,,ii #aafth ,,congress #ast ,session ,s4 #cjeg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #af1 #bjai,ms4 ,collins 7for herself and ,mr4 ,casey7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to modernize the ,older ,americans ,act of #aife1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,modernization of the ,older ,americans ,act ,amendments4 #b4 ,table of contents ,the table of contents of this ,act is as follows3 ,sec4 #a4 ,short title4,sec4 #b4 ,table of contents4,sec4 #c4 ,references4,sec4 #d4 ,definitions4,,title ,i--,modernizing definitions and programs under the ,administration on ,aging,sec4 #aja4 ,reauthorization4,sec4 #ajb4 ,person-centered1 trauma-informed services4,sec4 #ajc4 ,aging and ,disability ,resource ,centers4,sec4 #ajd4 ,assistive technology4,sec4 #aje4 ,vaccination4,sec4 #ajf4 ,malnutrition4,sec4 #ajg4 ,sexually transmitted diseases4,sec4 #ajh4 ,addressing chronic pain management4,sec4 #aji4 ,screening for suicide risk4,sec4 #aaj4 ,addressing public health emergencies and emerging health threats4,sec4 #aaa4 ,clarification regarding board and care facilities4,sec4 #aab4 ,person-centered1 trauma-informed services4,sec4 #aac4 ,modernizing the review of applications and providing technical assistance for disasters4,sec4 #aad4 ,notification of availability of or updates to policies1 practices1 and procedures through a uniform e-format4,sec4 #aae4 ,evidence-,based program adaptation4,sec4 #aaf4 ,business acumen provisions and clarification regarding outside funding for area agencies on aging4,sec4 #aag4 ,national resource center for older individuals experiencing the long-term and adverse consequences of trauma4,sec4 #aah4 ,national ,resource ,center for ,women and ,retirement4,sec4 #aai4 ,family caregivers4,sec4 #abj4 ,coordination with ,assistant ,secretary for ,mental ,health and ,substance ,use and ,director of the ,centers for ,disease ,control and ,prevention4,sec4 #aba4 ,modernizing the ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities4,sec4 #abb4 ,professional standards for nutrition official under the ,assistant ,secretary4,sec4 #abc4 ,report on social isolation4,sec4 #abd4 ,innovation1 demonstration1 and evaluation within aging programs4,,title ,,ii--,improving grants for ,state and community programs on aging,sec4 #bja4 ,determinants of health4,sec4 #bjb4 ,younger onset ,alzheimer's disease4,sec4 #bjc4 ,reauthorization4,sec4 #bjd4 ,hold harmless formula4,sec4 #bje4 ,outreach efforts4,sec4 #bjf4 ,maintenance of effort for ,state ,long-,term ,care ,ombudsman program4,sec4 #bjg4 ,coordination with resource centers4,sec4 #bjh4 ,senior legal hotlines4,sec4 #bji4 ,increase in limit on use of allotted funds for ,state administrative costs4,sec4 #baj4 ,improvements to nutrition programs4,sec4 #baa4 ,review of reports4,sec4 #bab4 ,other practices4,sec4 #bac4 ,culturally appropriate1 medically tailored meals4,sec4 #bad4 ,nutrition services study4,sec4 #bae4 ,national ,family ,caregiver ,support program4,sec4 #baf4 ,national ,family ,caregiver ,support program cap4,,title ,,iii--,modernizing ,activities for ,health1 ,independence1 and ,longevity,sec4 #cja4 ,reauthorization4,sec4 #cjb4 ,falls prevention and chronic disease self-management education4,sec4 #cjc4 ,technical assistance and innovation to improve transportation for older individuals4,sec4 #cjd4 ,grant program for multigenerational collaboration4,,title ,,iv--,senior ,community ,service ,employment ,program,sec4 #dja4 ,priority for the senior community service employment program4,sec4 #djb4 ,authorization of appropriations4,,title ,v--,enhancing grants for ,native ,americans,sec4 #eja4 ,reauthorization4,,title ,,vi--,modernizing allotments for vulnerable elder rights protection activities and other programs,sec4 #fja4 ,reauthorization2 vulnerable elder rights protection activities4,sec4 #fjb4 ,volunteer ,state long-term care ombudsman representatives4,sec4 #fjc4 ,prevention of elder abuse1 neglect1 and exploitation4,sec4 #fjd4 ,principles for person-directed services and supports during serious illness4,sec4 #fje4 ,extension of the ,supporting ,grandparents ,raising ,grandchildren ,act4,sec4 #fjf4 ,best practices for home and community-based ombudsmen4,sec4 #fjg4 ,senior home modification assistance initiative4,,title ,,vii--,miscellaneous,sec4 #gja4 ,technical corrections4 #c4 ,references ,except as otherwise expressly provided in this ,act1 wherever in this ,act an amendment or repeal is expressed in terms of an amendment to1 or a repeal of1 a section or other provision1 the reference shall be considered to be made to that section or other provision of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq474 #d4 ,definitions ,in this ,act1 the terms area agency on aging1 ,assistant ,secretary1 greatest social need1 older individual1 and ,secretary have the meanings given such terms in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb74 ,i ,modernizing definitions and programs under the ,administration on ,aging #aja4 ,reauthorization ,section #baf 7#db ,u4,s4,c4 #cjbj;f7 is amended to read as follows-- #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 #dd1jda1aga for fiscal year #bjbj1 #df1fhd1gja for fiscal year #bjba1 #di1dhe1ghc for fiscal year #bjbb1 #eb1ded1icj for fiscal year #bjbc1 #ee1fjb1bbf for fiscal year #bjbd1 #eh1ich1cfj for fiscal year #bjbe1 and #fb1dgd1ffa for fiscal year #bjbf4 7b7 ,additional authorizations ,there are authorized to be appropriated-- 7#a7 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 #b1gfj1jfb for fiscal year #bjbd1 #b1ibe1ffe for fiscal year #bjbe1 and #c1aja1bjf for fiscal year #bjbf2 7#b7 to carry out section #bae1 #a1iib1dfj for fiscal year #bjbj1 #b1aab1jjh for fiscal year #bjba1 #b1bch1gbh for fiscal year #bjbb1 #b1cgc1jeb for fiscal year #bjbc1 #b1eae1dce for fiscal year #bjbd1 #b1ffg1cfa for fiscal year #bjbe1 and #b1hbf1cdc for fiscal year #bjbf2 7#c7 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 #a1gce1iai for fiscal year #bjbd1 #a1hdj1jgd for fiscal year #bjbe1 and #a1iej1dgi for fiscal year #bjbf2 7#d7 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 #aj1iic1gjd for fiscal year #bjbd1 #aa1fec1cbf for fiscal year #bjbe1 and #ab1ceb1ebe for fiscal year #bjbf4 4 #ajb4 ,person-centered1 trauma-informed services ,section #aja7b7 7#db ,u4,s4,c4 #cjja7b77 is amended by inserting 7including access to person-centered1 trauma-informed services as appropriate7 after health4 #ajc4 ,aging and ,disability ,resource ,centers ,section #ajb7d7 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,d71 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 entities14 #ajd4 ,assistive technology ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 is amended-- 7#a7 in section #ajb7h7 7#db ,u4,s4,c4 #cjjb7h771 by adding at the end the following3 7,c7 ,the term ,state assistive technology entity means the agency1 office1 or other entity designated under subsection 7c77#a7 of section #d of the ,assistive ,technology ,act of #aiih 7#bi ,u4,s4,c4 #cjjc7 to carry out ,state activities under such section4 2 7#b7 in section #cjf 7#db ,u4,s4,c4 #cjbf7-- 7,a7 in subsection 7a77#f7-- 7i7 in subparagraph 7,g71 by striking 2 and and inserting a semicolon2 7ii7 in subparagraph 7,h71 by striking appropriate2 and inserting appropriate2 and2 and 7iii7 by adding at the end the following3 7,i7 coordinate with the ,state assistive technology entity to ensure access to1 and acquisition of1 assistive technology in serving older individuals2 2 and 7,b7 in subsection 7b77#c7-- 7i7 in subparagraph 7,k7-- 7,i7 by aligning the margins of the subparagraph with the margins of subparagraph 7,j72 and 7,,ii7 by striking 2 and and inserting a semicolon2 7ii7 by redesignating subparagraph 7,l7 as subparagraph 7,m72 and 7iii7 by inserting after subparagraph 7,k7 the following3 7,l7 assistive technology devices and services2 and 2 and 7#c7 in section #daa7;a7 7#db ,u4,s4,c4 #cjcb7;a77-- 7,a7 in paragraph 7#b71 by inserting aligned with evidence-based practice after applied social research2 and 7,b7 in paragraph 7#aj71 by inserting consistent with section #ejh of the ,rehabilitation ,act of #aigc 7#bi ,u4,s4,c4 #gid;d7 after other technologies4 #aje4 ,vaccination ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is amended-- 7#a7 in subparagraph 7,b71 by inserting immunization status1 after oral health12 and 7#b7 in subparagraph 7,d71 by inserting infectious disease1 and vaccine-preventable disease1 after cardiovascular disease714 #ajf4 ,malnutrition ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 is amended-- 7#a7 in section #ajb7ad77;,b71 as amended by section #aje7a71 by inserting 7including screening for malnutrition7 before the semicolon at the end2 and 7#b7 in section #ccj7a71 by striking and food insecurity and inserting 1 food insecurity1 and malnutrition4 #ajg4 ,sexually transmitted diseases ,section #ajb7ad77;,d7 7#db ,u4,s4,c4 #cjjb7ad77;,d771 as amended by section #aje7b71 is further amended by inserting prevention of sexually transmitted diseases1 after vaccine-preventable disease14 #ajh4 ,addressing chronic pain management ,section #ajb7ad77;,d7 7#db ,u4,s4,c4 #cjjb7ad77;,d771 as amended by section #ajg1 is further amended by inserting chronic pain management1 after substance abuse reduction14 #aji4 ,screening for suicide risk ,section #ajb7ad77;,g7 7#db ,u4,s4,c4 #cjjb7ad77;,g77 is amended by inserting and screening for suicide risk after depression4 #aaj4 ,addressing public health emergencies and emerging health threats ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is amended-- 7#a7 by redesignating subparagraphs 7,k7 and 7,l7 as subparagraphs 7,l7 and 7,m71 respectively2 7#b7 by inserting after subparagraph 7,j7 the following3 7,k7 responses to public health emergencies and emerging health threats2 2 and 7#c7 in subparagraph 7,m71 as so redesignated1 by striking 7,a7 through 7,k7 and inserting 7,a7 through 7,l74 #aaa4 ,clarification regarding board and care facilities ,section #ajb7ce77;,c7 7#db ,u4,s4,c4 #cjjb7ce77;,c77 is amended by striking for purposes of sections #cjg7;a77#ab7 and #gab14 #aab4 ,person-centered1 trauma-informed services ,section #ajb 7#db ,u4,s4,c4 #cjjb7 is amended-- 7#a7 by redesignating paragraphs 7#da7 through 7#ed7 as paragraphs 7#db7 through 7#ee71 respectively2 and 7#b7 by inserting after paragraph 7#dj7 the following3 7#da7 ,the term person-centered1 trauma-informed1 with respect to services1 means services provided through an aging program that-- 7,a7 use a holistic approach to providing services or care2 7,b7 promote the dignity1 strength1 and empowerment of victims of trauma2 and 7,c7 incorporate evidence-based practices based on knowledge about the role of trauma in trauma victims' lives4 4 #aac4 ,modernizing the review of applications and providing technical assistance for disasters 7a7 ,review of applications ,section #bjb 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 ,act1 but not approve an application submitted by an applicant for a grant for an activity under a provision of this ,act for which such applicant previously received a grant under such provision unless the ,assistant ,secretary determines-- 7,a7 the activity for which such application was submitted is being operated1 or was operated1 effectively to achieve its stated purpose2 and 7,b7 such applicant-- 7i7 has complied with the assurances provided to the ,assistant ,secretary with the application for such previous grant2 and 7ii7 will comply with the assurances provided with the application submitted for the subsequent grant4 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 this ,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 7#db ,u4,s4,c4 #cjab7;a77 is amended-- 7#a7 in paragraph 7#cj71 by striking 2 and and inserting a semicolon2 7#b7 in paragraph 7#ca71 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 to1 and share best practices with1 ,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 #aad4 ,notification of availability of or updates to policies1 practices1 and procedures through a uniform e-format ,section #bjb7;a7 7#db ,u4,s4,c4 #cjab7;a771 as amended by section #aac7;b71 is further amended-- 7#a7 in paragraph 7#ca71 by striking 2 and and inserting a semicolon2 7#b7 in paragraph 7#cb71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7#cc7 provide 7to the extent practicable7 a standardized notification1 to ,state agencies1 area agencies on aging1 providers of services under this ,act1 and grantees or contract awardees under this ,act1 through an electronic format 7e-mail or other electronic notification71 of the availability of1 or updates to1 policies1 practices1 and procedures under this ,act4 4 #aae4 ,evidence-,based program adaptation 7a7 ,functions of the ,assistant ,secretary ,section #bjb 7#db ,u4,s4,c4 #cjab7 is amended-- 7#a7 in subsection 7a77#bh71 by inserting before the semicolon 1 including information and technical assistance on delivery of such services in different settings2 and 7#b7 in subsection 7b77#i77;,b71 by inserting before the semicolon 1 including delivery of such services in different settings4 7b7 ,evidence-,based disease prevention and health promotion services ,section #cfa7;a7 7#db ,u4,s4,c4 #cjcjm7a77 is amended in the second sentence by inserting provide technical assistance on the delivery of evidence-based disease prevention and health promotion services in different settings and for different populations1 and before consult4 #aaf4 ,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 7#db ,u4,s4,c4 #cjab7;b77#i77 is amended-- 7#a7 in subparagraph 7,a71 by striking and after the semicolon at the end2 7#b7 in subparagraph 7,b71 as amended by section #aae7;a77#b71 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 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 #aag4 ,national resource center for older individuals experiencing the long-term and adverse consequences of trauma ,section #bjb 7#db ,u4,s4,c4 #cjab71 as amended by section #aac7;a77#b71 is further amended by adding at the end the following3 7i7 ,the ,assistant ,secretary shall1 directly or by grant or contract1 operate a national resource center that-- 7#a7 provides training and technical assistance to agencies in the aging network delivering person-centered1 trauma-informed services to older individuals experiencing the long-term and adverse consequences of trauma2 7#b7 shares best practices with the aging network2 and 7#c7 makes grants 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 #aah4 ,national ,resource ,center for ,women and ,retirement ,section #bjb 7#db ,u4,s4,c4 #cjab71 as amended by section #aag1 is further 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 tools1 such as basic financial management1 retirement planning1 and other educational tools1 that promote financial literacy and help to identify and prevent fraud and exploitation of older individuals who are women1 and integrate these tools with information on health and long-term care of older individuals2 7,b7 annually disseminate to the ,assistant ,secretary a summary of outreach provided under this subsection1 including efforts to provide user-friendly consumer information and public education materials with respect to the tools provided under subparagraph 7,a72 7,c7 develop targeted outreach strategies to older individuals who are women in providing the tools under subparagraph 7,a72 7,d7 provide technical assistance to ,state agencies and to other public and nonprofit private agencies and organizations in providing the tools under subparagraph 7,a72 and 7,e7 develop partnerships and collaborations to address objectives under this subsection4 4 #aai4 ,family caregivers 7a7 ,administration ,section #bjb 7#db ,u4,s4,c4 #cjab71 as amended by section #aah1 is further amended by adding at the end the following3 7k7 ,the ,assistant ,secretary shall carry out the ,,raise ,family ,caregivers ,act 7#db ,u4,s4,c4 #cjcjs note74 4 7b7 ,sunset ,section #f of the ,,raise ,family ,caregivers ,act 7#db ,u4,s4,c4 #cjcjs note7 is amended by striking #c years and inserting #h years4 7c7 ,conforming amendment ,section #b7c7 of the ,,raise ,family ,caregivers ,act 7#db ,u4,s4,c4 #cjcjs note7 is amended by inserting acting through the ,assistant ,secretary for ,aging before the period at the end4 #abj4 ,coordination with ,assistant ,secretary for ,mental ,health and ,substance ,use and ,director of the ,centers for ,disease ,control and ,prevention ,the ,assistant ,secretary shall1 in performing the functions of the ,administration on ,aging under section #bjb7;a77#e7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7;a77#e77 related to health 7including mental and behavioral health7 services1 coordinate with the ,assistant ,secretary for ,mental ,health and ,substance ,use and the ,director of the ,centers for ,disease ,control and ,prevention-- 7#a7 in the planning1 development1 implementation1 and evaluation of evidence-based policies1 programs1 practices1 and other activities pertaining to the prevention of suicide among older individuals1 including the implementation of evidence-based suicide prevention programs and strategies identified by the ,national ,center for ,injury ,prevention and ,control at the ,centers for ,disease ,control and ,prevention and other entities1 as applicable2 and 7#b7 in providing and incorporating technical assistance for the prevention of suicide among older individuals1 including technical assistance related to the ,suicide ,prevention ,technical ,assistance ,center established under section #ebj;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#cd74 #aba4 ,modernizing the ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities 7a7 ,federal agency consultation ,section #bjc7;c7 7#db ,u4,s4,c4 #cjac7;c77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 by striking the ,federal officials and inserting other ,federal officials2 7,b7 by striking ,committee on ,aging and inserting ,committee on ,healthy ,aging and ,age-,friendly ,communities2 and 7,c7 by inserting and the development of a national set of recommendations1 in accordance with paragraph 7#f71 to support the ability of older individuals to age in place and 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 health services before the period2 7#b7 in paragraph 7#d71 by adding at the end the following3 ,the first term1 after the date of enactment of the ,modernization of the ,older ,americans ,act ,amendments1 shall start not later than #a year after such date of enactment42 7#c7 in paragraph 7#f7-- 7,a7 in the matter preceding subparagraph 7,a71 by striking ,the ,committee shall and inserting ,the recommendations described in paragraph 7#a7 may include recommendations for2 7,b7 in subparagraph 7,a7-- 7i7 by striking share information with and establish an ongoing system to and inserting ways to2 and 7ii7 by striking for older individuals and recommend improvements and all that follows through accessibility of such programs and services and inserting that impact older individuals2 7,c7 in subparagraph 7,b71 by striking identify1 promote1 and implement 7as appropriate712 7,d7 in subparagraph 7,c7-- 7i7 by inserting ways to before collect2 7ii7 by striking older individuals and2 and 7iii7 by striking the individuals to ensure and all that follows through information and inserting older individuals to ensure that such information is accessible2 7,e7 in subparagraph 7,d71 by striking work with and all that follows through member agencies to ensure and inserting ways to ensure2 7,f7 in subparagraph 7,e71 by striking seek input and all that follows through foundations and inserting seeking input from and consulting with nonprofit organizations1 academic or research institutions1 community-based organizations1 philanthropic organizations1 or other entities supporting age-friendly communities2 7,g7 in subparagraph 7,f71 by striking identify and inserting identifying2 and 7,h7 by amending subparagraph 7,g7 to read as follows3 7,g7 ways to improve coordination to provide housing1 health care1 and other supportive services to older individuals4 2 7#d7 in paragraph 7#g77;,a77i71 by striking services for older individuals and inserting services that impact older individuals2 and 7#e7 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 measurable steps to-- 7i7 include adequate and accessible housing1 public spaces and buildings1 safe and secure paths1 variable route transportation services1 and programs and services designed to support health and well-being2 7ii7 respect and include older individuals in social opportunities1 civic participation1 volunteerism1 and employment2 and 7iii7 facilitate access to supportive services for older individuals2 7,b7 is not an assisted living facility or long-term care facility2 and 7,c7 has a plan in place to meet local needs for housing1 transportation1 civic participation1 social connectedness1 and accessible public spaces4 4 7b7 ,administration of the ,act ,section #bje7;a77#b7 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 defined1 for purposes of this subparagraph1 in section #bjc7;c77#i77 regarding-- 7i7 dissemination of1 or consideration of ways to implement1 best practices and recommendations from the ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities established under section #bjc7;c72 and 7ii7 methods for managing and coordinating existing programs to meet the needs of growing age-friendly communities4 4 #abb4 ,professional standards for nutrition official under the ,assistant ,secretary ,section #bje7;a77#b77;,d77ii7 7#db ,u4,s4,c4 #cjaf7;a77#b77;,d77ii771 as redesignated by section #aba7;b77#a71 is amended to read as follows3 7ii7 be a registered dietitian or registered dietician nutritionist4 4 #abc4 ,report on social isolation 7a7 ,preparation of report 7#a7 ,in general ,the ,secretary shall1 in carrying out activities under section #bjf7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjag7;a771 prepare a report on programs authorized by such ,act 7#db ,u4,s4,c4 #cjja et seq471 and supported or funded by the ,administration on ,aging1 that include a focus on addressing the negative impacts associated with social isolation through targeting older individuals identified in greatest social need1 as appropriate4 7#b7 ,impact ,such report shall identify-- 7,a7 whether social isolation is being adequately addressed under such programs1 including1 to the extent practicable-- 7i7 the prevalence of social isolation in rural areas and in urban areas2 7ii7 the public health impacts associated with social isolation2 and 7iii7 the role of preventive measures or of services1 including nutrition services1 in addressing the negative impacts associated with social isolation among older individuals2 and 7,b7 public awareness of and efforts to address the negative public health impacts associated with social isolation4 7#c7 ,types of programs ,such report shall identify whether programs described in paragraph 7#a7-- 7,a7 support projects in local communities and involve diverse sectors associated with such communities to decrease the negative impacts associated with social isolation among older individuals and caregivers2 7,b7 support outreach activities to screen older individuals for negative impacts associated with social isolation2 and 7,c7 include a focus on decreasing the negative impacts associated with social isolation4 7#d7 ,recommendations ,such report shall1 as appropriate1 include recommendations for reducing the negative impacts associated with social isolation and to address any impacts identified under clauses 7i7 through 7iii7 of subparagraph 7,a71 and subparagraph 7,b71 of paragraph 7#b74 7b7 ,submission of report 7#a7 ,interim status report ,not later than #b years after the date of enactment of this ,act1 the ,secretary shall submit an interim report1 to the committees of the ,senate and of the ,house of ,representatives with jurisdiction over the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq471 and the ,special ,committee on ,aging of the ,senate1 on the status of the evaluation underway to develop the final report required under this section4 7#b7 ,final report ,not later than #e years after the date of enactment of this ,act1 the ,secretary shall submit a final report of the report required under this section to the committees of the ,senate and of the ,house of ,representatives with jurisdiction over the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq471 and the ,special ,committee on ,aging of the ,senate4 #abd4 ,innovation1 demonstration1 and evaluation within aging programs 7a7 ,in general ,section #bjf 7#db ,u4,s4,c4 #cjag7 is amended-- 7#a7 by striking the section heading and inserting the following3 #bjf4 ,evaluation 2 7#b7 in subsection 7a7-- 7,a7 by striking 7a7 ,the ,secretary and inserting the following3 7a7 ,in general 7#a7 ,measuring and evaluating the impact of programs ,the ,secretary 2 and 7,b7 by adding at the end the following3 7#b7 ,innovation1 demonstration1 and evaluation within aging programs 7,a7 ,in general ,the ,secretary shall be responsible for all activities related to demonstration and evaluation of aging programs under this ,act4 7,b7 ,evaluation activities ,the ,secretary shall review1 coordinate1 and streamline the evaluation of programs 7including demonstration projects7 authorized by this ,act to ensure enhanced program outcomes4 ,such activities shall include-- 7i7 overseeing analyses of data obtained in connection with such programs to evaluate1 where feasible1 the relationship of such programs to-- 7,i7 the determinants of health for program participants2 and 7,,ii7 health care expenditures1 including under the ,medicare program under title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 and the ,medicaid program under title ,,xix of such ,act 7#db ,u4,s4,c4 #acif et seq472 7ii7 disseminating the findings from evaluations of programs authorized by this ,act throughout the aging network in electronic format and any other format determined appropriate by the ,secretary2 7iii7 publicly posting the findings from evaluations of such programs in an electronic format1 including webinar as appropriate2 7iv7 replicating successful demonstration projects under title ,,iv of this ,act1 including on a national scale as appropriate2 and 7v7 providing1 directly or through grant or contract1 for research on and an evaluation of programs under this ,act1 which shall include1 to the extent practicable1 an analysis of the relationship of such programs1 including demonstration projects under title ,,iv of this ,act1 to health care expenditures under the ,medicare program under title ,,xviii of the ,social ,security ,act and ,medicaid program under title ,,xix of such ,act4 7,c7 ,demonstration projects ,the ,secretary-- 7i7 shall require selected demonstration projects authorized by title ,,iv after the date of enactment of the ,modernization of the ,older ,americans ,act ,amendments to be targeted to-- 7,i7 address the determinants of health for program participants2 7,,ii7 show the relationship to health care expenditures1 including1 to the extent practicable1 by measuring a reduction in health expenditures1 and preserve or enhance quality of care furnished to individuals1 which may include health expenditures and quality of care under the ,medicare program under title ,,xviii of the ,social ,security ,act and the ,medicaid program under title ,,xix of such ,act2 and 7,,iii7 contain performance standards and measures1 developed by the ,secretary1 to evaluate whether such demonstration projects are achieving the objectives described in subclauses 7,i7 and 7,,ii72 and 7ii7 may1 in selecting demonstration projects authorized by title ,,iv after the date of enactment of the ,modernization of the ,older ,americans ,act ,amendments1 prioritize demonstration projects involving-- 7,i7 multigenerational engagement2 7,,ii7 support for caregivers caring for individuals of any age2 7,,iii7 community-based partnerships2 or 7,,iv7 any other activity described in title ,,iv that the ,secretary determines will achieve the objectives of this subsection4 7,d7 #e-year plans ,not later than ,december #a1 #bjbj1 and every fifth ,december #a thereafter1 the ,secretary1 shall prepare and publish in the ,federal ,register for public comment a draft of a #e-year plan that establishes a framework for evaluating programs authorized by this ,act 7other than demonstration projects evaluated in accordance with subparagraph 7,c771 including programs authorized by title ,,iii1 ,v1 ,,vi1 or ,,vii1 and explains the basis for such framework4 2 7#c7 in subsection 7b71 by striking 7b7 ,the ,secretary and inserting the following3 7b7 ,standards for title ,,iv grants or contracts ,the ,secretary 2 7#d7 in subsection 7c71 by striking 7c7 ,in carrying out and inserting the following3 7c7 ,consultation ,in carrying out 2 7#e7 in subsection 7d71 by striking 7d7 ,the ,secretary shall and inserting the following3 7d7 ,summaries and analyses ,the ,secretary shall 2 7#f7 in subsection 7e71 by striking 7e7 ,the ,secretary shall and inserting the following3 7e7 ,property of the ,united ,states ,the ,secretary shall 2 7#g7 in subsection 7f71 by striking 7f7 ,such information and inserting the following3 7f7 ,availability by departments and agencies ,such information 2 and 7#h7 in subsection 7g71 by striking 7g7 ,from the total amount and inserting the following3 7g7 ,limitation on funding ,from the total amount 4 7b7 ,reports ,section #bjg 7#db ,u4,s4,c4 #cjah7 is amended-- 7#a7 in subsection 7a77#b71 by striking section #bjb7;a77#af7 and inserting sections #bjb7;a77#af7 and #bjf7;a77#b72 and 7#b7 by adding at the end the following3 7d7 ,the ,assistant ,secretary shall1 as part of the annual report submitted under subsection 7a71 prepare and submit a report on activities carried out under section #bjf7;a77#b7 and title ,,iv4 4 7c7 ,innovation1 demonstration1 and evaluation activities within aging programs 7#a7 ,heading ,title ,,iv 7#db ,u4,s4,c4 #cjca et seq47 is amended in the title heading by striking ,activities for health1 independence1 and longevity and inserting ,innovation1 demonstration1 and evaluation within aging programs4 7#b7 ,purposes ,section #dja 7#db ,u4,s4,c4 #cjca7 is amended-- 7,a7 by amending paragraph 7#a7 to read as follows3 7#a7 to gain a better understanding and knowledge base for-- 7,a7 appraising services and facilities for older individuals2 and 7,b7 developing new and more effective and efficient ways of improving the lives of older individuals2 2 7,b7 in paragraph 7#b71 by striking the semicolon at the end and inserting 2 and2 7,c7 in paragraph 7#c71 by striking 2 and and inserting a period2 and 7,d7 by striking paragraph 7#d74 7#c7 ,program authorized ,section #daa7;a77#c7 7#db ,u4,s4,c4 #cjcb7;a77#c77 is amended by striking this section and inserting this ,act4 ,,ii ,improving grants for ,state and community programs on aging #bja4 ,determinants of health ,section #cja7;a77#a7 7#db ,u4,s4,c4 #cjba7;a77#a77 is amended-- 7#a7 in subparagraph 7,c71 by striking and at the end2 7#b7 in subparagraph 7,d71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7,e7 measure impacts related to determinants of health of older individuals4 4 #bjb4 ,younger onset ,alzheimer's disease ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 is amended-- 7#a7 in section #cjb7c7 7#db ,u4,s4,c4 #cjbb7c771 by inserting of any age after an individual2 and 7#b7 in section #gaa7f7 7#db ,u4,s4,c4 #cjeh;f7#f771 by inserting of any age after individual4 #bjc4 ,reauthorization 7a7 ,grants for ,state and community programs on aging ,subsections 7a7 through 7e7 of section #cjc 7#db ,u4,s4,c4 #cjbc7 are amended to read as follows3 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 #eba1dag1fab for fiscal year #bjbd1 #eeb1gjb1ffi for fiscal year #bjbe1 and #ehe1hfd1hbi for fiscal year #bjbf4 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 #fgj1gbh1ccd for fiscal year #bjbd1 #gaj1igb1jcd for fiscal year #bjbe1 and #gec1fcj1cef for fiscal year #bjbf4 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 #cdj1ccd1ifc for fiscal year #bjbd1 #cfj1gee1jfa for fiscal year #bjbe1 and #chb1djj1cfd for fiscal year #bjbf4 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 and 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 #cc1fde1ifa for fiscal year #bjbd1 #ce1ffd1gah for fiscal year #bjbe1 and #cg1hjd1fja for fiscal year #bjbf4 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 #bde1cch1gdd for fiscal year #bjbd1 #bfj1jei1jfi for fiscal year #bjbe1 and #bge1ffb1fac for fiscal year #bjbf4 4 7b7 ,nutrition services incentive program ,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 #baf1gdd1hbb for fiscal year #bjbd1 #bbi1gdi1eaa for fiscal year #bjbe1 and #bdc1ecd1dhb for fiscal year #bjbf4 4 #bjd4 ,hold harmless formula 7a7 ,in general ,section #cjd7;a77#c77;,d7 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d77 is amended to read as follows3 7,d7 7i7 ,in this subparagraph and paragraph 7#e7-- 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 be2 and 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 covered 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 7#db ,u4,s4,c4 #cjbd7;a77#c77;,d7 is repealed1 effective ,october #a1 #bjbi4 #bje4 ,outreach efforts ,section #cjf7;a77#d77;,b77i77,,vii7 7#db ,u4,s4,c4 #cjbf7;a77#d77;,b77i77,,vii77 is amended by inserting 1 specifically including survivors of the ,holocaust after placement4 #bjf4 ,maintenance of effort for ,state ,long-,term ,care ,ombudsman program 7a7 ,area agency on aging ,section #cjf7;a77#i7 7#db ,u4,s4,c4 #cjbf7;a77#i77 is amended by striking ,act and expended by the agency in fiscal year #bjjj and inserting ,act and expended by the agency in fiscal year #bjai4 7b7 ,state agency ,section #cjg7;a77#i7 7#db ,u4,s4,c4 #cjbg7;a77#i77 is amended by striking not less than and all that follows and inserting not less than the total amount expended by the ,state agency with funds received under this title and title ,,vii for fiscal year #bjai44 #bjg4 ,coordination with resource centers 7a7 ,area plans ,section #cjf7;a7 7#db ,u4,s4,c4 #cjbf7;a77 is amended-- 7#a7 in paragraph 7#af71 by striking and at the end2 7#b7 in paragraph 7#ag71 by striking the period at the end and inserting a semicolon2 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 individuals eligible for assistance under this ,act1 with special emphasis on those individuals whose needs were the focus of all centers funded under title ,,iv in fiscal year #bjai4 4 7b7 ,state plans ,section #cjg7;a7 7#db ,u4,s4,c4 #cjbg7;a77 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 #bjh4 ,senior legal hotlines ,not later than #d years after the date of enactment of this ,act1 the ,assistant ,secretary shall prepare and submit to ,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 of 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 #bji4 ,increase in limit on use of allotted funds for ,state administrative costs ,section #cjh7;b77#b77;,a7 7#db ,u4,s4,c4 #cjbh7;b77#b77;,a77 is amended by striking #ejj1jjj and inserting #gej1jjj4 #baj4 ,improvements to nutrition programs ,section #cjh7;b77#d7 7#db ,u4,s4,c4 #cjbh7;b77#d77 is amended by adding at the end the following3 7,d7 ,the ,state1 in consultation with area agencies on aging1 shall ensure the process used by the ,state in transferring funds under this paragraph 7including requirements relating to the authority and timing of such transfers7 is simplified and clarified to reduce administrative barriers and direct limited resources to the greatest nutrition service needs at the community level4 ,such process shall be modified to attempt to lessen the administrative barriers of such transfers1 and help direct limited resources to where they are needed the most as the unmet need for nutrition services grows4 4 #baa4 ,review of reports ,section #cjh7;b7 7#db ,u4,s4,c4 #cjbh7;b77 is amended by adding 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 older individuals whose needs are 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 #bab4 ,other practices 7a7 ,evaluation ,section #cae7;d7 7#db ,u4,s4,c4 #cjcj;c-#b7;d77 is amended by inserting 1 by ,state1 after a comprehensive evaluation4 7b7 ,,gao study ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study and issue a report that includes-- 7#a7 information-- 7,a7 about1 and a list of1 contracts 7implemented by ,states or area agencies on aging7 with health care organizations1 and ,state-implemented cost-sharing policies by area agencies on aging1 waiver use and waiver use policies1 and voluntary contribution policies1 by ,state1 under title ,,iii of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjba et seq472 and 7,b7 about any negative impacts on low-income individuals resulting from the policies and uses described in subparagraph 7,a71 and annual evaluation methods and corrective action that the ,assistant ,secretary is taking to rectify such an impact2 7#b7 information about the policies described in subparagraph 7,a71 such as payment rates 7including sliding scales based solely on individual income and the cost of delivering services and whether low-income individuals or other populations are excluded from cost sharing or whether specific demographic groups are targeted with cost sharing71 procedures to account for cost-sharing payments1 written or other educational materials to inform recipients about cost sharing and voluntary contributions in a way that protects access to services1 and the extent to which stakeholders' views are solicited regarding cost-sharing policies2 7#c7 information on the number of older individuals paying for services under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq472 7#d7 policies that ensure that-- 7,a7 low-income individuals are not burdened by cost-sharing policies2 and 7,b7 cost-sharing policies do not result in the denial of services due to the individual's income or the individual's failure to make a cost-sharing payment2 and 7#e7 recommendations to ,congress and various stakeholders about ways to clarify or improve cost sharing or voluntary contribution policies and implementation4 #bac4 ,culturally appropriate1 medically tailored meals ,section #cci7b77;,a77iii7 7#db ,u4,s4,c4 #cjcj;g-#ba7b77;,a77iii77 is amended by inserting 1 including meals adjusted for cultural considerations and preferences and medically tailored meals before the comma at the end4 #bad4 ,nutrition services study ,subpart #c of part ,c of title ,,iii 7#db ,u4,s4,c4 #cjcj;g-#ba et seq47 is amended by adding at the end the following3 #cci;,b4 ,nutrition services impact study 7a7 ,study 7#a7 ,in general ,the ,assistant ,secretary shall perform a study to assess how to measure and evaluate the discrepancy between available services and the demand for such services in the home delivered nutrition services program and the congregate nutrition services program under this part1 which shall include assessing various methods 7such as those that ,states use7 to measure and evaluate the discrepancy 7such as measurement through the length of waitlists74 7#b7 ,contents ,in performing the study1 the ,assistant ,secretary shall-- 7,a7 consider means of obtaining information in rural and underserved communities2 and 7,b7 consider using existing tools 7existing as of the date the ,assistant ,secretary begins the study7 such as the tools developed through the ,performance ,outcome ,measurement ,project4 7#c7 ,analysis ,the ,assistant ,secretary shall analyze and determine which methods are the least burdensome and most effective for measuring and evaluating the discrepancy described in paragraph 7#a74 7b7 ,recommendations 7#a7 ,preparation ,not later than #c years after the date of enactment of this ,act1 the ,assistant ,secretary shall prepare recommendations-- 7,a7 on how to measure and evaluate1 with the least burden and the most effectiveness1 the discrepancy described in subsection 7a77#a7 7such as measurement through the length of waitlists72 and 7,b7 about whether studies similar to the study described in subsection 7a7 should be carried out for programs carried out under this ,act1 other than this part4 7#b7 ,issuance ,the ,assistant ,secretary shall issue the recommendations1 and make the recommendations available as a notification pursuant to section #bjb7;a77#cd7 and to the committees of the ,senate and of the ,house of ,representatives with jurisdiction over this ,act1 and the ,special ,committee on ,aging of the ,senate4 4 #bae4 ,national ,family ,caregiver ,support program 7a7 ,definitions for ,national ,family ,caregiver ,support program ,section #cgb7;a7 7#db ,u4,s4,c4 #cjcjs7a77 is amended-- 7#a7 by redesignating paragraphs 7#a7 through 7#c7 as paragraphs 7#b7 through 7#d71 respectively2 and 7#b7 by inserting before paragraph 7#b71 as so redesignated1 the following3 7#a7 ,caregiver assessment ,the term caregiver assessment means a defined process of gathering information to identify the specific needs1 barriers to support services1 and existing supports of a family caregiver or older relative caregiver1 as identified by the caregiver involved1 to appropriately target recommendations for support services described in section #cgc7;b74 ,such assessment shall be administered through direct contact with the caregiver1 which may include contact through a home visit1 the ,internet1 telephone or teleconference1 or in-person interaction4 4 7b7 ,general authority ,section #cgc 7#db ,u4,s4,c4 #cjcjs-#a7 is amended-- 7#a7 in subsection 7b71 in the matter preceding paragraph 7#a71 by inserting which may be informed through the use of caregiver assessments1 after provided12 7#b7 in subsection 7e77#c71 in the first sentence1 by inserting 1 including caregiver assessments used in the ,state1 after mechanisms2 7#c7 by redesignating subsections 7e7 through 7g7 as subsections 7f7 through 7h71 respectively2 7#d7 by inserting after subsection 7d7 the following3 7e7 ,best practices ,not later than #a year after the date of enactment of the ,modernization of the ,older ,americans ,act ,amendments and every #e years thereafter1 the ,assistant ,secretary shall-- 7#a7 identify best practices relating to the programs carried out under this section and section #fca1 regarding-- 7,a7 the use of procedures and tools to monitor and evaluate the performance of the programs carried out under such sections2 7,b7 the use of evidence-based caregiver support services2 and 7,c7 any other issue determined relevant by the ,assistant ,secretary2 and 7#b7 make available1 including on the website of the ,administration and pursuant to section #bjb7;a77#cd71 best practices described in paragraph 7#a71 to carry out the programs under this section and section #fca4 2 and 7#e7 by adding at the end the following3 7i7 ,activities of national significance ,the ,assistant ,secretary may award funds authorized under this section to ,states1 public agencies1 private nonprofit agencies1 institutions of higher education1 and organizations1 including tribal organizations1 for conducting activities of national significance that-- 7#a7 promote quality and continuous improvement in the support provided to family caregivers and older relative caregivers through programs carried out under this section and section #fca2 and 7#b7 include1 with respect to such programs1 program evaluation1 training1 technical assistance1 and research4 7j7 ,technical assistance for caregiver assessments ,not later than #a year after the date of enactment of the ,modernization of the ,older ,americans ,act ,amendments1 the ,assistant ,secretary1 in consultation with stakeholders with appropriate expertise and1 as appropriate1 informed by the strategy developed under the ,,raise ,family ,caregivers ,act 7#db ,u4,s4,c4 #cjcjs note71 shall provide technical assistance to promote and implement the use of caregiver assessments4 ,such technical assistance may include sharing available tools or templates1 comprehensive assessment protocols1 and best practices concerning-- 7#a7 conducting caregiver assessments 7including reassessments7 as needed2 7#b7 implementing such assessments that are consistent across a planning and service area1 as appropriate2 and 7#c7 implementing caregiver support service plans1 including conducting referrals to and coordination of activities with relevant ,state services4 4 7c7 ,report on caregiver assessments 7#a7 ,in general ,not later than #c years after the date of enactment of this ,act1 the ,assistant ,secretary shall issue a report on the use of caregiver assessments by area agencies on aging1 entities contracting with such agencies1 and tribal organizations4 ,such report shall include-- 7,a7 an analysis of the current use of caregiver assessments1 as of the date of the report2 7,b7 an analysis of the potential impact of caregiver assessments on-- 7i7 family caregivers and older relative caregivers2 and 7ii7 the older individuals to whom the caregivers described in clause 7i7 provide care2 7,c7 an analysis of the potential impact of using caregiver assessments on the aging network2 7,d7 an analysis of how caregiver assessments are being used to identify the specific needs1 barriers to support services1 and existing supports of family caregivers and older relative caregivers1 with particular consideration to supporting-- 7i7 a caregiver specified in this subparagraph who is caring for individuals with disabilities1 or1 if appropriate1 with a serious illness2 and 7ii7 caregivers with disabilities2 7,e7 recommendations for furthering the use of caregiver assessments1 as appropriate1 including in rural or underserved areas2 and 7,f7 recommendations for assisting ,state agencies and area agencies on aging1 particularly in rural or underserved areas1 in implementing the use of caregiver assessments4 7#b7 ,submission ,not later than #f months after the issuance of the report specified in paragraph 7#a71 the ,assistant ,secretary shall submit the report to the committees of the ,senate and the ,house of ,representatives with jurisdiction over this ,act1 and the ,special ,committee on ,aging of the ,senate4 7#c7 ,definitions ,in this subsection-- 7,a7 the terms caregiver assessment and older relative caregiver have the meanings given such terms in section #cgb7;a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs7a772 7,b7 the term family caregiver has the meaning given the term in section #cjb of such ,act 7#db ,u4,s4,c4 #cjbb72 and 7,c7 the terms ,state agency and tribal organization have the meanings given the terms in section #ajb of such ,act 7#db ,u4,s4,c4 #cjjb74 7d7 ,conforming amendment ,section #fca7;b7 of such ,act 7#db ,u4,s4,c4 #cjegk-#aa7;b77 is amended by striking 7c71 7d71 and 7e7 and inserting 7c71 7d71 and 7f74 #baf4 ,national ,family ,caregiver ,support program cap 7a7 ,federal share ,subsection 7h77#b71 as redesignated by section #bae7;b77#c7 of this ,act1 of section #cgc 7#db ,u4,s4,c4 #cjcjs-#a7 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 enactment of this ,act1 and annually thereafter1 the ,assistant ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,education and ,labor of the ,house of ,representatives a report on the impact of the amendment made by subsection 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 et seq474 ,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 shares described in section #cgc7;h77#b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcjs-#a7;h77#b77 used by the ,state to provide support services for older relative caregivers and the amount of such funds so used for family caregivers4 ,,iii ,modernizing ,activities for ,health1 ,independence1 and ,longevity #cja4 ,reauthorization ,section #daa7;b7 7#db ,u4,s4,c4 #cjcb7;b77 is amended to read as follows-- 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 #ah1cfg1igf for fiscal year #bjbd1 #ai1dgj1jed for fiscal year #bjbe1 and #bj1fch1beg for fiscal year #bjbf2 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 #ai1geh1fjg for fiscal year #bjbd1 #bj1idd1abc for fiscal year #bjbe1 and #bb1bjj1ggj for fiscal year #bjbf4 4 #cjb4 ,falls prevention and chronic disease self-management education ,section #daa7;a7 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 individuals1 including older individuals with disabilities2 7#ad7 bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals1 including older individuals with disabilities1 to better manage their chronic conditions2 4 #cjc4 ,technical assistance and innovation to improve transportation for older individuals ,section #daf7;b77#b7 7#db ,u4,s4,c4 #cjcb;e7b77#b77 is amended-- 7#a7 in subparagraph 7,b71 by inserting before the semicolon 1 call center1 website or ,internet-based portal1 mobile application1 or other technological tools2 7#b7 in subparagraph 7,c71 by striking 2 and and inserting a semicolon2 7#c7 by redesignating subparagraph 7,d7 as subparagraph 7,g72 and 7#d7 by inserting after subparagraph 7,c7 the following3 7,d7 7i7 improving the aggregation1 availability1 and accessibility of information on options for transportation services for older individuals1 including information on public transit1 on-demand transportation services1 volunteer-based transportation services1 and other private transportation providers2 and 7ii7 providing older individuals with the ability to schedule trips both in advance and on demand1 as appropriate2 7,e7 identifying opportunities to share resources and reduce costs of transportation services for older individuals2 7,f7 coordinating individualized trip planning responses to requests from older individuals for transportation services2 and 4 #cjd4 ,grant program for multigenerational collaboration ,section #dag 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 to and enter into contracts with eligible organizations to carry out projects1 serving individuals in younger generations and older individuals1 to-- 7#a7 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 family caregivers by-- 7i7 providing support for older relative caregivers 7as defined in section #cgb7;a77 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 coordinate multigenerational activities and civic engagement activities1 including multigenerational nutrition and meal service programs2 7#c7 promote volunteerism1 including by providing opportunities for older individuals to become a mentor to individuals in younger generations2 and 7#d7 facilitate development of1 and participation in1 multigenerational activities and civic engagement activities4 2 7#b7 by striking subsection 7g72 7#c7 by redesignating subsections 7b7 through 7f7 as subsections 7c7 through 7g71 respectively2 7#d7 by inserting after subsection 7a7 the following3 7b7 ,grant and contract periods ,each grant awarded and contract entered into under subsection 7a7 shall be for a period of not less than #cf months4 2 7#e7 by amending subsection 7c71 as so redesignated1 to read as follows3 7c7 ,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 awarding grants and entering into contracts under this section1 the ,assistant ,secretary shall ensure that such grants and contracts are for the activities and projects that satisfy each requirement under paragraphs 7#a7 through 7#d7 of subsection 7a74 2 7#f7 in subsection 7d71 as so redesignated-- 7,a7 in paragraph 7#a71 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,b7 in paragraph 7#c71 by striking 2 and and inserting a semicolon2 7,c7 in paragraph 7#d71 by striking the period and inserting 2 and2 and 7,d7 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#g7 by amending subsections 7f7 and 7g71 as so redesignated1 to read as follows3 7f7 ,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 7g7 ,evaluation 7#a7 ,in general ,not later than #c years after the date of enactment of the ,modernization of the ,older ,americans ,act ,amendments1 the ,assistant ,secretary shall1 through data submitted by organizations carrying out projects through grants or contracts under this section1 evaluate the activities supported through such grants and contracts to determine-- 7,a7 the effectiveness of such activities2 7,b7 the impact of such activities on the community being served and the organization providing the activities2 and 7,c7 the impact of such activities on older individuals participating in such projects4 7#b7 ,report to ,congress ,not later than #f months after the ,assistant ,secretary completes the evaluation under paragraph 7#a71 the ,assistant ,secretary shall prepare and submit to the ,speaker of the ,house of ,representatives and the ,president pro tempore of the ,senate a report that assesses such evaluation and contains1 at a minimum-- 7,a7 the names or descriptive titles of the projects funded under subsection 7a72 7,b7 a description of the nature and operation of such projects2 7,c7 the names and addresses of organizations that conducted such projects2 7,d7 a description of the methods and success of such projects in recruiting older individuals as employees and as volunteers to participate in the projects2 7,e7 a description of the success of the projects in retaining older individuals participating in such projects as employees and as volunteers2 7,f7 the rate of turnover of older individuals who are employees or volunteers in such projects2 7,g7 a strategy for disseminating the findings resulting from such projects2 and 7,h7 any policy change recommendations relating to such projects4 2 and 7#h7 in subsection 7h77#b77;,b77i71 by striking individuals from the generations with older individuals and inserting older individuals4 ,,iv ,senior ,community ,service ,employment ,program #dja4 ,priority for the senior community service employment program 7a7 ,in general ,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#db ,u4,s4,c4 #cjef;a7a77#d77;,c77-- 7,a7 in clause 7iii71 by striking and at the end2 7,b7 in clause 7iv71 by adding and at the end2 and 7,c7 by adding at the end the following3 7v7 eligible individuals who are offenders2 2 7#b7 in section #ead7;e77#a7 7#db ,u4,s4,c4 #cjefl7e77#a771 by inserting eligible individuals who are offenders1 after need12 and 7#c7 in section #eah 7#db ,u4,s4,c4 #cjefp7-- 7,a7 in subsection 7a77#c77;,b77ii7-- 7i7 in clause 7,,iv71 by striking or at the end2 7ii7 in clause 7,v71 by striking the period at the end and inserting 2 or2 and 7iii7 by adding at the end the following3 7,,vi7 are offenders4 2 7,b7 in subsection 7a71 by adding at the end the following3 7#i7 ,offender ,the term offender means an eligible individual-- 7,a7 who is or has been subject to any stage of the criminal justice process1 and for whom services under this title may be beneficial2 or 7,b7 who requires assistance in overcoming artificial barriers to employment resulting from a record of arrest or conviction4 2 and 7,c7 in subsection 7b77#b7-- 7i7 in subparagraph 7,f71 by striking or at the end2 7ii7 in subparagraph 7,g71 by striking the period at the end and inserting 2 or2 and 7iii7 by adding at the end the following3 7,h7 is an offender4 4 7b7 ,implementation ,the ,secretary of ,labor shall implement the amendments made by this section not later than #ab months after the date of enactment of this ,act4 #djb4 ,authorization of appropriations ,section #eag7;a7 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 #eda1fbh1dgh for fiscal year #bjbd1 #egd1abf1ahg for fiscal year #bjbe1 and #fjh1egc1geh for fiscal year #bjbf4 4 ,v ,enhancing grants for ,native ,americans #eja4 ,reauthorization ,title ,,vi 7#db ,u4,s4,c4 #cjeg et seq47 is amended-- 7#a7 in part ,d 7#db ,u4,s4,c4 #cjegl et seq47-- 7,a7 by amending section #fdc 7#db ,u4,s4,c4 #cjegn7 to read as follows-- #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 #dh1fcf1jga for fiscal year #bjbd1 #ea1eed1bce for fiscal year #bjbe1 and #ed1fdg1dhi for fiscal year #bjbf2 and 7#b7 for part ,c1 #aj1ghe1ege for fiscal year #bjbj1 #aa1dcb1gaj for fiscal year #bjba1 #ab1aah1fgb for fiscal year #bjbb1 #ab1hde1gib for fiscal year #bjbc1 #ac1faf1edj for fiscal year #bjbd1 #ad1dcc1ecb for fiscal year #bjbe1 and #ae1bii1edd for fiscal year #bjbf4 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 up to #e percent shall be made available to carry out part ,d for such fiscal year1 provided that for such fiscal year-- 7#a7 the funds appropriated for parts ,a and ,b are greater than the funds appropriated for fiscal year #bjai2 and 7#b7 the ,assistant ,secretary makes available for parts ,a and ,b no less than the amount of resources made available for fiscal year #bjai4 2 7#b7 by redesignating part ,d1 as so amended1 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 may carry out a competitive demonstration program for making grants to tribal organizations or organizations serving ,native ,hawaiians with applications approved under part ,a or ,b1 respectively1 to pay for the ,federal share of carrying out programs serving ,indians or ,native ,hawaiians1 to enable the organizations to build their capacity to provide a wider range of in-home and community supportive services to enable older individuals who are ,indians or ,native ,hawaiians 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 tribal organizations or organizations serving ,native ,hawaiians 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 7#c7 ,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 ,,vi ,modernizing allotments for vulnerable elder rights protection activities and other programs #fja4 ,reauthorization2 vulnerable elder rights protection activities ,section #gjb 7#db ,u4,s4,c4 #cjeh;a7 is amended by striking subsections 7a7 and 7b7 and inserting the following3 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 #bb1hfc1dib for fiscal year #bjbd1 #bd1bce1cja for fiscal year #bjbe1 and #be1fhi1dai for fiscal year #bjbf4 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 #f1dfb1ihb for fiscal year #bjbd1 #f1hej1gfa for fiscal year #bjbe1 and #g1bfa1hjg for fiscal year #bjbf4 4 #fjb4 ,volunteer ,state long-term care ombudsman representatives ,section #gab7;a77#e7 7#db ,u4,s4,c4 #cjeh;g7a77#e77 is amended by adding at the end the following3 7,e7 ,rule of construction for volunteer ombudsman representatives ,nothing in this paragraph shall be construed as prohibiting the program from reimbursing or otherwise providing financial support to an individual designated under subparagraph 7,a7 as a volunteer to represent a local ,ombudsman entity for any costs1 such as transportation costs1 incurred by the individual in serving as such volunteer4 4 #fjc4 ,prevention of elder abuse1 neglect1 and exploitation ,section #gba7;b77#ab7 7#db ,u4,s4,c4 #cjeh;i7b77#ab77 is amended-- 7#a7 in subparagraph 7,c71 by inserting community outreach and education1 after technical assistance12 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 #fjd4 ,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 ,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#c7 ,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 7#d7 ,state agency ,the term ,state agency has the meaning given the term in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb74 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 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 #fje4 ,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 #fjf4 ,best practices for home and community-based ombudsmen ,not later than #c years after the date of enactment of this ,act1 the ,assistant ,secretary shall issue a report updating the best practices for home and community-based ombudsmen that were included in the report entitled ,best ,practices for ,home and ,community-,based ,ombudsmen1 issued by the ,national ,direct ,service ,workforce ,resource ,center of the ,centers for ,medicare ,medicaid ,services and prepared by the ,research and ,training ,center at the ,university of ,minnesota and ,the ,lewin ,group 7,january #bjac74 #fjg4 ,senior home modification assistance initiative ,not later than #b years after the date of enactment of this ,act1 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 or department determined appropriate by the ,comptroller ,general1 that support evidence-based falls prevention1 home assessments1 and home modifications for older individuals and individuals with disabilities2 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 program2 7#c7 a demographic analysis of individuals served by each such program for recent fiscal years2 7#d7 an analysis of duplication and gaps in populations supported by the ,federal programs described in paragraph 7#a72 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 programs2 7#f7 a review of ,federal efforts to coordinate ,federal programs existing prior to the date of enactment of this ,act that support evidence-based falls prevention1 home assessments1 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 programs2 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#ba7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjab7;a77#ba771 are accessible to all area agencies on aging1 and contain information on evidence-based falls prevention1 home assessments1 and home modifications for older individuals attempting to live independently and safely in their homes and for the caregivers of such individuals4 ,,vii ,miscellaneous #gja4 ,technical corrections ,the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 is amended-- 7#a7 in section #ajb7cg77;,a7 7#db ,u4,s4,c4 #cjjb7cg77;,a771 by striking paragraph 7#e7 and inserting paragraph 7#bf72 7#b7 in section #bjb7;a77#bc7 7#db ,u4,s4,c4 #cjab7;a77#bc771 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 7#db ,u4,s4,c4 #cjab7;e77#a77;,a771 by moving the left margin of clause 7i7 #b ems to the left2 7#d7 in sections #bjc7;c77#g7 7#db ,u4,s4,c4 #cjac7;c77#g771 #bjg7;b77#b77;,b7 7#db ,u4,s4,c4 #cjah7;b77#b77;,b771 and #bae7;i7 7#db ,u4,s4,c4 #cjbj;e-#a7;i771 by striking ,committee on ,education and the ,workforce each place it appears and inserting ,committee on ,education and ,labor2 7#e7 in section #bjg7;b77#c77;,a7 7#db ,u4,s4,c4 #cjah7;b77#c77;,a771 by striking ,administrator of the ,health ,care ,finance ,administration and inserting ,administrator of the ,centers for ,medicare ,medicaid ,services2 7#f7 in section #cjd7;a77#c77;,c7 7#db ,u4,s4,c4 #cjbd7;a77#c77;,c771 by striking term and all that follows through does and inserting term ,state does2 7#g7 in section #cjf7;a7 7#db ,u4,s4,c4 #cjbf7;a77-- 7,a7 in paragraph 7#a71 by inserting the number of older individuals at risk for institutional placement residing in such area1 before and the number of older individuals who are ,indians2 and 7,b7 in paragraph 7#b77;,b71 by striking who are victims of and inserting with2 7#h7 in section #cci7b77;,a77ii77,i7 7#db ,u4,s4,c4 #cjcj;g-#ba7b77;,a77ii77,i771 by striking ,institute of ,medicine of the ,national ,academy of ,sciences and inserting ,national ,academies of ,sciences1 ,engineering1 and ,medicine2 7#i7 in section #faa 7#db ,u4,s4,c4 #cjeg;b71 by striking 7a72 and 7#aj7 in section #fad7;c77#d7 7#db ,u4,s4,c4 #cjeg;e7c77#d771 by striking 7a77#ab7 and inserting 7a77#aa74