,,ii ,calendar ,no4 #bhj #aafth ,,congress #ast ,session ,h4 ,r4 #dccd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #bi1 #bjai,received2 read the first time ,october #cj1 #bjai,read the second time and placed on the calendar ,,an ,,act ,to amend the ,older ,americans ,act of #aife to authorize appropriations for fiscal years #bjbj through #bjbd1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,dignity in ,aging ,act of #bjai4 7b7 ,table of contents ,the table of contents of this ,act is the following3 ,sec4 #a4 ,short title2 table of contents4 ,title ,i--,ensuring collaboration and promoting independence for older individuals ,sec4 #aja4 ,person-centered1 trauma-informed care4 ,sec4 #ajb4 ,vaccination4 ,sec4 #ajc4 ,functions of ,assistant ,secretary4 ,sec4 #ajd4 ,professional standards for nutrition official under ,assistant ,secretary4 ,sec4 #aje4 ,interagency ,coordinating ,committee on ,age-,friendly ,communities4 ,sec4 #ajf4 ,technical assistance on age-friendly communities4 ,sec4 #ajg4 ,malnutrition4 ,sec4 #ajh4 ,coordination with resource centers4 ,sec4 #aji4 ,arts education4 ,sec4 #aaj4 ,social determinants of health4 ,sec4 #aaa4 ,falls prevention and chronic disease self-management education4 ,sec4 #aab4 ,extension of ,,raise ,family ,caregivers ,act4 ,sec4 #aac4 ,support for socially-isolated older ,americans4 ,sec4 #aad4 ,increased focus of ,assistant ,secretary on health effects associated with social isolation4 ,sec4 #aae4 ,advisory council on health effects associated with social isolation4 ,sec4 #aaf4 ,supportive services and senior centers4 ,sec4 #aag4 ,demonstration projects4 ,sec4 #aah4 ,younger onset ,alzheimer's ,disease4 ,sec4 #aai4 ,priority for the senior community service employment program4 ,sec4 #abj4 ,direct care workforce4 ,sec4 #aba4 ,national resource center for older individuals experiencing the long-term and adverse consequences of trauma4 ,sec4 #abb4 ,national ,resource ,center for ,women and ,retirement4 ,sec4 #abc4 ,definition4 ,sec4 #abd4 ,review of reports4 ,sec4 #abe4 ,area plans4 ,sec4 #abf4 ,addressing chronic pain management4 ,sec4 #abg4 ,extension of the ,supporting ,grandparents ,raising ,grandchildren ,act4 ,sec4 #abh4 ,screening for suicide risk4 ,sec4 #abi4 ,traumatic brain injury4 ,sec4 #acj4 ,addressing public health emergencies and emerging health threats4 ,sec4 #aca4 ,prevention of sexually transmitted diseases4 ,sec4 #acb4 ,aging and ,disability ,resource ,center4 ,title ,,ii--,empowering the ,aging ,network to meet the needs of older individuals ,sec4 #bja4 ,national family caregiver support program cap4 ,sec4 #bjb4 ,minimum funding level for ,state administrative expenses4 ,sec4 #bjc4 ,culturally-appropriate1 medically-tailored meals4 ,sec4 #bjd4 ,business acumen provisions and clarification regarding outside funding for area agencies on aging4 ,sec4 #bje4 ,other practices4 ,sec4 #bjf4 ,caregiver assessments4 ,sec4 #bjg4 ,research and evaluation4 ,sec4 #bjh4 ,grant program for multigenerational collaboration4 ,title ,,iii--,strengthening protections for older individuals ,sec4 #cja4 ,state ,long-,term ,care ,ombudsman ,program minimum funding and maintenance of effort4 ,sec4 #cjb4 ,state long-term care volunteer ombudsman representatives4 ,sec4 #cjc4 ,clarification regarding board and care facilities4 ,sec4 #cjd4 ,report on legal hotlines4 ,sec4 #cje4 ,community outreach4 ,sec4 #cjf4 ,principles for person-directed services and supports during serious illness4 ,title ,,iv--,meeting the needs of older ,native ,americans ,sec4 #dja4 ,expanding supportive services for ,native ,american aging programs4 ,sec4 #djb4 ,enhancing capacity to support ,native ,american aging programs4 ,title ,v--,miscellaneous ,sec4 #eja4 ,technical corrections4 ,sec4 #ejb4 ,authorization of appropriations2 uses of funds4 ,sec4 #ejc4 ,hold harmless formula4 ,i ,ensuring collaboration and promoting independence for older individuals #aja4 ,person-centered1 trauma-informed care ,section #aja7b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja7b77 is amended by inserting 7including access to person-centered1 trauma-informed care7 after health4 #ajb4 ,vaccination ,section #ajb7ad7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7ad77 is amended-- 7#a7 in subparagraph 7,b7 by inserting immunization status1 after oral health12 and 7#b7 in subparagraph 7,d7 by inserting infectious disease1 and vaccine preventable disease1 after disease714 #ajc4 ,functions of ,assistant ,secretary 7a7 ,review of applications ,section #bjb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7 is amended-- 7#a7 by amending subsection 7a77#d7 to read as follows3 7#d7 administer the grants provided by this ,act but not approve an application submitted by an applicant for a grant for a program for which such applicant previously received a grant unless the ,assistant ,secretary determines-- 7,a7 the program for which such application was submitted is operating effectively to achieve its stated purpose2 and 7,b7 such applicant complied with the assurances provided to the ,assistant ,secretary with the application for such previous grant2 and 2 and 7#b7 by adding at the end the following3 7h7 ,the ,assistant ,secretary shall publish1 on an annual basis1 a list of centers and demonstration projects funded under each title of the ,act4 ,the ,assistant ,secretary shall ensure that this information is also directly provided to ,states and area agencies on aging4 4 7b7 ,addressing the needs of older individuals in disasters ,section #bjb7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7;a77 is amended-- 7#a7 in paragraph 7#cj7 by striking and at the end2 7#b7 in paragraph 7#ca7 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#cb7 provide technical assistance to and share best practices with ,states and area agencies on aging on how to collaborate and coordinate activities and develop long-range emergency preparedness plans with local and ,state emergency response agencies1 relief organizations1 local and ,state governments1 federal agencies as appropriate1 and any other institutions that have responsibility for disaster relief service delivery4 4 #ajd4 ,professional standards for nutrition official under ,assistant ,secretary ,section #bje7;a77#b77;,c77ii7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjaf7;a77#b77;,c77ii7 is amended to read as follows3 7ii7 be a registered dietitian or registered dietitian nutritionist4 4 #aje4 ,interagency ,coordinating ,committee on ,age-,friendly ,communities ,section #bjc of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjac7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#ah7 by striking and at the end2 7,b7 in subparagraph 7#ai7 by striking the period at the end1 and inserting 1 and2 and 7,c7 by adding at the end the following3 7#bj7 section #cic;,d of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a;f71 relating to safety of seniors4 2 and 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a7-- 7i7 by striking ,aging and inserting ,age-,friendly ,communities2 and 7ii7 by inserting to support the ability of older individuals to age in place1 including through the provision of homelessness prevention services1 support the ability of older individuals to access preventive health care1 promote age-friendly communities1 and address the ability of older individuals to access long-term care supports1 including access to caregivers and home- and community-based services before the period at the end2 7,b7 in paragraph 7#d7 by inserting 1 except that the #ast term of a member appointed to the ,interagency ,coordinating ,committee on ,age-,friendly ,communities shall begin not later than #a year after the effective date of this exception before the period at the end2 7,c7 in paragraph 7#e7 by striking once each year and inserting semiannually2 7,d7 in paragraph 7#f7-- 7i7 in subparagraph 7,a7-- 7,i7 in clause 7iii7 by striking and at the end2 7,,ii7 in clause 7iv7 by adding and at the end2 and 7,,iii7 by adding at the end the following3 7v7 identifying best practices for connecting older individuals to services for which they may be eligible2 2 7ii7 in subparagraph 7,b7-- 7,i7 by inserting transportation1 after housing1 the #ast place it appears2 7,,ii7 in clause 7i7 by striking and at the end2 7,,iii7 by amending clause 7ii7 to read as follows3 7ii7 innovations in technology applications 7including assistive technology devices and assistive technology services7 that-- 7,i7 promote safe and accessible independent living environments2 and 7,,ii7 give older individuals access to information on available services or help in providing services to older individuals1 including information on transportation services such as public transit1 on-demand transportation services1 volunteer-based transportation services1 and other private transportation services2 and 2 and 7,,iv7 by adding at the end the following3 7iii7 transportation models that reduce costs of transportation for older individuals and provide the ability to schedule trips in advance and on demand1 as appropriate2 2 7iii7 in subparagraph 7,e7-- 7,i7 by striking nongovernmental experts and organizations1 including public health interest and research groups and foundations and inserting nongovernmental organizations1 academic or research institutions1 community-based organizations1 and philanthropic organizations2 and 7,,ii7 by striking 7,f7 and inserting 7,g72 7iv7 by redesignating subparagraphs 7,e71 7,f71 and 7,g7 as subparagraphs 7,f71 7,g71 and 7,h71 respectively2 7v7 by inserting after subparagraph 7,d7 the following3 7,e7 work with the ,centers for ,disease ,control and ,prevention1 the ,national ,institute on ,aging1 ,centers for ,medicare and ,medicaid ,services1 the ,housing and ,urban ,development ,office of ,lead ,hazard ,control and ,healthy ,homes1 and other ,federal agencies as appropriate1 to develop recommendations1 in accordance with paragraph 7#a71 to reduce falls among older individuals that incorporate evidence-based falls prevention programs and home modifications to reduce and prevent falls2 2 and 7vi7 by adding at the end the following3 7#i7 ,in this subsection1 the term age-friendly community means a community that-- 7,a7 is taking steps-- 7i7 to include accessible housing1 accessible spaces and buildings1 safe and secure paths1 variable route transportation services1 and programs and services designed to maintain health and well-being2 7ii7 to respect and include older individuals in social opportunities1 civic participation1 volunteerism1 and employment2 and 7iii7 to facilitate access to supportive services for older individuals2 and 7,b7 has a plan in place to meet local needs for housing1 transportation1 civic participation1 social connectedness1 and accessible spaces4 2 and 7#c7 by adding at the end the following3 7d7 ,not later than #b years after the effective date of this subsection1 the ,comptroller ,general of the ,united ,states shall conduct a study and issue a report that includes-- 7#a7 an inventory of ,federal programs1 administered by the ,department of ,health and ,human ,services1 the ,department of ,housing and ,urban ,development1 or any other ,federal agency determined appropriate by the ,comptroller ,general1 that support home assessments and home modifications for older individuals and individuals with disabilities1 7#b7 statistical data1 for recent fiscal years1 on the number of older individuals and individuals with disabilities served by each ,federal program described in paragraph 7#a7 and the approximate amount of ,federal funding invested in each such program1 7#c7 a demographic analysis of individuals served by each such program for recent fiscal years1 7#d7 an analysis of duplication and gaps in populations supported by the ,federal programs described in paragraph 7#a71 7#e7 what is known about the impact of the ,federal programs described in paragraph 7#a7 on health status and health outcomes in populations supported by such programs1 7#f7 a review of ,federal efforts to coordinate ,federal programs existing prior to the effective date of this subsection that support home assessments and home modifications for older individuals and individuals with disabilities and any considerations for improving coordination1 which may include an indication of the ,federal agency or department that is best suited to coordinate such ,federal efforts1 and 7#g7 information on the extent to which consumer-friendly resources1 such as a brochure1 are available through the ,national ,eldercare ,locator ,service established under section #bjb7;a77#ba71 are accessible to all area agencies on aging1 and contain information on home assessments and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals4 4 #ajf4 ,technical assistance on age-friendly communities ,section #bje7;a77#b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjaf7;a77#b77 is amended-- 7#a7 by redesignating subparagraph 7,c7 as subparagraph 7,d72 and 7#b7 by inserting after subparagraph 7,b7 the following3 7,c7 ,the ,assistant ,secretary may provide technical assistance1 including through the regional offices of the ,administration1 to ,state agencies1 area agencies on aging1 local government agencies1 or leaders in age-friendly communities 7as defined in section #bjc7;c77#i77 regarding-- 7i7 support for public and private entities in building partnerships to promote such age-friendly communities2 7ii7 dissemination of1 or consideration of ways to implement1 best practices and recommendations from the ,interagency ,coordinating ,committee on ,age-,friendly ,communities established under section #bjc7;c72 and 7iii7 methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities4 4 #ajg4 ,malnutrition ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #bjaa et seq47 is amended-- 7#a7 in section #ajb7ad77;,b7 by inserting 7including screening for malnutrition7 before the semicolon at the end2 and 7#b7 in section #ccj7a7 by striking and food insecurity and inserting 1 food insecurity1 and malnutrition4 #ajh4 ,coordination with resource centers 7a7 ,area plans ,section #cjf7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbf7;a77 is amended-- 7#a7 in paragraph 7#af7 by striking and at the end2 7#b7 in paragraph 7#ag7 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#ah7 provide assurances that the area agency on aging will collect data to determine-- 7,a7 the services that are needed by older individuals whose needs were the focus of all centers funded under title ,,iv in fiscal year #bjai2 and 7,b7 the effectiveness of the programs1 policies1 and services provided by such area agency on aging in assisting such individuals2 and 7#ai7 provide assurances that the area agency on aging will use outreach efforts that will identify older individuals eligible for assistance under this ,act1 with special emphasis on those older individuals whose needs were the focus of all centers funded under title ,,iv in fiscal year #bjai4 4 7b7 ,state plans ,section #cjg7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbg7 is amended by adding at the end the following3 7#ca7 ,the plan shall contain an assurance that the ,state shall prepare and submit to the ,assistant ,secretary annual reports that describe-- 7,a7 data collected to determine the services that are needed by older individuals whose needs were the focus of all centers funded under title ,,iv in fiscal year #bjai2 7,b7 data collected to determine the effectiveness of the programs1 policies1 and services provided by area agencies on aging in assisting such individuals2 and 7,c7 outreach efforts and other activities carried out to satisfy the assurances described in paragraphs 7#ah7 and 7#ai7 of section #cjf7;a74 4 #aji4 ,arts education 7a7 ,program design ,section #bjb7;a77#e7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7;a77#e77 is amended by inserting cultural experiences1 activities and services1 including the arts1 after education714 7b7 ,supportive services ,section #cba7;a77#g7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcj;d7a77#g77 is amended by inserting cultural experiences 7including the arts71 after art therapy14 #aaj4 ,social determinants of health ,section #cja7;a77#a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjba7;a77#a77 is amended-- 7#a7 in subparagraph 7,c7 by striking and at the end2 7#b7 in subparagraph 7,d7 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,e7 address the social determinants of health of older individuals4 4 #aaa4 ,falls prevention and chronic disease self-management education ,section #daa7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb7;a77 is amended-- 7#a7 by redesignating paragraphs 7#ac7 and 7#ad7 as paragraphs 7#ae7 and 7#af71 respectively2 and 7#b7 by inserting after paragraph 7#ab7 the following3 7#ac7 bringing to scale and sustaining evidence-based falls prevention programs that will reduce the number of falls1 fear of falling1 and fall-related injuries in older individuals and older individuals with disabilities2 7#ad7 bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals and older individuals with disabilities to better manage their chronic conditions2 4 #aab4 ,extension of ,,raise ,family ,caregivers ,act ,section #f of the ,,raise ,family ,caregivers ,act 7,public ,law #aae-aai2 #acb ,stat4 #bg7 is amended by striking #c and inserting #d4 #aac4 ,support for socially-isolated older ,americans ,section #ajb7ad7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7ad77 is amended-- 7#a7 in subparagraph 7,k7 by striking and at the end2 7#b7 in subparagraph 7,l7 by striking 7,k7 and inserting 7,l72 7#c7 by redesignating subparagraph 7,l7 as subparagraph 7,m72 and 7#d7 by inserting after subparagraph 7,k7 the following3 7,l7 screening for the prevention of negative health effects associated with social isolation and coordination of supportive services and health care to address negative health effects associated with social isolation2 and 4 #aad4 ,increased focus of ,assistant ,secretary on health effects associated with social isolation ,section #bjb7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7;a771 as amended by section #ajc1 is amended-- 7#a7 in paragraph 7#ca7 by striking 2 and and inserting a semicolon2 7#b7 in paragraph 7#cb7 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7#cc7 develop objectives1 priorities1 and a long-term plan for supporting ,state and local efforts involving education about1 prevention of1 detection of1 and response to negative health effects associated with social isolation among older individuals4 4 #aae4 ,advisory council on health effects associated with social isolation ,section #bjb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab71 as amended by section #ajc1 is amended by adding at the end the following3 7i7 7#a7 ,the ,assistant ,secretary shall convene an advisory council on negative health effects associated with social isolation with aging network stakeholders1 including caregivers1 and select members in a manner that ensures geographic diversity of the members-- 7,a7 to review and evaluate efforts to address negative health effects associated with social isolation among older individuals2 and 7,b7 to identify challenges1 solutions1 and best practices related to such efforts4 7#b7 ,the advisory council convened under paragraph 7#a7 shall-- 7,a7 ensure consideration of consumer-directed care models2 and 7,b7 submit a report to ,congress on its findings4 7#c7 ,the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 shall not apply with respect to the advisory council convened under paragraph 7#a74 4 #aaf4 ,supportive services and senior centers ,section #cba7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcj;d7a77 is amended-- 7#a7 in paragraph 7#bd7 by striking and at the end2 7#b7 by redesignating paragraph 7#be7 as paragraph 7#bf72 and 7#c7 by inserting after paragraph 7#bd7 the following3 7#be7 services that promote or support social connectedness and reduce negative health effects associated with social isolation2 and 4 #aag4 ,demonstration projects 7a7 ,demonstrations ,section #daa7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb7;a771 as amended by section #aaa1 is amended-- 7#a7 in paragraph 7#ae7 by striking and at the end2 7#b7 by redesignating paragraph 7#af7 as paragraph 7#ag72 and 7#c7 by inserting after paragraph 7#ae7 the following3 7#af7 projects that address negative health effects associated with social isolation among older adults2 and 4 7b7 ,repeal ,section #daf of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb;e7 is repealed4 #aah4 ,younger onset ,alzheimer's ,disease 7a7 ,definition of family caregiver ,section #cjb7c7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbb7c77 is amended by inserting of any age after an individual4 7b7 ,definition of resident ,section #gaa7f7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjeh7f77 is amended by inserting of any age after individual4 #aai4 ,priority for the senior community service employment program 7a7 ,priority ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 is amended-- 7#a7 in section #ejc7;a77#d77;,c7-- 7,a7 in clause 7iii7 by striking and at the end2 7,b7 in clause 7iv7 by adding and at the end2 and 7,c7 by adding at the end the following3 7v7 eligible individuals who have been incarcerated within the last #e years or are under supervision following the release from prison or jail within the last #e years2 2 7#b7 in section #ead7;e77#a7 by inserting older individuals who have been incarcerated or are under supervision following the release from prison or jail1 after need12 and 7#c7 in section #eah-- 7,a7 in subsection 7a77#c77;,b77ii7-- 7i7 in clause 7,,iv7 by striking or at the end2 7ii7 in clause 7,v7 by striking the period at the end and inserting 2 or2 and 7iii7 by adding at the end the following3 7,,vi7 have been incarcerated within the last #e years or are under supervision following the release from prison or jail within the last #e years4 2 and 7,b7 in subsection 7b77#b7-- 7i7 in subparagraph 7,f7 by striking or at the end2 7ii7 in subparagraph 7,g7 by striking the period at the end and inserting 2 or2 and 7iii7 by adding at the end the following3 7,h7 has been incarcerated or is under supervision following the release from prison or jail within the last #e years4 4 7b7 ,transition period ,this section shall take effect #a year after the date of the enactment of this ,act4 #abj4 ,direct care workforce 7a7 ,demonstrations ,section #daa7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb7;a771 as amended by sections #aaa and #aag1 is amended-- 7#a7 by redesignating paragraphs 7#af7 and 7#ag7 as paragraphs 7#ag7 and 7#ah71 respectively2 and 7#b7 by inserting after paragraph 7#ae7 the following3 7#af7 in coordination with the ,secretary of ,labor1 the demonstration of new strategies for the recruitment1 retention1 or advancement of direct care workers1 and to solicit1 develop1 and implement strategies-- 7,a7 to reduce barriers to entry for a diverse and high-quality direct care workforce1 including providing wages1 benefits1 and advancement opportunities needed to attract or retain direct care workers2 7,b7 to provide supportive services and career planning for direct care workers2 and 7,c7 to support the advancement of direct care workers through education and workforce development programs that include necessary credential or licensing preparation1 paid on-the-job training or work-based learning1 and appropriate safety training2 4 7b7 ,older ,american community service employment program ,section #ejb7;e77#b77;,b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjef7;e77#b77;,b77 is amended-- 7#a7 in clause 7iii7 by striking and at the end2 7#b7 in clause 7iv7 by adding and at the end2 and 7#c7 by adding at the end the following3 7v7 attract1 retain1 or advance the direct care workforce1 in consultation with the ,assistant ,secretary1 providing for wages and benefits needed to reduce barriers to entry for a diverse and high-quality direct care workforce1 supportive services and career planning1 and paid on-the-job training or work-based learning1 with appropriate safety training2 4 #aba4 ,national resource center for older individuals experiencing the long-term and adverse consequences of trauma ,section #daa7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb7;a71 as amended by sections #aaa1 #aag1 and #abj1 is amended-- 7#a7 in paragraph 7#ag7 by striking and at the end2 7#b7 in paragraph 7#ah7 by striking the period at the end2 and 7#c7 by adding at the end the following3 7#ai7 the establishment and operation of a national resource center that shall-- 7,a7 provide training and technical assistance to agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences of trauma2 7,b7 share best practices with the aging network2 and 7,c7 make subgrants to the agencies best positioned to advance and improve the delivery of person-centered1 trauma-informed services for older individuals experiencing the long-term and adverse consequences of trauma4 4 #abb4 ,national ,resource ,center for ,women and ,retirement ,section #bjb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab71 as amended by sections #ajc and #aae1 is amended by adding at the end the following3 7j7 7#a7 ,the ,assistant ,secretary shall1 directly or by grant or contract1 operate the ,national ,resource ,center for ,women and ,retirement 7in this subsection referred to as the ,center74 7#b7 ,the ,center shall-- 7,a7 provide basic financial management1 retirement planning1 and other educational tools that promote financial wellness and help to identify and prevent fraud and elder exploitation1 and integrate these with information on health and long-term care2 7,b7 annually disseminate a summary of outreach provided1 including work to provide user-friendly consumer information and public education materials2 7,c7 develop targeted outreach strategies2 7,d7 provide technical assistance to ,state agencies and to other public and nonprofit private agencies and organizations2 and 7,e7 develop partnerships and collaborations to address program objectives4 4 #abc4 ,definition ,section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7 is amended-- 7#a7 by redesignating paragraphs 7#da7 through 7#ed7 as paragraphs 7#db7 through 7#ee72 and 7#b7 by inserting after paragraph 7#dj7 the following3 7#da7 ,the term person-centered1 trauma-informed when used with respect to services means services provided through an aging program that-- 7,a7 use a holistic approach to providing services2 7,b7 promote the dignity1 strength and empowerment of victims of trauma2 and 7,c7 incorporate research-based practices based on knowledge about the role of trauma in trauma victims' lives4 4 #abd4 ,review of reports ,section #cjh7;b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbh7;b77 is amended by inserting at the end the following3 7#h7 ,the ,assistant ,secretary shall review the reports submitted under section #cjg7;a77#ca7 and include aggregate data in the report required by section #bjg7;a71 including data on-- 7,a7 the effectiveness of the programs1 policies1 and services provided by area agencies on aging in assisting individuals whose needs were the focus of all centers funded under title ,,iv in fiscal year #bjai2 and 7,b7 outreach efforts and other activities carried out to satisfy the assurances described in paragraphs 7#ah7 and 7#ai7 of section #cjf7;a71 to identify such older individuals and their service needs4 4 #abe4 ,area plans ,section #cjf7;a77#d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbf7;a77#d77 is amended in subparagraph 7,b77i77,,vii7 by inserting 81 specifically including survivors of the ,holocaust0 after 8placement04 #abf4 ,addressing chronic pain management ,section #ajb7ad77;,d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7ad77 is amended by inserting chronic pain management1 after substance abuse reduction14 #abg4 ,extension of the ,supporting ,grandparents ,raising ,grandchildren ,act ,section #c7;f7 of the ,supporting ,grandparents ,raising ,grandchildren ,act 7,public ,law #aae-aif7 is amended by striking 8#c0 and inserting 8#d04 #abh4 ,screening for suicide risk ,section #ajb7ad77;,g7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7ad77;,g77 is amended by inserting and screening for suicide risk after depression4 #abi4 ,traumatic brain injury 7a7 ,section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb71 as amended by section #aac1 is amended-- 7#a7 in paragraph 7#ad7-- 7,a7 in paragraph 7,m7 by striking 7,l7 and inserting 7,m72 7,b7 by redesignating subparagraphs 7,h7 through 7,m7 as subparagraphs 7,i7 through 7,n71 respectively2 and 7,c7 by inserting after subparagraph 7,g7 the following3 7,h7 screening for fall-related traumatic brain injury2 coordination of treatment1 rehabilitation1 and related services2 and referral services2 2 and 7#b7 by adding at the end the following3 7#ef7 ,the term traumatic brain injury has the meaning given to it in section #cci;,b7d7 of the ,public ,health ,service ,act4 4 7b7 ,section #cba7;a77#h7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4#cjcj;d7a77#h77 is amended-- 7#a7 by striking screening and and inserting screening1 screening for negative health effects associated with social isolation12 and 7#b7 by striking screening7 and inserting screening1 and traumatic brain injury screening74 7c7 ,section #daa7;a77#ab7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb7;a77#ab77 is amended-- 7#a7 by inserting dementia1 after dysfunction12 7#b7 by striking and the #b;d place it appears2 and 7#c7 by inserting and traumatic brain injury before the semicolon at the end4 #acj4 ,addressing public health emergencies and emerging health threats ,section #ajb7ad7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7ad771 as amended by sections #aac and #abi1 is amended-- 7#a7 in subparagraph 7,m7 by striking and at the end2 7#b7 in subparagraph 7,n7 by striking 7,m7 and inserting 7,n72 7#c7 by redesignating subparagraphs 7,k71 7,l71 7,m71 and 7,n7 as subparagraphs 7,l71 7,m71 7,n71 and 7,o7 respectively2 and 7#d7 by inserting after subparagraph 7,j7 the following3 7,k7 responses to public health emergencies and emerging health threats2 4 #aca4 ,prevention of sexually transmitted diseases ,section #ajb7ad77;,d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7ad77;,d771 as amended by section #ajb1 is amended by inserting 8prevention of sexually transmitted disease10 after 8disease704 #acb4 ,aging and ,disability ,resource ,center ,section #ajb7d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7d77 is amended-- 7#a7 in the matter preceding subparagraph 7,a71 by inserting 1 in collaboration with 7as appropriate7 area agencies on aging1 centers for independent living 7as described in part ,c of title ,,vii of the ,rehabilitation ,act of #aigc 7#bi ,u4,s4,c4 #gif;f et seq4771 and other aging or disability entities after provides2 7#b7 in subparagraph 7,b7-- 7,a7 by inserting services1 supports1 and after plan for long-term2 and 7,b7 by inserting and choices after desires2 and 7#c7 in subparagraph 7,d7 by striking 7#bi ,u4,s4,c4 #gif;f et seq471 and other community-based entities1 and inserting 1 and other community-based entities1 including other aging or disability entities4 ,,ii ,empowering the ,aging ,network to meet the needs of older individuals #bja4 ,national family caregiver support program cap 7a7 ,federal share ,section #cgc7;g77#b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs-#a7;g77#b77 is amended by striking subparagraph 7,c74 7b7 ,monitoring the impact of the elimination of the cap on funds for older relative caregivers 7#a7 ,report ,not later than #ah months after the date of the enactment of this ,act1 and annually thereafter1 the ,assistant ,secretary shall submit to the ,committee on ,education and ,labor of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate a report on the impact of the amendment made by subsection 7a7 to eliminate the limitation on funds that ,states may allocate to provide support services to older relative caregivers in the ,national ,family ,caregiver ,support ,program established under part ,e of title ,,iii of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs--#cjcjs-#b74 ,each such report shall also be made available to the public4 7#b7 ,contents ,for purposes of reports required by paragraph 7#a71 each ,state that receives an allotment under such ,national ,family ,caregiver ,support ,program for fiscal year #bjbj or a subsequent fiscal year shall report to the ,assistant ,secretary for the fiscal year involved the amount of funds of the total ,federal and non-,federal share allotment used by the ,state to provide support services for caregiver support for older relative caregivers and family caregivers4 #bjb4 ,minimum funding level for ,state administrative expenses ,section #cjh7;b77#b77;,a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbh7;b77#b77;,b77 is amended by striking #ejj1jjj and inserting #gej1jjj4 #bjc4 ,culturally-appropriate1 medically-tailored meals ,section #cci7b77;,a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cici;h7#b77;,a77 is amended by inserting 1 including cultural considerations and preferences 7including needs based on religious1 cultural1 or ethnic requirements7 and medically tailored meals before the comma at the end4 #bjd4 ,business acumen provisions and clarification regarding outside funding for area agencies on aging 7a7 ,assistance relating to growing and sustaining capacity ,section #bjb7;b77#i7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7;b77#i77 is amended-- 7#a7 in subparagraph 7,a7 by striking and after the semicolon at the end2 7#b7 in subparagraph 7,b7 by inserting and after the semicolon at the end2 and 7#c7 by adding at the end the following3 7,c7 business acumen1 capacity building1 organizational development1 innovation1 and other methods of growing and sustaining the capacity of the aging network to serve older individuals and caregivers most effectively2 4 7b7 ,clarifying partnerships for area agencies on aging ,section #cjf of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbf7 is amended by adding at the end the following3 7g7 ,nothing in this ,act shall restrict an area agency on aging from providing services not provided or authorized by this ,act1 including through-- 7#a7 contracts with health care payers2 7#b7 consumer private pay programs2 or 7#c7 other arrangements with entities or individuals that increase the availability of home and community-based services and supports in the planning and service area supported by the area agency on aging4 4 #bje4 ,other practices ,section #cae of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcj;c-#b7 is amended by adding at the end the following3 7e7 ,response to area agencies on aging ,upon request from an area agency on aging1 the ,state shall make available any policies or guidance pertaining to policies under this section4 4 #bjf4 ,caregiver assessments 7a7 ,definition of caregiver assessment ,section #cgb7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs7a77 is amended by adding at the end the following3 7#d7 ,caregiver assessment ,the term caregiver assessment means a systematic process of gathering information about the situation of a caregiver who voluntarily participates in such process1 which may include contact through a home visit1 the ,internet1 telephone or teleconference1 or in-person interaction1 to identify the caregiver's specific needs1 barriers1 and existing supports as identified by the caregiver that-- 7,a7 provides the opportunity for the recognized caregiver to participate in such process2 7,b7 requires direct contact with the caregiver and is used to appropriately target and tailor support services to the caregiver's unique needs2 and 7,c7 includes reassessment of such specific needs1 barriers1 and existing supports1 including to accommodate a significant change in the caregiving situation1 which shall occur on a voluntary basis with the consent of the caregiver4 4 7b7 ,use of caregiver assessments ,section #cgc7;b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs-#a7;b77 is amended by inserting may be informed through the use of caregiver assessments and after with14 7c7 ,technical assistance for caregiver assessments ,section #cgc of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs-#a7 is amended by adding at the end the following3 7h7 ,technical assistance for caregiver assessments ,not later than #a year after the effective date of this subsection1 the ,assistant ,secretary1 in consultation with caregivers1 older individuals1 individuals with a disability who receive care from an older relative caregiver1 the aging network1 and other experts and stakeholders1 shall provide technical assistance to promote and implement the use of caregiver assessments4 ,such technical assistance shall include sharing available tools and templates1 comprehensive assessment protocols1 and best practices concerning-- 7#a7 conducting caregiver assessments and reassessments2 7#b7 implementing such assessments that are consistent across a planning and service area2 and 7#c7 implementing caregiver support service plans1 including referrals to and coordination of activities with relevant ,state and local services4 4 7d7 ,reporting on caregiver assessment ,section #cgc7;e7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs-#a7;e77 is amended-- 7#a7 in paragraph 7#c7 by inserting 1 including caregiver assessments used in the ,state1 after mechanisms the #ast place it appears2 and 7#b7 by adding at the end the following3 7#d7 ,report on caregiver assessments 7,a7 ,in general ,not later than #c years after the effective date of this paragraph1 the ,assistant ,secretary shall issue a report on the use of caregiver assessments by area agencies on aging1 entities contracting with such agencies1 and organizations4 ,such report shall include-- 7i7 an analysis of the current use of caregiver assessments1 including a repository of caregiver assessment tools or templates and comprehensive assessment protocols2 7ii7 using objective data1 an analysis of the impact of caregiver assessments on-- 7,i7 family caregivers and older relative caregivers2 and 7,,ii7 the individuals to whom the caregivers described in subclause 7,i7 provide care2 7iii7 an analysis of the impact of using caregiver assessments on the aging network2 7iv7 an analysis of how caregiver assessments are being used to identify the specific needs1 barriers1 and existing supports of family caregivers and older relative caregivers2 7v7 recommendations for using caregiver assessments1 including in rural or underserved areas2 and 7vi7 feedback from ,state agencies and area agencies on aging1 particularly in rural or underserved areas1 on the implementation of caregiver assessments4 7,b7 ,submission ,not later than #f months after the issuance of the report under subparagraph 7,a71 the ,assistant ,secretary shall submit the report to the ,committee on ,education and ,labor of the ,house of ,representatives1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate1 and the ,special ,committee on ,aging of the ,senate4 4 #bjg4 ,research and evaluation ,section #bja of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjaa7 is amended by adding at the end the following3 7g7 7#a7 ,the ,assistant ,secretary shall coordinate the research and evaluation functions of this ,act under a ,national ,research1 ,demonstration1 and ,evaluation ,center for the ,aging ,network 7in this subsection referred to as the ,center71 which shall be headed by a director designated by the ,assistant ,secretary from individuals described in paragraph 7#d74 7#b7 ,the purpose of the ,center shall be-- 7,a7 to coordinate research1 research dissemination1 evaluation1 demonstration projects1 and related activities carried out under this ,act2 7,b7 to provide assessment of the programs authorized under this ,act2 and 7,c7 to increase the repository of information on evidence-based programs and interventions available to the aging network4 ,such information shall be applicable to existing programs and help in the development of new evidence-based programs and interventions4 7#c7 ,activities of the ,center shall include conducting1 promoting1 coordinating1 and providing support for-- 7,a7 research and evaluation activities that support the objectives of this ,act1 including-- 7i7 evaluation of new and existing programs and interventions authorized by this ,act2 and 7ii7 research on and assessment of the relationship between programs and interventions under this ,act and the health outcomes1 social determinants of health1 quality of life1 health care savings 7including to the ,medicare program under title ,,xviii of the ,social ,security ,act and the ,medicaid program under title ,,xix of such ,act as practicable71 and independence of individuals served under this ,act2 7,b7 demonstration projects that support the objectives of the ,act and activities to bring effective demonstration projects to scale with a prioritization of projects that address the needs of underserved populations2 7,c7 outreach and dissemination of research findings2 and 7,d7 technical assistance related to the activities described in this subparagraph4 7#d7 ,the director shall be an individual with substantial knowledge of and experience in aging and health policy1 and research administration4 7#e7 ,not later than ,october #a1 #bjbj1 and at #e-year intervals thereafter1 the director shall prepare and publish in the ,federal ,register for public comment a draft of a #e-year plan that-- 7,a7 outlines priorities for research1 research dissemination1 evaluation1 and related activities2 7,b7 explains the basis for such priorities2 and 7,c7 describes how the plan will meet the needs of underserved populations4 7#f7 ,the director shall coordinate research1 research dissemination1 evaluation1 and demonstration projects1 and related activities with appropriate agency program staff1 and1 as appropriate1 coordinate with other ,federal departments and agencies involved in research in the field of aging4 7#g7 ,not later than ,december #ca1 #bjbj1 and annually thereafter1 the director shall prepare1 and submit to the ,secretary1 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate1 the ,special ,committee on ,aging of the ,senate1 and the ,committee on ,education and ,labor of the ,house of ,representatives1 a report on the activities funded under this section and title ,,iv4 7#h7 ,the director shall1 as appropriate1 consult with experts on aging research and evaluation and aging network stakeholders on the implementation of the activities described under paragraph 7#c7 of this subsection4 7#i7 ,the director shall coordinate all research and evaluation authorities under this ,act4 4 #bjh4 ,grant program for multigenerational collaboration ,section #dag of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb;f7 is amended-- 7#a7 by amending subsection 7a7 to read as follows3 7a7 ,grants and contracts ,the ,assistant ,secretary shall award grants to1 and enter into contracts with1 eligible organizations to carry out projects-- 7#a7 to provide opportunities for older individuals to participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals and individuals in younger generations by developing-- 7,a7 meaningful roles for participants2 7,b7 reciprocity in relationship building2 7,c7 reduced social isolation and improved participant social connectedness2 7,d7 improved economic well-being for older individuals2 7,e7 increased lifelong learning2 or 7,f7 support for older relative caregivers by-- 7i7 providing support for older relative caregivers 7as defined in section #cgb7 raising children 7such as kinship navigator programs72 or 7ii7 involving volunteers who are older individuals who provide support and information to families who have a child with a disability or chronic illness1 or other families in need of such family support2 7#b7 to coordinate multigenerational activities and civic engagement activities1 including multigenerational nutrition and meal service programs2 7#c7 to promote volunteerism1 including becoming a mentor to young people2 and 7#d7 to facilitate development of and participation in multigenerational activities and civic engagement activities4 2 7#b7 by amending subsection 7b7 to read as follows3 7b7 ,use of funds 7#a7 ,in general ,an eligible organization shall use funds made available under a grant awarded1 or a contract entered into1 under this section to carry out a project described in subsection 7a74 7#b7 ,provision of projects through grantees ,in making grants under this section1 the ,assistant ,secretary shall ensure that awards are made for the activities and projects described in each of paragraphs 7#a7 and 7#b7 of subsection 7a74 2 7#c7 in subsection 7c7-- 7,a7 in the matter preceding paragraph 7#a71 by inserting that serves individuals in younger generations and older individuals after to carry out a project2 7,b7 in paragraph 7#a7 by inserting 1 intent to carry out1 or intent to partner with local organizations or multiservice organizations to carry out1 after record of carrying out2 7,c7 in paragraph 7#c7 by striking 2 and and inserting a semicolon2 7,d7 in paragraph 7#d7 by striking the period at the end and inserting 2 and2 and 7,e7 by adding at the end the following3 7#e7 eligible organizations proposing multigenerational activity projects that utilize shared site programs1 such as collocated child care and long-term care facilities4 2 7#d7 by amending subsection 7e7 to read as follows3 7e7 ,eligible organizations ,organizations eligible to receive a grant or enter into a contract under subsection 7a7 shall-- 7#a7 be a ,state1 an area agency on aging1 or an organization that provides opportunities for older individuals to participate in activities described in such subsection2 and 7#b7 have the capacity to conduct the coordination1 promotion1 and facilitation described in such subsection through the use of multigenerational coordinators4 2 7#e7 by striking subsection 7g72 7#f7 in subsection 7h77#b77;,b77i7 by striking individuals from the generations with older individuals and inserting older individuals2 7#g7 by redesignating subsections 7b7 through 7f7 as subsections 7c7 through 7g71 respectively2 and 7#h7 by inserting after subsection 7a7 the following3 7b7 ,grant period ,each grant awarded or contract made under subsection 7a7 shall be to carry out projects for a period of not less than #cf months4 4 ,,iii ,strengthening protections for older individuals #cja4 ,state ,long-,term ,care ,ombudsman ,program minimum funding and maintenance of effort ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 is amended-- 7#a7 by amending section #cjf7;a77#i7 to read as follows3 7#i7 provide assurances that-- 7,a7 the area agency on aging1 in carrying out the ,state ,long-,term ,care ,ombudsman program under section #cjg7;a77#i71 will expend not less than the total amount of funds appropriated under this ,act and expended by the agency in fiscal year #bjai in carrying out such a program under this title2 and 7,b7 funds made available to area agencies on aging pursuant to section #gab shall be used to supplement and not supplant other ,federal1 ,state1 and local funds expended to support activities described in section #gab4 2 and 7#b7 by amending section #cjg7;a77#i7 to read as follows3 7#i7 ,the plan shall provide assurances that-- 7,a7 the ,state agency will carry out1 through the ,office of the ,state ,long-,term ,care ,ombudsman1 a ,state ,long-,term ,care ,ombudsman program in accordance with section #gab and this title1 and will expend for such purpose an amount that is not less than an amount expended by the ,state agency with funds received under this title for fiscal year #bjai1 and an amount that is not less than the amount expended by the ,state agency with funds received under title ,,vii for fiscal year #bjai2 and 7,b7 funds made available to state agencies pursuant to section #gab shall be used to supplement and not supplant other ,federal1 ,state1 and local funds expended to support activities described in section #gab4 4 #cjb4 ,state long-term care volunteer ombudsman representatives ,section #gab7;a77#e7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjeh;g7a77#e77 is amended-- 7#a7 by redesignating subparagraph 7,d7 as subparagraph 7,e72 and 7#b7 by inserting after subparagraph 7,c7 the following3 7,d7 ,volunteer ombudsman representatives ,an individual designated as a volunteer ombudsman representative may receive financial support and recognition from the ,office of the ,state ,long-,term ,care ,ombudsman ,program for expenses incurred during service4 4 #cjc4 ,clarification regarding board and care facilities ,section #ajb7ce77;,c7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7ce77;,c77 is amended by striking for purposes of sections #cjg7;a77#ab7 and #gab14 #cjd4 ,report on legal hotlines ,not later than #c years after the date of the enactment of this ,act1 the ,assistant ,secretary on ,aging shall prepare and submit to the ,congress a report containing-- 7#a7 information on which ,states or localities operate senior legal hotlines2 7#b7 information on how such hotlines operated by ,states or localities are funded2 7#c7 information on the usefulness of senior legal hotlines in the coordination and provision of legal assistance2 and 7#d7 recommendations on additional actions that should be taken related to senior legal hotlines4 #cje4 ,community outreach ,section #gba7;b77#ab7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjeh;i7b77#ab77 is amended-- 7#a7 in subparagraph 7,c7 by inserting community outreach and education1 after technical assistance2 and 7#b7 in subparagraph 7,f7-- 7,a7 by striking studying and inserting implementing2 and 7,b7 by inserting 1 programs1 and materials after practices4 #cjf4 ,principles for person-directed services and supports during serious illness 7a7 ,definitions 7#a7 ,administrator ,the term ,administrator means the ,administrator of the ,administration for ,community ,living4 7#b7 ,area agency on aging2 ,assistant ,secretary2 ,state agency ,the terms area agency on aging1 ,assistant ,secretary1 and ,state agency have the meanings given the terms in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb74 7#c7 ,covered agency ,the term covered agency means-- 7,a7 a ,state agency or area agency on aging2 and 7,b7 a ,federal agency other than the ,department of ,health and ,human ,services1 and a unit of that ,department other than the ,administration on ,aging1 that the ,assistant ,secretary determines performs functions for which the principles are relevant1 and the ,centers for ,medicare ,medicaid ,services4 7#d7 ,principles ,the term principles means the ,principles for ,person-directed ,services and ,supports during ,serious ,illness1 issued by the ,administration on ,september #a1 #bjag1 or an updated set of such ,principles4 7b7 ,dissemination ,the ,administrator shall disseminate the principles to appropriate stakeholders within the aging network1 as determined by the ,assistant ,secretary1 and to covered agencies4 ,the covered agencies may use the principles in setting priorities for service delivery and care plans in programs carried out by the agencies4 7c7 ,feedback ,the ,administrator shall solicit1 on an ongoing basis1 feedback on the principles from covered agencies1 experts in the fields of aging and dementia1 and stakeholders who provide or receive disability services4 7d7 ,report ,not less often than once1 but not more often than annually1 during the #c years after the date of the enactment of this ,act1 the ,administrator shall prepare and submit to ,congress a report describing the feedback received under subsection 7c7 and indicating if any changes or updates are needed to the principles4 ,,iv ,meeting the needs of older ,native ,americans #dja4 ,expanding supportive services for ,native ,american aging programs ,title ,,vi of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjeg et seq47 is amended-- 7#a7 in part ,d-- 7,a7 by amending section #fdc to read as follows3 #fdc4 ,authorization of appropriations ,there are authorized to be appropriated to carry out this title-- 7#a7 for parts ,a and ,b1 #ch1ebd1cbd for fiscal year #bjbj1 #dj1hce1ghc for fiscal year #bjba1 #dc1bhe1icj for fiscal year #bjbb1 #de1hhc1jhf for fiscal year #bjbc1 and #dh1fcf1jga for fiscal year #bjbd2 and 7#b7 for part ,c subject to section #fdd1 #aj1ghe1ege for fiscal year #bjbj1 #aa1dcb1gaj for fiscal year #bjba1 #ab1aah1fgb for fiscal year #bjbb1 #ab1hde1gib for fiscal year #bjbc1 and #ac1faf1edj for fiscal year #bjbd4 2 and 7,b7 by adding at the end the following3 #fdd4 ,funding set aside ,of the funds appropriated under section #fdc7a7 for a fiscal year1 not more than #e percent shall be made available to carry out part ,d for such fiscal year if for such fiscal year-- 7#a7 the funds appropriated for parts ,a and ,b are greater than the funds appropriated for such parts for fiscal year #bjai2 and 7#b7 the ,assistant ,secretary makes available for parts ,a and ,b not less than the amount of resources made available for fiscal year #bjai4 2 7#b7 by redesignating part ,d as part ,e2 and 7#c7 by inserting after part ,c the following3 ,d ,supportive services for healthy aging and independence #fcf4 ,program 7a7 ,in general ,the ,assistant ,secretary shall carry out a competitive demonstration program for making grants to tribal or ,native ,hawaiian organizations with applications approved under parts ,a and ,b1 to pay for the ,federal share of carrying out programs1 to enable the organizations to build their capacity to provide a wider range of in-home and community supportive services to enable older individuals to maintain their health and independence and to avoid long-term care facility placement4 7b7 ,supportive services 7#a7 ,in general ,subject to paragraph 7#b71 supportive services described in subsection 7a7 may include any of the activities described in section #cba7;a74 7#b7 ,priority ,the ,assistant ,secretary1 in making grants under this section1 shall give priority to organizations that will use the grant funds for supportive services described in subsection 7a7 that are for in-home assistance1 transportation1 information and referral1 case management1 health and wellness programs1 legal services1 family caregiver support services1 and other services that directly support the independence of the older individuals served4 7c7 ,rule of construction ,nothing in this section shall be construed or interpreted to prohibit the provision of supportive services under part ,a or ,b4 4 #djb4 ,enhancing capacity to support ,native ,american aging programs ,title ,,ii of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjaa et seq47 is amended-- 7#a7 in section #bja7;c77#c77;,h7 by inserting to ensure adequate capacity to deliver the services under such title1 which technical assistance programs may include program management1 data development and use1 basic business skills1 grant development1 program and service innovations1 and staff professional development and certification before the semicolon at the end2 and 7#b7 section #baf is amended to read as follows3 #baf4 ,authorization of appropriations 7a7 ,in general ,for purposes of carrying out this ,act1 there are authorized to be appropriated for administration1 salaries1 and expenses of the ,administration #dd1jdb1aga for fiscal year #bjbj1 #df1fhd1gja for fiscal year #bjba1 #di1dhe1ghc for fiscal year #bjbb1 #eb1ded1icj for fiscal year #bjbc1 and #ee1fjb1bbf for fiscal year #bjbd4 7b7 ,authorization of appropriations for programs ,there are authorized to be appropriated-- 7#a7 to carry out section #bja7;g71 #bj1jjj1jjj for each of the fiscal years #bjbj through #bjbd2 7#b7 to carry out section #bjb7;a77#ba7 7relating to the ,national ,eldercare ,locator ,service71 #b1ahf1bbg for fiscal year #bjbj1 #b1cag1dja for fiscal year #bjba1 #b1def1dde for fiscal year #bjbb1 #b1fjc1hcb for fiscal year #bjbc1 and #b1gfj1jfb for fiscal year #bjbd2 7#c7 to carry out sections #bae and #bjb7;j71 #a1iib1dfj for fiscal year #bjbj1 #b1aab1jjh for fiscal year #bjba1 #b1bch1gbh for fiscal year #bjbb1 #b1cgc1jeb for fiscal year #bjbc1 and #b1eae1dce for fiscal year #bjbd2 7#d7 to carry out section #bjb 7relating to ,elder ,rights ,support ,activities under this title71 #a1cge1jaa for fiscal year #bjbj1 #a1deg1eaa for fiscal year #bjba1 #a1edd1ifb for fiscal year #bjbb1 #a1fcg1ffj for fiscal year #bjbc1 and #a1gce1iai for fiscal year #bjbd2 7#e7 to carry out section #bjb7;b7 7relating to the ,aging and ,disability ,resource ,centers71 #h1gjh1jdc for fiscal year #bjbj1 #i1bcj1ebf for fiscal year #bjba1 #i1ghd1ceg for fiscal year #bjbb1 #aj1cga1dai for fiscal year #bjbc1 and #aj1iic1gjd for fiscal year #bjbd2 and 7#f7 to carry out section #bja7;c77#c77;,h7 7relating to professional development and technical assistance for programs under title ,,vi71 #ejj1jjj for fiscal year #bjba4 4 ,v ,miscellaneous #eja4 ,technical corrections ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 is amended-- 7#a7 in section #ajb7cg77;,a7 by striking paragraph 7#e7 and inserting paragraph 7#bf72 7#b7 in section #bjb7;a77#bc7 by striking sections #cjg7;a77#ah7 and #gca7;b77#b7 and inserting sections #cjg7;a77#ac7 and #gca2 7#c7 in section #bjb7;e77#a77;,a7 by moving the left margin of clause 7i7 #b ems to the left2 7#d7 in sections #bjc7;c77#g71 #bjg7;b77#b77;,b71 and #bae7;i7 by striking ,committee on ,education and the ,workforce and inserting ,committee on ,education and ,labor2 7#e7 in section #bjg7;b77#c77;,a7 by striking ,administrator of the ,health ,care ,finance ,administration and inserting ,administrator of the ,centers for ,medicare and ,medicaid ,services2 7#f7 in section #cjd7;a77#c77;,c7 by striking term and all that follows through does1 and inserting term ,state does2 7#g7 in section #cjd7;d77#a77;,b7 by striking 7excluding and all that follows through #cjc7;a77#c772 7#h7 in section #cjf7;a7-- 7,a7 by inserting the number of older individuals at risk for institutional placement residing in such area1 after areas7 residing in such area1 the last place it appears2 and 7,b7 in paragraph 7#b7 by striking who are victims of and inserting with2 7#i7 in section #cci by striking ,institute of ,medicine of the ,national ,academy of ,sciences and inserting ,national ,academies of ,sciences1 ,engineering1 and ,medicine2 7#aj7 in section #faa by striking 7a72 and 7#aa7 in section #fad7;c77#d7 by striking 87a77#ab70 and inserting 87a77#aa704 #ejb4 ,authorization of appropriations2 uses of funds 7a7 ,authorization of appropriations2 uses of funds ,section #cjc of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbc7 is amended to read as follows3 #cjc4 ,authorization of appropriations2 uses of funds 7a7 7#a7 ,there are authorized to be appropriated to carry out part ,b 7relating to supportive services7 #dac1jaa1ehf for fiscal year #bjbj1 #dcg1gib1bha for fiscal year #bjba1 #dfd1jei1hah for fiscal year #bjbb1 #dia1ijc1djg for fiscal year #bjbc1 and #eba1dag1fab for fiscal year #bjbd4 7#b7 ,funds appropriated under paragraph 7#a7 shall be available to carry out section #gab4 7b7 7#a7 ,there are authorized to be appropriated to carry out subpart #a of part ,c 7relating to congregate nutrition services7 #eca1bgi1ffc for fiscal year #bjbj1 #efc1aef1ddc for fiscal year #bjba1 #eif1ide1hcj for fiscal year #bjbb1 #fcb1gfb1ehj for fiscal year #bjbc1 and #fgj1gbh1ccd for fiscal year #bjbd4 7#b7 ,there are authorized to be appropriated to carry out subpart #b of part ,c 7relating to home delivered nutrition services7 #bfi1egg1afg for fiscal year #bjbj1 #bhe1gea1gig for fiscal year #bjba1 #cjb1hif1ije for fiscal year #bjbb1 #cba1jgj1gai for fiscal year #bjbc1 and #cdj1ccd1ifc for fiscal year #bjbd4 7c7 ,grants made under part ,b1 and subparts #a and #b of part ,c1 of this title may be used for paying part of the cost of-- 7#a7 the administration of area plans by area agencies on aging designated under section #cje7;a77#b77;,a71 including the preparation of area plans on aging consistent with section #cjf and the evaluation of activities carried out under such plans2 and 7#b7 the development of comprehensive and coordinated systems for supportive services1 congregate and home delivered nutrition services under subparts #a and #b of part ,c1 the development and operation of multipurpose senior centers1 and the delivery of legal assistance4 7d7 ,there are authorized to be appropriated to carry out part ,d 7relating to disease prevention and health promotion services7 #bf1fej1gec for fiscal year #bjbj1 #bh1bdi1gih for fiscal year #bjba1 #bi1idd1ghf for fiscal year #bjbb1 #ca1gda1dgc for fiscal year #bjbc1 and #cc1fde1ifa for fiscal year #bjbd4 7e7 ,there are authorized to be appropriated to carry out part ,e 7relating to family caregiver support7 #aid1cca1bfd for fiscal year #bjbj1 #bje1iia1adj for fiscal year #bjba1 #bah1cej1fji for fiscal year #bjbb1 #bca1dea1fde for fiscal year #bjbc1 and #bde1cch1gdd for fiscal year #bjbd4 4 7b7 ,section #caa7;e7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcj;a7e77 is amended to read as follows3 7e7 ,there are authorized to be appropriated to carry out this section 7other than subsection 7c77#a77 #aga1fhb1bjj for fiscal year #bjbj1 #aha1ihc1acb for fiscal year #bjba1 #aib1ijb1abj for fiscal year #bjbb1 #bjd1dgf1bdg for fiscal year #bjbc1 and #baf1gdd1hbb for fiscal year #bjbd4 4 7c7 ,section #daa7;b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb7;b77 is amended to read as follows3 7b7 ,authorization of appropriations ,there are authorized to be appropriated to carry out-- 7#a7 aging network support activities under this section1 #ad1edi1aeg for fiscal year #bjbj1 #ae1dbb1ajg for fiscal year #bjba1 #af1cdg1dcc for fiscal year #bjbb1 #ag1cbh1bgi for fiscal year #bjbc1 and #ah1cfg1igf for fiscal year #bjbd2 and 7#b7 elder rights support activities under this section1 #ae1fej1ffg for fiscal year #bjbj1 #af1ehi1gjg for fiscal year #bjba1 #ag1ehe1jij for fiscal year #bjbb1 #ah1fdj1aie for fiscal year #bjbc1 and #ai1geh1fjg for fiscal year #bjbd4 4 7d7 ,section #eag7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjefo7a77 is amended to read as follows3 7a7 ,in general ,there are authorized to be appropriated to carry out this title #dbi1jbj1dhf for fiscal year #bjbj1 #ded1gfa1gae for fiscal year #bjba1 #dhb1jdg1dah for fiscal year #bjbb1 #eaj1igj1bfc for fiscal year #bjbc1 and #eda1fbh1dgh for fiscal year #bjbd4 4 7e7 ,section #gjb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4#cjeh;a7 is amended to read as follows3 #gjb4 ,authorization of appropriations 7a7 ,ombudsman program ,there are authorized to be appropriated to carry out chapter #b1 #ah1aaj1jbg for fiscal year #bjbj1 #ai1aif1fbi for fiscal year #bjba1 #bj1cdh1dbg for fiscal year #bjbb1 #ba1efi1ccb for fiscal year #bjbc1 and #bb1hfc1dib for fiscal year #bjbd4 7b7 ,other programs ,there are authorized to be appropriated to carry out chapters #c and #d1 #e1aai1bhg for fiscal year #bjbj1 #e1dbf1ddd for fiscal year #bjba1 #e1geb1jca for fiscal year #bjbb1 #f1jig1aec for fiscal year #bjbc1 and #f1dfb1ihb for fiscal year #bjbd4 4 #ejc4 ,hold harmless formula 7a7 ,in general ,section #cjd7;a77#c77;,d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d77 is amended to read as follows3 7,d7 7i7 ,in this subparagraph and paragraph 7#e73 7,i7 ,the term allot means allot under this subsection from a sum appropriated under section #cjc7;a7 or #cjc7;b77#a71 as the case may be4 7,,ii7 ,the term covered fiscal year means any of fiscal years #bjbj through #bjbi4 7ii7 ,if the sum appropriated under section #cjc7;a7 or #cjc7;b77#a7 for a particular fiscal year is less than or equal to the sum appropriated under section #cjc7;a7 or #cjc7;b77#a71 respectively1 for fiscal year #bjai1 amounts shall be allotted to ,states from the sum appropriated for the particular year in accordance with paragraphs 7#a7 and 7#b71 and subparagraphs 7,a7 through 7,c7 as applicable1 but no ,state shall be allotted an amount that is less than-- 7,i7 for fiscal year #bjbj1 #ii4ge percent of the corresponding sum appropriated for fiscal year #bjai2 7,,ii7 for fiscal year #bjba1 #ii4ej percent of that sum2 7,,iii7 for fiscal year #bjbb1 #ii4be percent of that sum2 7,,iv7 for fiscal year #bjbc1 #ii4jj percent of that sum2 7,v7 for fiscal year #bjbd1 #ih4ge percent of that sum2 7,,vi7 for fiscal year #bjbe1 #ih4ej percent of that sum2 7,,vii7 for fiscal year #bjbf1 #ih4be percent of that sum2 7,,viii7 for fiscal year #bjbg1 #ih4jj percent of that sum2 7,,ix7 for fiscal year #bjbh1 #ig4ge percent of that sum2 and 7,x7 for fiscal year #bjbi1 #ig4ej percent of that sum4 7iii7 ,if the sum appropriated under section #cjc7;a7 or #cjc7;b77#a7 for a particular covered fiscal year is greater than the sum appropriated under section #cjc7;a7 or #cjc7;b77#a71 respectively1 for fiscal year #bjai1 the allotments to ,states from the sum appropriated for the particular year shall be calculated as follows3 7,i7 ,from the portion equal to the corresponding sum appropriated for fiscal year #bjai1 amounts shall be allotted in accordance with paragraphs 7#a7 and 7#b71 and subparagraphs 7,a7 through 7,c7 as applicable1 but no ,state shall be allotted an amount that is less than the percentage specified in clause 7ii71 for that particular year1 of the corresponding sum appropriated for fiscal year #bjai4 7,,ii7 ,from the remainder1 amounts shall be allotted in accordance with paragraph 7#a71 subparagraphs 7,a7 through 7,c7 as applicable1 and paragraph 7#b7 to the extent needed to meet the requirements of those subparagraphs4 4 7b7 ,repeal ,section #cjd7;a77#c77;,d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d77 is repealed effective ,october #a1 #bjbi4 ,passed the ,house of ,representatives ,october #bh1 #bjai4;,cheryl ,l4 ,johnson1,clerk ,october #cj1 #bjai,read the second time and placed on the calendar