the stigma associated with mental
disorders in older individuals and other barriers to the
diagnosis and treatment of the disorders; and
``(iii) reduce age-related prejudice and discrimination
regarding mental disorders in older individuals.
``(2) Application.--To be eligible to receive a grant under
this subsection for a State, a State agency shall submit an
application to the Assistant Secretary at such time, in such
manner, and containing such information as the Assistant Secretary
may require.
``(3) State allocation and priorities.--A State agency that
receives funds through a grant made under this subsection shall
allocate the funds to area agencies on aging to carry out this
subsection in planning and service areas in the State. In
allocating the funds, the State agency shall give priority to
planning and service areas in the State--
``(A) that are medically underserved; and
``(B) in which there are large numbers of older
individuals.
``(4) Area coordination of services with other providers.--In
carrying out this subsection, to more efficiently and effectively
deliver services to older individuals, each area agency on aging
shall--
``(A) coordinate services described in subparagraphs (A)
and (B) of paragraph (1) with such services or similar or
related services of other community agencies, and voluntary
organizations; and
``(B) to the greatest extent practicable, integrate
outreach and educational activities with such activities of
existing (as of the date of the integration) social service and
health care (including mental health) providers serving older
individuals in the planning and service area involved.
``(5) Relationship to other funding sources.--Funds made
available under this subsection shall supplement, and not supplant,
any Federal, State, and local funds expended by a State or unit of
general purpose local government (including an area agency on
aging) to provide the services described in subparagraphs (A) and
(B) of paragraph (1).
``(6) Definition.--In this subsection, the term `mental health
screening and treatment services' means patient screening,
diagnostic services, care planning and oversight, therapeutic
interventions, and referrals, that are--
``(A) provided pursuant to evidence-based intervention and
treatment protocols (to the extent such protocols are
available) for mental disorders prevalent in older individuals;
and
``(B) coordinated and integrated with the services of
social service and health care (including mental health)
providers in an area in order to--
``(i) improve patient outcomes; and
``(ii) ensure, to the maximum extent feasible, the
continuing independence of older individuals who are
residing in the area.''.

8ee9c591ff0e4a9cc785fb8cb7b6e548c7e59efeaa4e8bc83e07ed1b149b670e

Part A of title IV of the Older Americans Act of 1965 (42 U.S.C.
3031 et seq.) is amended by adding at the end the following:
``SEC. 422. COMMUNITY INNOVATIONS FOR AGING IN PLACE.
``(a) Definitions.--In this section:
``(1) Eligible entity.--The term `eligible entity'--
``(A) means a nonprofit health or social service
organization, a community-based nonprofit organization, an area
agency on aging or other local government agency, a tribal
organization, or another entity that--
``(i) the Assistant Secretary determines to be
appropriate to carry out a project under this part; and
``(ii) demonstrates a record of, and experience in,
providing or administering group and individual health and
social services for older individuals; and
``(B) does not include an entity providing housing under
the congregate housing services program carried out under
section 802 of the Cranston-Gonzalez National Affordable
Housing Act (42 U.S.C. 8011) or the multifamily service
coordinator program carried out under section 202(g) of the
Housing Act of 1959 (12 U.S.C. 1701q(g)).
``(2) Naturally occurring retirement community.--The term
`Naturally Occurring Retirement Community' means a community with a
concentrated population of older individuals, which may include a
residential building, a housing complex, an area (including a rural
area) of single family residences, or a neighborhood composed of
age-integrated housing--
``(A) where--
``(i) 40 percent of the heads of households are older
individuals; or
``(ii) a critical mass of older individuals exists,
based on local factors that, taken in total, allow an
organization to achieve efficiencies in the provision of
health and social services to older individuals living in
the community; and
``(B) that is not an institutional care or assisted living
setting.
``(b) Grants.--
``(1) In general.--The Assistant Secretary shall make grants,
on a competitive basis, to eligible entities to develop and carry
out model aging in place projects. The projects shall promote aging
in place for older individuals (including such individuals who
reside in Naturally Occurring Retirement Communities), in order to
sustain the independence of older individuals. A recipient of a
grant under this subsection shall identify innovative strategies
for providing, and linking older individuals to programs and
services that provide, comprehensive and coordinated health and
social services to sustain the quality of life of older individuals
and support aging in place.
``(2) Grant periods.--The Assistant Secretary shall make the
grants for periods of 3 years.
``(c) Applications.--
``(1) In general.--To be eligible to receive a grant under
subsection (b) for a project, an entity shall submit an application
to the Assistant Secretary at such time, in such manner, and
containing such information as the Assistant Secretary may require.
``(2) Contents.--The application shall include--
``(A) a detailed description of the entity's experience in
providing services to older individuals in age-integrated
settings;
``(B) a definition of the contiguous service area and a
description of the project area in which the older individuals
reside or carry out activities to sustain their well-being;
``(C) the results of a needs assessment that identifies--
``(i) existing (as of the date of the assessment)
community-based health and social services available to
individuals residing in the project area;
``(ii) the strengths and gaps of such existing services
in the project area;
``(iii) the needs of older individuals who reside in
the project area; and
``(iv) services not being delivered that would promote
aging in place and contribute to the well-being of older
individuals residing in the project area;
``(D) a plan for the development and implementation of an
innovative model for service coordination and delivery within
the project area;
``(E) a description of how the plan described in
subparagraph (D) will enhance existing services described in
subparagraph (C)(i) and support the goal of this section to
promote aging in place;
``(F) a description of proposed actions by the entity to
prevent the duplication of services funded under a provision of
this Act, other than this section, and a description of how the
entity will cooperate, and coordinate planning and services
(including any formal agreements), with agencies and
organizations that provide publicly supported services for
older individuals in the project area, including the State
agency and area agencies on aging with planning and service
areas in the project area;
``(G) an assurance that the entity will seek to establish
cooperative relationships with interested local entities,
including private agencies and businesses that provide health
and social services, housing entities, community development
organizations, philanthropic organizations, foundations, and
other non-Federal entities;
``(H) a description of the entity's protocol for referral
of residents who may require long-term care services, including
coordination with local agencies, including area agencies on
aging and Aging and Disability Resource Centers that serve as
single points of entry to public services;
``(I) a description of how the entity will offer
opportunities for older individuals to be involved in the
governance, oversight, and operation of the project;
``(J) an assurance that the entity will submit to the
Assistant Secretary such evaluations and reports as the
Assistant Secretary may require; and
``(K) a plan for long-term sustainability of the project.
``(d) Use of Funds.--
``(1) In general.--An eligible entity that receives a grant
under subsection (b) shall use the funds made available through the
grant to--
``(A) ensure access by older individuals in the project
area to community-based health and social services consisting
of--
``(i) case management, case assistance, and social work
services;
``(ii) health care management and health care
assistance, including disease prevention and health
promotion services;
``(iii) education, socialization, and recreational
activities; and
``(iv) volunteer opportunities for project
participants;
``(B) conduct outreach to older individuals within the
project area; and
``(C) develop and implement innovative, comprehensive, and
cost-effective approaches for the delivery and coordination of
community-based health and social services, including those
identified in subparagraph (A)(iv), which may include mental
health services, for eligible older individuals.
``(2) Coordination.--An eligible entity receiving a grant under
subsection (b) for a project shall coordinate activities with
organizations providing services funded under title III to support
such services for or facilitate the delivery of such services to
eligible older individuals served by the project.
``(3) Preference.--In carrying out an aging in place project,
an eligible entity shall, to the extent practicable, serve a
community of low-income individuals and operate or locate the
project and services in or in close proximity to a location where a
large concentration of older individuals has aged in place and
resided, such as a Naturally Occurring Retirement Community.
``(4) Supplement not supplant.--Funds made available to an
eligible entity under subsection (b) shall be used to supplement,
not supplant, any Federal, State, or other funds otherwise
available to the entity to provide health and social services to
eligible older individuals.
``(e) Competitive Grants for Technical Assistance.--
``(1) Grants.--The Assistant Secretary shall (or shall make a
grant, on a competitive basis, to an eligible nonprofit
organization, to enable the organization to)--
``(A) provide technical assistance to recipients of grants
under subsection (b); and
``(B) carry out other duties, as determined by the
Assistant Secretary.
``(2) Eligible organization.--To be eligible to receive a grant
under this subsection, an organization shall be a nonprofit
organization (including a partnership of nonprofit organizations),
that--
``(A) has experience and expertise in providing technical
assistance to a range of entities serving older individuals and
experience evaluating and reporting on programs; and
``(B) has demonstrated knowledge of and expertise in
community-based health and social services.
``(3) Application.--To be eligible to receive a grant under
this subsection, an organization (including a partnership of
nonprofit organizations) shall submit an application to the
Assistant Secretary at such time, in such manner, and containing
such information as the Assistant Secretary may require, including
an assurance that the organization will submit to the Assistant
Secretary such evaluations and reports as the Assistant Secretary
may require.
``(f) Report.--The Assistant Secretary shall annually prepare and
submit a report to Congress that shall include--
``(1) the findings resulting from the evaluations of the model
projects conducted under this section;
``(2) a description of recommended best practices regarding
carrying out health and social service projects for older
individuals aging in place; and
``(3) recommendations for legislative or administrative action,
as the Assistant Secretary determines appropriate.''.

51eb4c84ec350d5b900616a3fbb14c53fc149594c31699da62106cc09f8a56c5

Section 432(c)(2)(B) of the Older Americans Act of 1965 (42 U.S.C.
3033a(c)(2)(B)) is amended by inserting ``, including preparing an
analysis of such services, projects, and programs, and of how the
evaluation relates to improvements in such services, projects, and
programs and in the strategic plan of the Administration'' before the
period at the end.

da4504f33e469c723cbae7eeac9ff17d24ba4b2063795a004be3b4ce54c3afdc

7146ad2fb8c1e8864533a3a32e6f8b6e3bb1960cf820f6b4993c715af8c8ad99

TITLE V

-OLDER AMERICAN COMMUNITY SERVICE EMPLOYMENT PROGRAM

(a) In General.--Title V of the Older Americans Act of 1965 (as
amended by section 501) takes effect July 1, 2007.
(b) Regulations and Expected Levels of Performance.--
(1) Regulations.--Effective on the date of enactment of this
Act, the Secretary of Labor may issue rules and regulations
authorized in such title V.
(2) Expected levels of performance.--Prior to July 1, 2007, the
Secretary of Labor may carry out the activities authorized in
section 513(a)(2) of the Older Americans Act of 1965 (as so
amended), in preparation for program year 2007.

95ec93959d5ec5fda21d402b4cf7f03f7a2d4ea5dfeb9727fce8fba0eeff2003

(a) In General.--Section 614A of the Older Americans Act of 1965
(42 U.S.C. 3057e-1) is amended by adding at the end the following:
``(c) Clarification.--
``(1) Definition.--In this subsection, the term `covered year'
means fiscal year 2006 or a subsequent fiscal year.
``(2) Consortia of tribal organizations.--If a tribal
organization received a grant under this part for fiscal year 1991
as part of a consortium, the Assistant Secretary shall consider the
tribal organization to have received a grant under this part for
fiscal year 1991 for purposes of subsections (a) and (b), and shall
apply the provisions of subsections (a) and (b)(1) (under the
conditions described in subsection (b)) to the tribal organization
for each covered year for which the tribal organization submits an
application under this part, even if the tribal organization
submits--
``(A) a separate application from the remaining members of
the consortium; or
``(B) an application as 1 of the remaining members of the
consortium.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply to grants awarded under part A of title VI of the Older Americans
Act of 1965 (42 U.S.C. 3057b et seq.) during the grant period beginning
April 1, 2008, and all subsequent grant periods.

e5826e401e5b250fe5540f681aa58fbe33f9c6007e5d9b87e1f86a7267336a22

TITLE VI

-NATIVE AMERICANS

Section 643 of the Older Americans Act of 1965 (42 U.S.C. 3057n) is
amended--
(1) in paragraph (1), by striking ``2001'' and inserting
``2007''; and
(2) in paragraph (2), by striking ``$5,000,000'' and all that
follows through the period at the end and inserting ``$6,500,000
for fiscal year 2007, $6,800,000 for fiscal year 2008, $7,200,000
for fiscal year 2009, $7,500,000 for fiscal year 2010, and
$7,900,000 for fiscal year 2011.''.

89b71e3febccedd5b9f2ea2aa71f0aec2e32e1da5c6951d41a96e717afb7eb84

Section 702 of the Older Americans Act of 1965 (42 U.S.C. 3058a) is
amended by striking ``2001'' each place it appears and inserting
``2007''.

9c964b0e7bf23a98cb85faffc95e21743c94382eb1f346514a844ca481497946

TITLE VII

-ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES

Section 721 of the Older Americans Act of 1965 (42 U.S.C. 3058i) is
amended--
(1) in subsection (a), by striking ``programs for the
prevention of'' and inserting ``programs to address'';
(2) in subsection (b)--
(A) in the matter preceding paragraph (1), by
striking ``programs for'' and all that follows through
``including--'' and inserting the following: ``programs for the
prevention, detection, assessment, and treatment of,
intervention in, investigation of, and response to elder abuse,
neglect, and exploitation (including financial exploitation),
including--'';
(B) by redesignating paragraphs (2) through (8) as
paragraphs (3) through (9), respectively;
(C) by inserting after paragraph (1) the following:
``(2) providing for public education and outreach to promote
financial literacy and prevent identity theft and financial
exploitation of older individuals;'';
(D) in paragraph (8), as redesignated by subparagraph (B),
by striking ``and'' at the end;
(E) in paragraph (9), as redesignated by subparagraph (B),
by striking the period and inserting a semicolon; and
(F) by adding at the end the following:
``(10) examining various types of shelters serving older
individuals (in this paragraph referred to as `safe havens'), and
testing various safe haven models for establishing safe havens (at
home or elsewhere), that recognize autonomy and self-determination,
and fully protect the due process rights of older individuals;
``(11) supporting multidisciplinary elder justice activities,
such as--
``(A) supporting and studying team approaches for bringing
a coordinated multidisciplinary or interdisciplinary response
to elder abuse, neglect, and exploitation, including a response
from individuals in social service, health care, public safety,
and legal disciplines;
``(B) establishing a State coordinating council, which
shall identify the individual State's needs and provide the
Assistant Secretary with information and recommendations
relating to efforts by the State to combat elder abuse,
neglect, and exploitation;
``(C) providing training, technical assistance, and other
methods of support to groups carrying out multidisciplinary
efforts at the State (referred to in some States as `State
Working Groups');
``(D) broadening and studying various models for elder
fatality and serious injury review teams, to make
recommendations about their composition, protocols, functions,
timing, roles, and responsibilities, with a goal of producing
models and information that will allow for replication based on
the needs of States and communities (other than the ones in
which the review teams were used); and
``(E) developing best practices, for use in long-term care
facilities, that reduce the risk of elder abuse for residents,
including the risk of resident-to-resident abuse; and
``(12) addressing underserved populations of older individuals,
such as--
``(A) older individuals living in rural locations;
``(B) older individuals in minority populations; or
``(C) low-income older individuals.'';
(3) in subsection (e)(2)--
(A) by striking ``subsection (b)(8)(B)(i)'' and inserting
``subsection (b)(9)(B)(i)''; and
(B) by striking ``subsection (b)(8)(B)(ii)'' and inserting
``subsection (b)(9)(B)(ii)''; and
(4) by adding at the end of the section the following:
``(h) Accountability Measures.--The Assistant Secretary shall
develop accountability measures to ensure the effectiveness of the
activities carried out under this section.
``(i) Evaluating Programs.--The Assistant Secretary shall evaluate
the activities carried out under this section, using funds made
available under section 206(g).
``(j) Compliance With Applicable Laws.--In order to receive funds
made available to carry out this section, an entity shall comply with
all applicable laws, regulations, and guidelines.''.

33ba868cdafca50c1c782ede55041e9b2390d994ce2fccaf6e3eae14b737a6b1

Section 751 of the Older Americans Act of 1965 (42 U.S.C. 3058aa)
is amended--
(1) in subsection (a)--
(A) in paragraph (1), by striking ``and'' at the end;
(B) in paragraph (2), by striking the period and inserting
``; and''; and
(C) by adding at the end the following:
``(3) enabling the eligible entities to support
multidisciplinary elder justice activities, such as--
``(A) establishing a coordinating council, which shall
identify the needs of an individual Indian tribe or other
Native American group and provide the Assistant Secretary with
information and recommendations relating to efforts by the
Indian tribe or the governing entity of the Native American
group to combat elder abuse, neglect, and exploitation;
``(B) providing training, technical assistance, and other
methods of support to groups carrying out multidisciplinary
efforts for an Indian tribe or other Native American group; and
``(C) broadening and studying various models for elder
fatality and serious injury review teams, to make
recommendations about their composition, protocols, functions,
timing, roles, and responsibilities, with a goal of producing
models and information that will allow for replication based on
the needs of Indian tribes and other Native American groups
(other than the ones in which the review teams were used).'';
(2) in subsection (b), by striking ``this subtitle'' and
inserting ``this section''; and
(3) in subsection (d)--
(A) by striking ``this section'' and inserting ``this
subtitle''; and
(B) by striking ``2001'' and inserting ``2007''.

1b604f92bde3e1f05b4a183d88f9dd979cd6eb6849b97ea3fbf7596728eb8c63

Subtitle B of title VII of the Older Americans Act of 1965 (42
U.S.C. 3058aa) is amended--
(1) by striking the subtitle heading and inserting the
following:
``Subtitle B--Native American Organization and Elder Justice
Provisions'';
and
(2) by inserting after section 751 the following:
``SEC. 752. GRANTS TO PROMOTE COMPREHENSIVE STATE ELDER JUSTICE
SYSTEMS.
``(a) Purpose and Authority.--For each fiscal year, the Assistant
Secretary may make grants to States, on a competitive basis, in
accordance with this section, to promote the development and
implementation, within each such State, of a comprehensive elder
justice system, as defined in subsection (b).
``(b) Comprehensive Elder Justice System Defined.--In this section,
the term `comprehensive elder justice system' means an integrated,
multidisciplinary, and collaborative system for preventing, detecting,
and addressing elder abuse, neglect, and exploitation in a manner
that--
``(1) provides for widespread, convenient public access to the
range of available elder justice information, programs, and
services;
``(2) coordinates the efforts of public health, social service,
and law enforcement authorities, as well as other appropriate
public and private entities, to identify and diminish duplication
and gaps in the system;
``(3) provides a uniform method for the standardization,
collection, management, analysis, and reporting of data; and
``(4) provides such other elements as the Assistant Secretary
determines appropriate.
``(c) Applications.--To be eligible to receive a grant under this
section for a fiscal year, a State shall submit an application to the
Assistant Secretary, at such time, in such manner, and containing such
information and assurances as the Assistant Secretary determines
appropriate.
``(d) Amount of Grants.--The amount of a grant to a State with an
application approved under this section for a fiscal year shall be such
amount as the Assistant Secretary determines appropriate.
``(e) Use of Funds.--
``(1) In general.--A State that receives a grant under this
section shall use funds made available through such grant to
promote the development and implementation of a comprehensive elder
justice system by--
``(A) establishing formal working relationships among
public and private providers of elder justice programs, service
providers, and stakeholders in order to create a unified elder
justice network across such State to coordinate programmatic
efforts;
``(B) facilitating and supporting the development of a
management information system and standard data elements;
``(C) providing for appropriate education (including
educating the public about the range of available elder justice
information, programs, and services), training, and technical
assistance; and
``(D) taking such other steps as the Assistant Secretary
determines appropriate.
``(2) Maintenance of effort.--Funds made available to States
pursuant to this section shall be used to supplement and not
supplant other Federal, State, and local funds expended to support
activities described in paragraph (1).''.

71a096fde116cab4148e2e9a191683a011c177dc8b72713be2eef277fe120de7

Subtitle C of title VII of the Older Americans Act of 1965 (42
U.S.C. 3058bb et seq.) is amended by adding at the end the following:
``SEC. 765. RULE OF CONSTRUCTION.
``Nothing in this title shall be construed to interfere with or
abridge the right of an older individual to practice the individual's
religion through reliance on prayer alone for healing, in a case in
which a decision to so practice the religion--
``(1) is contemporaneously expressed by the older individual--
``(A) either orally or in writing;
``(B) with respect to a specific illness or injury that the
older individual has at the time of the decision; and
``(C) when the older individual is competent to make the
decision;
``(2) is set forth prior to the occurrence of the illness or
injury in a living will, health care proxy, or other advance
directive document that is validly executed and applied under State
law; or
``(3) may be unambiguously deduced from the older individual's
life history.''.

d9a9a7c7f902b3586325304495165392dcbd2e65359afeb6d95cdc55b731227f

This title may be cited as the ``Tom Osborne Federal Youth
Coordination Act''.

7870ffa1e7333b2ec028580a67dda2f5fbf0763744aa73a408f86001f016e389

TITLE VIII

-FEDERAL YOUTH DEVELOPMENT COUNCIL

(a) Establishment.--There is established the Federal Youth
Development Council (in this title referred to as the ``Council'').
(b) Members and Terms.--
(1) Federal employee members.--The members of the Council shall
include the Attorney General, the Secretary of Agriculture, the
Secretary of Labor, the Secretary of Health and Human Services, the
Secretary of Housing and Urban Development, the Secretary of
Education, the Secretary of the Interior, the Secretary of
Commerce, the Secretary of Defense, the Director of National Drug
Control Policy, and the Chief Executive Officer of the Corporation
for National and Community Service, or a designee of each such
individual who holds significant decision-making authority, and
other Federal officials as directed by the President.
(2) Additional members.--
(A) In general.--The members of the Council shall include
any additional members as the President shall appoint from
among representatives of community-based organizations,
including faith-based organizations, child and youth focused
foundations, institutions of higher education, non-profit
organizations, youth service providers, State and local
government, and youth in disadvantaged situations.
(B) Consultation.--In making the appointments under this
paragraph, the President, as determined appropriate by the
President, shall consult with--
(i) the Speaker of the House of Representatives, who
shall take into account the recommendations of the majority
leader and the minority leader of the House of
Representatives; and
(ii) the president pro tempore of the Senate, who shall
take into account the recommendations of the majority
leader and the minority leader of the Senate.
(3) Length of term.--Each member of the Council shall serve for
the life of the Council.
(c) Compensation and Travel Expenses.--
(1) No compensation for service on council.--Each member of the
Council appointed under section 802 who is not an officer or
employee of the United States shall not receive pay by reason of
the member's service on the Council, and shall not be considered an
employee of the Federal Government by reason of such service. Each
member of the Council who is an officer or employee of the United
States shall serve without compensation in addition to that
received for the member's service as an officer or employee of the
United States.
(2) Travel and transportation expenses.--Each member of the
Council may be allowed travel or transportation expenses in
accordance with section 5703 of title 5, United States Code, while
away from the member's home or regular place of business in the
performance of services for the Council.
(d) Chairperson.--The Chairperson of the Council shall be the
Secretary of Health and Human Services.
(e) Meetings.--The Council shall meet at the call of the
Chairperson, not less frequently than 4 times each year. The first
meeting shall be not less than 4 months after the date of enactment of
this Act.

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(a) In General.--The duties of the Council shall be to provide
advice and recommendations, including--
(1) ensuring communication among agencies administering
programs designed to serve youth, especially those in disadvantaged
situations;
(2) assessing the needs of youth, especially those in
disadvantaged situations, and those who work with youth, and the
quantity and quality of Federal programs offering services,
supports, and opportunities to help youth in their educational,
social, emotional, physical, vocational, and civic development, in
coordination with the Federal Interagency Forum on Child and Family
Statistics;
(3) recommending quantifiable goals and objectives for such
programs;
(4) making recommendations for the allocation of resources in
support of such goals and objectives;
(5) identifying possible areas of overlap or duplication in the
purpose and operation of programs serving youth and recommending
ways to better facilitate the coordination and consultation among,
and improve the efficiency and effectiveness of, such programs;
(6) identifying target populations of youth who are
disproportionately at risk and assisting agencies in focusing
additional resources on such youth;
(7) developing a plan, including common indicators of youth
well-being that are consistent with the indicators tracked by the
Federal Interagency Forum on Child and Family Statistics, and
assisting Federal agencies, at the request of 1 or more such
agencies, in coordinating to achieve the goals and objectives
described in paragraph (3);
(8) assisting Federal agencies, at the request of 1 or more
such agencies, in collaborating on--
(A) model programs and demonstration projects focusing on
special populations, including youth in foster care and migrant
youth;
(B) projects to promote parental involvement; and
(C) projects that work to involve young people in service
programs;
(9) soliciting and documenting ongoing input and
recommendations from--
(A) youth, especially youth in disadvantaged situations;
(B) national youth development experts, researchers,
parents, community-based organizations, including faith-based
organizations, foundations, business leaders, youth service
providers, and teachers; and
(C) State and local government agencies, particularly
agencies serving children and youth; and
(10) working with Federal agencies--
(A) to promote high-quality research and evaluation,
identify and replicate model programs and promising practices,
and provide technical assistance relating to the needs of
youth; and
(B) to coordinate the collection and dissemination of youth
services-related data and research.
(b) Technical Assistance.--The Council may provide technical
assistance to a State at the request of a State to support a State-
funded council for coordinating State youth efforts.

7da24bd850decf89e890bc41c708f3c35e6e62ee9efe62737be0a98a24f5a3be

In carrying out the duties described in section 803, the Council
shall coordinate the efforts of the Council with other Federal, State,
and local coordinating entities in order to complement and not
duplicate efforts, including the following:
(1) Coordinating with the Federal Interagency Forum on Child
and Family Statistics, established under Executive Order 13045 (42
U.S.C. 4321 note; relating to protection of children from
environmental health risks and safety risks), on matters pertaining
to data collection.
(2) Coordinating with the United States Interagency Council on
Homelessness, established under section 201 of the McKinney-Vento
Homeless Assistance Act (42 U.S.C. 11311), on matters pertaining to
homelessness.
(3) Coordinating with the Coordinating Council on Juvenile
Justice and Delinquency Prevention, established under section 206
of the Juvenile Justice and Delinquency Prevention Act of 1974 (42
U.S.C. 5616), on matters pertaining to programs for at-risk youth.

c46dcf19f55cad87aec0ba43be9f8978076d41ad18dfba86bb57270f1709dd4a

(a) Designation of Individual.--The Chairperson is authorized to
designate an individual to have responsibility for assisting in
carrying out the duties of the Council under this title.
(b) Staff of Federal Agencies.--Upon request of the Council, the
head of any Federal department or agency may detail, on a reimbursable
or nonreimbursable basis, any of the personnel of the department or
agency to the Council to assist in carrying out the Council's duties
under this title.

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(a) Mails.--The Council may use the United States mails in the same
manner and under the same conditions as other departments and agencies
of the United States.
(b) Administrative Support Services.--Upon the request of the
Council, the Administrator of General Services shall provide to the
Council, on a reimbursable basis, the administrative support services
necessary for the Council to carry out its responsibilities under this
title.

07db11dd38485006344e94b41ba385390034c5aa3830fdfa8b44710af7ebba61

(a) Interim Report.--Not later than 1 year after the first meeting
of the Council, the Council shall transmit to the relevant committees
of Congress an interim report of the findings of the Council.
(b) Final Report.--Not later than 2 years after the first meeting
of the Council, the Council shall transmit to the relevant committees
of Congress a final report of the Council's findings and
recommendations, which report shall--
(1) include a comprehensive list of recent research and
statistical reporting by various Federal agencies on the overall
well-being of youth;
(2) include the assessment of the needs of youth and those who
serve youth;
(3) include a summary of the plan described in section
803(a)(7);
(4) recommend ways to coordinate and improve Federal training
and technical assistance, information sharing, and communication
among the various Federal programs and agencies serving youth, as
the Chairperson determines appropriate;
(5) include recommendations to better integrate and coordinate
policies across agencies at the Federal, State, and local levels,
including any recommendations the Chairperson determines
appropriate, if any, for legislation and administrative actions;
(6) include a summary of actions the Council has taken at the
request of Federal agencies to facilitate collaboration and
coordination on youth serving programs and the results of those
collaborations, if available;
(7) include a summary of the action the Council has taken at
the request of States to provide technical assistance under section
803(b), if applicable; and
(8) include a summary of the input and recommendations from the
groups identified in section 803(a)(9).

a36a3562238f008114f4b542a70d74e2dbeda38850fa91ac7f48d374a6d40bce

The Council shall terminate 60 days after transmitting the final
report under section 807(b).

4d9b142ccde81d4322b6904f52735c3ff6f8613c9b1ccea5e55c19189139b9f4

There is authorized to be appropriated to carry out this title
$1,000,000 for each of the fiscal years 2007 and 2008.

7d5e943ce721d49a1c0abf47d3805868f06245ab88b4f845e94b582abf1e3ca1

(a) Older Americans Act Amendments of 1987.--Section 205(1) of the
Older Americans Act Amendments of 1987 (42 U.S.C. 3001 note) is amended
by striking ``section 102(17) of the Older Americans Act of 1965 (42
U.S.C. 3002(17))'' and inserting ``section 102 of the Older Americans
Act of 1965 (42 U.S.C. 3002)''.
(b) Energy Conservation and Production Act.--Section 412(6) of the
Energy Conservation and Production Act (42 U.S.C. 6862(6)) is amended
by striking ``paragraphs (4), (5), and (6), respectively, of section
102'' and inserting ``section 102''.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.

Older Americans Act Amendments of 2006

Other Sections