,,ii #aahth ,,congress #b;d ,session ,s4 #dggf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #be1 #bjbd,mr4 ,sanders 7for himself1 ,mr4 ,cassidy1 ,mr4 ,casey1 ,ms4 ,collins1 ,mr4 ,kaine1 ,mr4 ,mullin1 and ,mr4 ,markey7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,older ,americans ,act of #aife to authorize appropriations for fiscal years #bjbe through #bjbi1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,older ,americans ,act ,reauthorization ,act of #bjbd4 #b4 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title4,sec4 #b4 ,table of contents4,sec4 #c4 ,references4,sec4 #d4 ,definitions4,,title ,i--,strengthening the ,aging ,network to ,meet the ,needs of ,older ,individuals,sec4 #aja4 ,declaration of objectives4,sec4 #ajb4 ,addressing mental health and substance use disorders and cognitive impairments of older individuals4,sec4 #ajc4 ,list of national resource centers4,sec4 #ajd4 ,awareness of relevant ,federal programs4,sec4 #aje4 ,evaluations and surveys4,sec4 #ajf4 ,contracting and grant authority4,sec4 #ajg4 ,guidance on transfers of funding between area agencies on aging4,sec4 #ajh4 ,right to first refusal4,sec4 #aji4 ,area agency on aging capabilities4,sec4 #aaj4 ,supporting older individuals with disabilities through improved coordination4,sec4 #aaa4 ,business acumen1 fiscal training1 and technical assistance4,sec4 #aab4 ,enhancing access to assistive technology4,sec4 #aac4 ,white ,house ,conference on ,aging4,,title ,,ii--,improving ,health ,outcomes and ,encouraging ,independence for ,older ,individuals,sec4 #bja4 ,disease prevention and health promotion services4,sec4 #bjb4 ,improving health outcomes4,sec4 #bjc4 ,evidence-informed practices4,sec4 #bjd4 ,enhancing multipurpose senior centers4,sec4 #bje4 ,addressing home modifications4,sec4 #bjf4 ,multigenerational and civic engagement activities4,sec4 #bjg4 ,,gao study and report on access to housing for older individuals4,sec4 #bjh4 ,report relating to health outcomes for older individuals living with or near family members4,sec4 #bji4 ,improving broadband coordination and reducing social isolation4,,title ,,iii--,enhancing ,innovation and ,flexibility in ,nutrition ,services,sec4 #cja4 ,medically tailored meals4,sec4 #cjb4 ,nutrition service providers4,sec4 #cjc4 ,grab-and-go meals4,sec4 #cjd4 ,nutrition ,services ,incentive ,program innovation4,sec4 #cje4 ,,gao study on ,nutrition ,services ,incentive ,program4,sec4 #cjf4 ,innovations in nutrition programs and services4,,title ,,iv--,supporting ,family ,caregivers,sec4 #dja4 ,improving the ,national ,family ,caregiver ,support ,program4,sec4 #djb4 ,emphasizing respite care4,sec4 #djc4 ,clarifying supportive services4,sec4 #djd4 ,direct care workforce resource center4,sec4 #dje4 ,supporting ,grandparents ,raising ,grandchildren ,act4,sec4 #djf4 ,,raise ,family ,caregivers ,act4,,title ,v--,community ,service ,senior ,opportunities ,act,sec4 #eja4 ,improving the ,community ,service ,employment ,program4,sec4 #ejb4 ,,gao report on alignment within the ,community ,service ,employment ,program4,,title ,,vi--,improving ,services for ,native ,elders,sec4 #fja4 ,older ,americans ,tribal ,advisory ,committee4,sec4 #fjb4 ,supportive services2 set aside4,sec4 #fjc4 ,,gao report on ,tribal services4,,title ,,vii--,strengthening the ,long-,term ,care ,ombudsman ,programs and ,elder ,abuse ,prevention,sec4 #gja4 ,director of the ,office of ,long-,term ,care ,ombudsman ,programs4,sec4 #gjb4 ,legal assistance training resources relating to elder abuse prevention4,sec4 #gjc4 ,improving training of volunteers under the ,state ,long-,term ,care ,ombudsman ,program4,sec4 #gjd4 ,reporting on ,state ,long-,term ,care ,ombudsman ,programs4,sec4 #gje4 ,study on ,state ,long-,term ,care ,ombudsman ,programs4,,title ,,viii--,authorizations of appropriations,sec4 #hja4 ,administration on ,aging4,sec4 #hjb4 ,grants for ,state and community programs on aging4,sec4 #hjc4 ,activities for health1 independence1 and longevity4,sec4 #hjd4 ,community ,service ,senior ,opportunities ,act4,sec4 #hje4 ,grants for ,native ,americans4,sec4 #hjf4 ,allotments for elder rights protection activities4 #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 8area agency on aging01 8,assistant ,secretary01 8older individual01 and 8,secretary0 have the meanings given such terms in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb74 ,i ,strengthening the ,aging ,network to ,meet the ,needs of ,older ,individuals #aja4 ,declaration of objectives ,section #aja 7#db ,u4,s4,c4 #cjja7 is amended-- 7#a7 in the matter preceding paragraph 7#a71 by striking of the following objectives3 and inserting of the objectives of--2 7#b7 in each of paragraphs 7#a7 through 7#aj71 by amending the first word so that it begins with a lowercase letter2 7#c7 in each of paragraphs 7#a7 through 7#h71 by striking the period at the end and inserting a semicolon2 7#d7 in each of paragraphs 7#i7 and 7#aj71 by striking the period at the end and inserting 2 and2 7#e7 in paragraph 7#b71 by inserting to improve health outcomes and reduce health care expenditures after economic status2 7#f7 by redesignating paragraphs 7#a7 through 7#aj7 as subparagraphs 7,a7 through 7,j71 respectively1 and adjusting the margins accordingly2 7#g7 in the matter preceding subparagraph 7,a7 7as so redesignated71 by striking our democratic society1 the older people and inserting the following3 8our democratic society-- 7#a7 the older people 2 and 7#h7 by adding at the end the following3 7#b7 the families of older individuals and community-based organizations1 including faith-based organizations1 also play a vital role in supporting and honoring older individuals and their happiness1 dignity1 and independence4 4 #ajb4 ,addressing mental health and substance use disorders and cognitive impairments of older individuals ,section #bja7;f7 7#db ,u4,s4,c4 #cjaa7;f77 is amended to read as follows3 7f7 7#a7 ,the ,assistant ,secretary may designate an officer or employee who shall be responsible for the administration of services for mental health and substance use disorders and cognitive impairments authorized under this ,act and serve as an effective and visible advocate for the related needs of older individuals within the ,department of ,health and ,human ,services1 including by ensuring that relevant information disseminated and research conducted or supported by the ,department takes into consideration such services4 7#b7 ,it shall be the duty of the ,assistant ,secretary1 acting through the individual designated under paragraph 7#a71 and in consultation with the heads of relevant agencies within the ,department of ,health and ,human ,services1 including the ,substance ,abuse and ,mental ,health ,services ,administration1 to develop objectives1 priorities1 and a long-term plan for supporting ,state and local efforts under this ,act involving education about and prevention1 detection1 and treatment of mental health and substance use disorders and cognitive impairment1 including age-related dementia1 depression1 and ,alzheimer's disease and related neurological disorders with neurological and organic brain dysfunction4 7#c7 ,not later than #b years after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd1 the ,assistant ,secretary shall report to 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 the ,workforce of the ,house of ,representatives on the activities of the officer or employee designated under paragraph 7#a7 in carrying out the requirements under this subsection1 including any activities to identify and reduce duplication and gaps across the ,department in such information disseminated and research conducted or supported by the ,department4 4 #ajc4 ,list of national resource centers ,section #bjb 7#db ,u4,s4,c4 #cjab7 is amended-- 7#a7 in subsection 7d77#d71 by striking ,resource ,center on ,elder ,abuse and inserting ,center2 and 7#b7 by striking subsection 7h7 and inserting the following3 7h7 7#a7 ,the ,assistant ,secretary shall publish online in a publicly accessible format1 on an annual basis1 a list of national resource centers and demonstration projects authorized1 or administratively established through funds provided under1 this ,act4 7#b7 ,the ,assistant ,secretary shall ensure that the list published pursuant to paragraph 7#a7-- 7,a7 includes-- 7i7 a description of each such center and demonstration project1 including the projected goals and activities of each such center and demonstration project2 7ii7 a citation to the statutory authorization of each such center and demonstration project1 or a citation to the statutory authority that the ,assistant ,secretary relied upon to administratively establish each such center and demonstration project2 7iii7 the award amount for each such center and demonstration project2 and 7iv7 a summary of any evaluations required under this ,act for each such center1 including a description of any measures of effectiveness2 and 7,b7 is directly provided to ,state agencies1 area agencies on aging1 and the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives4 4 #ajd4 ,awareness of relevant ,federal programs ,title ,,ii 7#db ,u4,s4,c4 #cjaa et seq47 is amended by inserting after section #bjc;,a 7#db ,u4,s4,c4 #cjac;a7 the following3 #bjc;,b4 ,awareness of relevant ,federal programs ,in carrying out section #bjc7;a77#a71 the ,assistant ,secretary shall coordinate with the heads of relevant ,federal departments and agencies to ensure that the aging network and individuals served under this ,act are aware of1 and1 subject to applicable eligibility criteria1 have access to1 ,federal programs that may advance the objectives of this ,act1 including programs described in section #bjc7;b7 and other programs to meet housing1 health care1 and other supportive service needs to help such individuals age in place4 4 #aje4 ,evaluations and surveys ,section #bjf 7#db ,u4,s4,c4 #cjag7 is amended-- 7#a7 by striking subsection 7d7 and inserting the following3 7d7 7#a7 ,in carrying out evaluations under this section1 the ,secretary shall-- 7,a7 award grants to1 or enter into contracts with1 public or nonprofit private organizations or academic or research institutions to survey ,state agencies1 area agencies on aging1 and other program and project participants about the strengths and weaknesses of the programs and projects2 and 7,b7 conduct1 where appropriate1 evaluations that compare the effectiveness of related programs in achieving common objectives4 7#b7 ,the surveys and evaluations under paragraph 7#a7 shall include information on programs1 services1 use and sources of funding 7including any transfer of funding between area agencies on aging71 identified unmet need for services and related indicators1 and any other challenges faced by ,state agencies and area agencies on aging in carrying out the activities of this ,act4 7#c7 ,the ,secretary shall1 in carrying out the evaluations under paragraph 7#a71 consult with organizations concerned with older individuals1 including organizations that represent minority individuals1 older individuals residing in rural areas1 and older individuals with disabilities4 2 and 7#b7 in subsection 7g71 by striking him and inserting the ,secretary4 #ajf4 ,contracting and grant authority 7a7 ,in general ,section #bab 7#db ,u4,s4,c4 #cjbj;c7 is amended-- 7#a7 by striking subsection 7a7 and inserting the following3 7a7 ,in general ,subject to subsection 7b71 this ,act shall not be construed to prevent a recipient of a grant or a contract under this ,act 7other than title ,v7 from entering into an agreement with a profitmaking organization for the recipient to provide services to individuals or entities not otherwise receiving services under this ,act1 provided that-- 7#a7 in the case funds provided under this ,act are used in developing or carrying out the agreement-- 7,a7 such agreement guarantees that the cost is reimbursed to the recipient2 7,b7 if such agreement provides for the provision of #a or more services1 of the type provided under this ,act by or on behalf of such recipient1 to an individual or entity seeking to receive such services-- 7i7 the individuals and entities may only purchase such services at their fair market rate2 7ii7 all costs incurred by the recipient in providing such services 7and not otherwise reimbursed under subparagraph 7,a771 are reimbursed to such recipient2 and 7iii7 except in the case of an agreement with a health plan or health care provider1 the recipient reports the rates for providing such services under such agreement in accordance with subsection 7c7 and the rates are consistent with the prevailing market rate for provision of such services in the relevant geographic area as determined by the ,state agency or area agency on aging 7as applicable72 and 7,c7 any amount of payment to the recipient under the agreement that exceeds reimbursement under this subsection of the recipient's costs is used to provide1 or support the provision of1 services under this ,act2 and 7#b7 subject to subsection 7e71 in the case no funds provided under this ,act are used in developing or carrying out the agreement-- 7,a7 not later than #de days after the agreement first goes into effect1 and annually thereafter until the termination of such agreement1 the recipient of a grant or contract under this ,act shall1 in writing-- 7i7 notify the ,state agency of-- 7,i7 the existence of the agreement2 and 7,,ii7 the services provided and populations served under the agreement2 and 7ii7 provide assurances to the ,state agency that-- 7,i7 nothing in the agreement-- 7aa7 undermines-- 7,,aa7 the duties of the recipient under this ,act2 or 7,,bb7 the provision of services in accordance with this ,act2 or 7bb7 violates any other terms and conditions of an award received by the recipient under this ,act2 and 7,,ii7 any potential real or perceived conflict of interest with respect to the agreement has been prevented1 mitigated1 or otherwise addressed1 including providing a description of any such conflicts of interest and a description of the actions taken to mitigate such conflicts of interest2 and 7,b7 not later than #de days after the population or services under the agreement substantially change due to an amendment to the agreement1 the recipient shall1 in writing-- 7i7 notify the ,state agency of such change2 and 7ii7 provide the assurances described in subparagraph 7,a77ii7 with respect to such change4 2 7#b7 by striking subsection 7b7 and inserting the following3 7b7 ,ensuring appropriate use of funds ,an agreement-- 7#a7 described in subsection 7a77#a7 may not-- 7,a7 be made without the prior approval of the ,state agency 7or1 in the case of a grantee under title ,,vi1 without the prior recommendation of the ,director of the ,office for ,american ,indian1 ,alaska ,native1 and ,native ,hawaiian ,aging and the prior approval of the ,assistant ,secretary71 after timely submission of all relevant documents related to the agreement including information on all costs incurred2 or 7,b7 directly or indirectly provide for1 or have the effect of1 paying1 reimbursing1 subsidizing1 or otherwise compensating an individual or entity in an amount that exceeds the fair market value of the services subject to such agreement2 and 7#b7 described in subsection 7a7 may not-- 7,a7 result in the displacement of services otherwise available to an older individual with greatest social need1 an older individual with greatest economic need1 or an older individual who is at risk for institutional placement2 or 7,b7 in any other way compromise1 undermine1 or be inconsistent with the objective of serving the needs of older individuals1 as determined by the ,assistant ,secretary4 2 7#c7 in subsection 7c71 by striking subsection 7a7 and inserting subsection 7a77#a72 7#d7 by redesignating subsection 7e7 as subsection 7f72 and 7#e7 by inserting after subsection 7d7 the following3 7e7 ,requesting additional information for certain non-,,oaa agreements 7#a7 ,in general ,in the case of an agreement described in subsection 7a77#b71 if the ,state agency has a reasonable belief that an agreement may violate the assurances provided under subsection 7a77#b77;,a77ii71 the ,state agency may request additional information from the recipient of funds under this ,act that is a party to such agreement1 which may include a request for a copy of such agreement4 ,such recipient shall make a good faith effort to address such request for additional information1 except that such recipient shall not provide agreements or other data that are restricted under the terms of a non-disclosure agreement signed by such recipient4 ,if such recipient declines to provide a copy of an agreement to a ,state agency1 such recipient shall provide a justification to the ,state agency within #cj days of receiving such request4 7#b7 ,confidentiality ,a ,state agency shall keep confidential1 as required by applicable ,federal and ,state law1 all information received under this subsection that is-- 7,a7 a trade secret2 7,b7 commercial or financial information2 and 7,c7 information obtained from an individual that is privileged and confidential4 4 7b7 ,area plans ,section #cjf 7#db ,u4,s4,c4 #cjbf7 is amended-- 7#a7 in subsection 7a77#ac7-- 7,a7 in subparagraph 7,b77i71 by striking any service to older individuals and inserting any service under this ,act to older individuals or caregivers2 and 7,b7 in subparagraph 7,e71 by inserting or caregivers under this ,act after older individuals2 and 7#b7 in subsection 7g71 by inserting 1 except as provided under section #bab7;a77#b71 after ,nothing in this ,act4 #ajg4 ,guidance on transfers of funding between area agencies on aging ,not later than #a year after the date of enactment of this ,act1 the ,assistant ,secretary shall disseminate guidance to ,state agencies 7as defined in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb77 and area agencies on aging on circumstances under which funds appropriated pursuant to part ,b and subparts #a and #b of part ,c of title ,,iii of the ,older ,americans ,act 7#db ,u4,s4,c4 #cjcj;d et seq41 #db ,u4,s4,c4 #cjcj;e et seq41 #db ,u4,s4,c4 #cjcj;f et seq47 may be appropriate to transfer between area agencies on aging1 with the approval of the ,state agency and the concurrence of any involved area agencies on aging1 within a budget year4 #ajh4 ,right to first refusal ,section #cje7;b77#e77;,b7 7#db ,u4,s4,c4 #cjbe7;b77#e77;,b77 is amended to read as follows3 7,b7 ,whenever a ,state agency designates a new area agency on aging after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd1 the ,state agency shall give the right to first refusal to a unit of general purpose local government if-- 7i7 such unit can meet the requirements of subsection 7c72 7ii7 7,i7 such unit has demonstrated experience administering services for older individuals2 or 7,,ii7 the ,state agency determines that there is not another entity eligible under subsection 7c77#a7 within the planning and service area with such demonstrated experience2 and 7iii7 the boundaries of such unit and the boundaries of the planning and service area are reasonably contiguous4 4 #aji4 ,area agency on aging capabilities 7a7 ,organization ,section #cje7;c7 7#db ,u4,s4,c4 #cjbe7;c77 is amended-- 7#a7 by redesignating paragraphs 7#a7 through 7#e7 as subparagraphs 7,a7 through 7,e71 respectively1 and moving such subparagraphs #b ems to the right2 7#b7 by striking shall be and inserting the following3 8shall-- 7#a7 be-- 2 7#c7 in subparagraph 7,e71 as so redesignated-- 7,a7 by striking 7b77#e7 and inserting 7b77#e77;,a72 and 7,b7 by inserting and after the semicolon2 and 7#d7 by striking and shall provide assurance1 determined adequate by the ,state agency1 that the area agency on aging will have the ability to develop an area plan and to carry out1 directly or through contractual or other arrangements1 a program in accordance with the plan within the planning and service area4 and inserting the following3 7#b7 provide assurance1 determined adequate by the ,state agency1 that the area agency on aging will have the ability1 and maintain the capabilities necessary1 to develop an area plan as required under section #cjf7;a71 and carry out1 directly or through contractual or other arrangements1 and oversee activities in accordance with-- 7,a7 the plan within the planning and service area2 7,b7 any other relevant requirements of this ,act2 7,c7 other applicable ,federal and ,state laws2 and 7,d7 other terms and conditions of awards received under this ,act4 4 7b7 ,plans ,section #cjf7;f77#a7 7#db ,u4,s4,c4 #cjbf7;f77#a77 is amended-- 7#a7 by inserting the assurances required under section #cje7;c77#b71 after of this section12 and 7#b7 by striking the period at the end and inserting 1 and if the ,state agency determines1 in the discretion of the ,state agency1 that an area agency on aging failed in #b successive years to comply with the requirements under this title1 then the ,state agency may require the area agency on aging to submit a plan for a #a-year period that meets such requirements1 for subsequent years until the ,state agency determines that the area agency on aging is in compliance with such requirements44 #aaj4 ,supporting older individuals with disabilities through improved coordination 7a7 ,area plans ,section #cjf7;a77#e7 7#db ,u4,s4,c4 #cjbf7;a77#e77 is amended by striking with agencies that develop or provide services for individuals with disabilities and inserting with entities that develop or provide services for individuals with disabilities1 which may include centers for independent living1 relevant service providers1 and other community-based organizations1 as appropriate4 7b7 ,supporting older individuals with disabilities through improved coordination 7#a7 ,in general ,the ,administrator of the ,administration for ,community ,living of the ,department of ,health and ,human ,services 7referred to in this section as the ,administrator7 shall identify-- 7,a7 opportunities to improve coordination between the aging and disability networks1 which may include the formation of partnerships to serve individuals eligible for programs under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq472 7,b7 lessons learned from disability networks1 including centers for independent living1 ,state developmental disabilities councils1 university centers on excellence in developmental disabilities1 and ,state protection and advocacy agencies that could improve operations and service delivery within the aging network2 and 7,c7 any technical assistance needs related to subparagraphs 7,a7 and 7,b74 7#b7 ,guidance ,not later than #b years after the date of enactment of this ,act1 the ,administrator shall issue guidance to ,state agencies and area agencies on aging on strategies to leverage disability networks1 including centers for independent living1 ,state developmental disabilities councils1 university centers on excellence in developmental disabilities1 and ,state protection and advocacy agencies1 as appropriate1 to strengthen the provision of services under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq474 7#c7 ,technical assistance ,the ,administrator shall coordinate across the ,administration for ,community ,living to address any technical assistance needs identified under paragraph 7#a77;,c7 in a manner that does not unnecessarily duplicate other technical assistance activities carried out prior to the date of enactment of this ,act4 #aaa4 ,business acumen1 fiscal training1 and technical assistance ,section #cjg7;a7 7#db ,u4,s4,c4 #cjbg7;a77 is amended by adding at the end the following3 7#ca7 ,the plan shall provide assurances that the ,state agency may provide technical assistance1 as needed1 for area agencies on aging related to the development of business acumen1 sound fiscal practices1 capacity building1 organizational development1 innovation1 and other methods of growing and sustaining the capacity of the aging network to carry out activities funded under this ,act to serve older individuals and caregivers most effectively4 4 #aab4 ,enhancing access to assistive technology ,section #cjg7;a7 7#db ,u4,s4,c4 #cjbg7;a771 as amended by section #aaa of this ,act1 is further amended by adding at the end the following3 7#cb7 ,the plan shall provide assurances that the ,state will coordinate services1 to the extent feasible1 with lead agencies designated to carry out ,state assistive technology programs under the ,assistive ,technology ,act of #aiih 7#bi ,u4,s4,c4 #cjja et seq47 and with area agencies on aging to assist eligible older individuals1 including older individuals with disabilities1 in accessing and acquiring assistive technology4 4 #aac4 ,white ,house ,conference on ,aging ,title ,,ii of the ,older ,americans ,act ,amendments of #aihg 7#db ,u4,s4,c4 #cjja note2 ,public ,law #ajj-age7 is amended by striking title ,,ii and inserting the following3 ,,ii ,white ,house ,conference on ,aging #bja4 ,authorization of the ,conference 7a7 ,authority ,to call conference ,not earlier than ,january #ba1 #bjbe and not later than ,december #ca1 #bjbe1 the ,president shall convene the ,white ,house ,conference on ,aging in order to fulfill the purpose set forth in subsection 7c7 and to make fundamental policy recommendations regarding programs that are important to older individuals and to the families and communities of such individuals4 7b7 ,planning and direction ,the ,conference described in subsection 7a7 shall be planned and conducted under the direction of the ,secretary1 in cooperation with the ,assistant ,secretary for ,aging1 the ,director of the ,national ,institute on ,aging1 the ,administrator of the ,centers for ,medicare and ,medicaid ,services1 the ,social ,security ,administrator1 and the heads of such other ,federal agencies serving older individuals as are appropriate4 ,planning and conducting the ,conference includes the assignment of personnel4 7c7 ,purpose ,the purpose of the ,conference described in subsection 7a7 shall be to gather individuals representing the spectrum of thought and experience in the field of aging to-- 7#a7 evaluate the manner in which the objectives of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 can be met by using the resources and talents of older individuals1 of families and communities of such individuals1 and of individuals from the public and private sectors2 7#b7 evaluate the manner in which ,federal policies1 programs1 and activities meet and respond to the needs of older individuals1 including an examination of innovative and fiscally responsible strategies relating to retirement security1 caregiving1 nutrition and supportive services1 health care1 elder justice1 and long term services and supports2 7#c7 review the work and recommendations of the ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities1 and evaluate the recommendations of the ,committee1 which may include implementation strategies for such recommendations2 7#d7 develop recommendations to guide the ,president1 ,congress1 and ,federal agencies in improving ,federal programs that serve older individuals1 which may relate to the prevention and mitigation of disease1 injury1 abuse1 social isolation1 loneliness1 and economic insecurity1 including food insecurity1 and promotion of healthy aging in place4 7d7 ,conference participants and delegates 7#a7 ,participants ,in order to carry out the purposes of this section1 the ,conference shall bring together-- 7,a7 representatives of ,federal1 ,state1 ,tribal1 and local governments2 7,b7 professionals and volunteers who are working in the field of aging2 and 7,c7 representatives of the general public1 particularly older individuals4 7#b7 ,selection of delegates ,the delegates shall be selected without regard to political affiliation or past partisan activity and shall1 to the best of the appointing authority's ability1 be representative of the spectrum of thought in the field of aging4 ,delegates shall include older individuals1 individuals who are professionals in the field of aging1 individuals who are community leaders1 minority individuals1 individuals from rural areas1 low-income individuals1 and representatives of ,federal1 ,state1 and local governments4 #bjb4 ,conference administration 7a7 ,administration ,in administering this section1 the ,secretary shall-- 7#a7 consult with relevant ,state1 ,tribal1 and local officials1 stakeholders1 and subject matter experts in planning the ,conference2 7#b7 request the cooperation and assistance of the heads of such other ,federal departments and agencies1 including such officials of the ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities1 as may be appropriate in the carrying out of this section2 7#c7 make available for public comment a proposed agenda for the ,conference1 which will reflect to the greatest extent possible the major issues facing older individuals consistent with the provisions of subsection 7a72 7#d7 prepare and make available such background materials for the use of delegates to the ,conference as the ,secretary deems necessary2 and 7#e7 engage such additional personnel as may be necessary to carry out the provisions of this section without regard to provisions of title #e1 ,united ,states ,code1 governing appointments in the competitive service1 and without regard to chapter #ea and subchapter ,,iii of chapter #ec of such title1 relating to classification and ,general ,schedule pay rates4 7b7 ,duties ,the ,secretary shall1 in carrying out the ,secretary's responsibilities and functions under this section1 and as part of the ,white ,house ,conference on ,aging1 ensure that-- 7#a7 the agenda prepared under subsection 7a77#c7 for the ,conference is published in the ,federal ,register not later than #cj days after such agenda is approved by the ,secretary2 7#b7 the personnel engaged under subsection 7a77#e7 shall be fairly balanced in terms of points of views represented and shall be appointed without regard to political affiliation or previous partisan activities2 7#c7 the recommendations of the ,conference are not inappropriately influenced by any appointing authority or by any special interest1 but will instead be the result of the independent judgment of the ,conference2 and 7#d7 current and adequate statistical data1 including decennial census data1 and other information on the well-being of older individuals in the ,united ,states are readily available1 in advance of the ,conference1 to the delegates of the ,conference1 together with such information as may be necessary to evaluate ,federal programs and policies relating to aging4 ,in carrying out this subparagraph1 the ,secretary is authorized to make grants to1 and enter into cooperative agreements with1 public agencies and nonprofit private organizations4 7c7 ,gifts ,the ,secretary may accept1 on behalf of the ,united ,states1 gifts 7in cash or in kind1 including voluntary and uncompensated services71 that shall be available to carry out this title4 ,gifts of cash shall be available in addition to amounts appropriated to carry out this title4 ,gifts may be earmarked by the donor for a specific purpose4 7d7 ,records ,the ,secretary shall maintain records regarding-- 7#a7 the sources1 amounts1 and uses of gifts accepted under subsection 7c72 and 7#b7 the identity of each person receiving assistance to carry out this title1 and the amount of such assistance received by each such person4 #bjc4 ,report of the ,conference 7a7 ,preliminary report ,not later than #ajj days after the date on which the ,conference adjourns1 the ,secretary shall publish and deliver to the ,states a preliminary report on the ,conference4 ,comments on the preliminary report of the ,conference shall be accepted by the ,secretary4 7b7 ,final report ,not later than #ahj days after the date on which the ,conference adjourns1 the ,secretary shall publish and transmit to the ,president and to ,congress recommendations resulting from the ,conference and suggestions for any administrative action and legislation necessary to implement the recommendations contained within the report4 #bjd4 ,definitions ,in this title3 7#a7 ,conference ,the term ,conference means the ,white ,house ,conference on ,aging4 7#b7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#c7 ,state ,the term ,state means any of the several ,states1 the ,district of ,columbia1 the ,commonwealth of ,puerto ,rico1 ,guam1 ,american ,samoa1 the ,virgin ,islands of the ,united ,states1 the ,trust ,territory of the ,pacific ,islands1 or the ,commonwealth of the ,northern ,mariana ,islands4 4 ,,ii ,improving ,health ,outcomes and ,encouraging ,independence for ,older ,individuals #bja4 ,disease prevention and health promotion services ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is amended-- 7#a7 in subparagraph 7,b71 by inserting heart rate1 respiratory function1 after hearing12 7#b7 in subparagraph 7,k71 by inserting providing before information2 7#c7 by redesignating subparagraphs 7,l71 7,m71 7,n71 and 7,o71 as subparagraphs 7,m71 7,n71 7,o71 and 7,p71 respectively2 7#d7 by inserting after subparagraph 7,k7 the following3 7,l7 providing information concerning testing1 diagnosis1 and treatment of infectious diseases1 taking into consideration infectious diseases for which older individuals are at increased risk of infection or serious health outcomes2 2 and 7#e7 in subparagraph 7,p71 as so redesignated1 by striking subparagraphs 7,a7 through 7,n7 and inserting subparagraphs 7,a7 through 7,o74 #bjb4 ,improving health outcomes 7a7 ,research and evaluation activities ,section #bja 7#db ,u4,s4,c4 #cjaa7 is amended-- 7#a7 in subsection 7c77#c77;,b71 by striking in behalf and inserting on behalf2 and 7#b7 in subsection 7g7-- 7,a7 in paragraph 7#c77;,a77ii71 by inserting reduction of health care expenditures1 after quality of life12 and 7,b7 in paragraph 7#g71 by inserting and recommendations relating to further research1 evaluation1 and demonstration projects conducted under this section after title ,,iv4 7b7 ,falls prevention programs ,section #daa7;a77#ae7 7#db ,u4,s4,c4 #cjcb7;a77#ae77 is amended to read as follows3 7#ae7 bringing to scale and sustaining evidence-based or evidence-informed falls prevention programs to reduce the number of falls1 fear of falling1 and fall-related injuries affecting older individuals1 including older individuals with disabilities1 which programs shall-- 7,a7 provide training and technical assistance to the aging network2 and 7,b7 share best practices with the aging network1 including the ,aging and ,disability ,resource ,centers2 4 7c7 ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities ,section #bjc7;c7 7#db ,u4,s4,c4 #cjac7;c77 is amended-- 7#a7 in paragraph 7#f77;,b7-- 7,a7 in clause 7ii71 by striking and after the semicolon2 7,b7 in clause 7iii71 by inserting and after the semicolon2 and 7,c7 by adding at the end the following3 7iv7 strategies to address social isolation1 including by promoting strong and stable connections across different generations in a family and in the community2 2 and 7#b7 in paragraph 7#g7-- 7,a7 in subparagraph 7,b71 by striking and at the end2 7,b7 by redesignating subparagraph 7,c7 as subparagraph 7,d72 and 7,c7 by inserting after subparagraph 7,b7 the following3 7,c7 contains an assessment of the effectiveness of relevant ,federal efforts and programs1 including implementation of best practices described in paragraph 7#f77;,b72 and 4 #bjc4 ,evidence-informed practices 7a7 ,disease prevention and health promotion services ,section #cfa7;a7 7#db ,u4,s4,c4 #cjcjm7a77 is amended-- 7#a7 by striking 7a7 and inserting 7a77#a72 7#b7 in the first sentence1 by inserting after promotion services the following3 1 or1 as applicable and appropriate1 evidence-informed practices that are likely to improve health outcomes12 and 7#c7 by striking the second sentence and inserting the following3 7#b7 ,in carrying out such program1 the ,assistant ,secretary shall-- 7,a7 provide technical assistance on the delivery of evidence-based disease prevention and health promotion services1 and1 as applicable and appropriate1 such evidence-informed practices1 in different settings and for different populations2 7,b7 develop1 make publicly available1 and update on a regular basis a list of such evidence-informed practices2 and 7,c7 consult with the ,directors of the ,centers for ,disease ,control and ,prevention and the ,national ,institute on ,aging4 4 7b7 ,functions of ,assistant ,secretary ,section #bjb 7#db ,u4,s4,c4 #cjab7 is amended-- 7#a7 in subsection 7a77#bh71 by inserting after promotion services the following3 1 or1 as applicable and appropriate1 evidence-informed practices that are likely to improve health outcomes2 and 7#b7 in subsection 7b77#i77;,b71 by inserting after services programs the following3 1 or1 as applicable and appropriate1 evidence-informed practices that are likely to improve health outcomes4 7c7 ,falls prevention and chronic disease self-management education ,section #daa7;a7 7#db ,u4,s4,c4 #cjcb7;a77 is amended1 in paragraphs 7#ae7 and 7#af71 by inserting or evidence-informed after evidence-based4 #bjd4 ,enhancing multipurpose senior centers 7a7 ,in general ,section #bjb7;a77#cj7 7#db ,u4,s4,c4 #cjab7;a77#cj77 is amended-- 7#a7 by inserting establishment1 maintenance1 and after to support the2 and 7#b7 by inserting and access to services provided at multipurpose senior centers before the semicolon at the end4 7b7 ,area agency on aging plans ,section #cjf7;a77#b77;,a7 7#db ,u4,s4,c4 #cjbf7;a77#b77;,a77 is amended by inserting 1 including those services provided at multipurpose senior centers1 where appropriate before the semicolon at the end4 7c7 ,state plans ,section #cjg7;a77#b77;,a7 7#db ,u4,s4,c4 #cjbg7;a77#b77;,a77 is amended by inserting and1 to the extent feasible1 make such evaluation public before the semicolon at the end4 #bje4 ,addressing home modifications 7a7 ,indoor air quality ,section #cfa7;c7 7#db ,u4,s4,c4 #cjcjm7c77 is amended by striking buildings and all that follows and inserting buildings and residences where older individuals congregate or live4 7b7 ,weatherization ,section #cba7;a77#d7 7#db ,u4,s4,c4 #cjcj;d7a77#d77 is amended by striking subparagraph 7,a7 and inserting 7,a7 to assist older individuals to obtain adequate housing1 including residential repair and renovation projects1 and 7if assistance for weatherization projects does not unnecessarily duplicate other ,federal assistance available7 weatherization projects1 designed to enable older individuals to maintain their homes in conformity with minimum housing and other relevant standards1 in order to support such older individuals in aging in place and maintaining their health24 #bjf4 ,multigenerational and civic engagement activities ,section #dag 7#db ,u4,s4,c4 #cjcb;f7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a71 by striking projects1 and all that follows and inserting the following3 projects to serve individuals in younger generations and older individuals by developing1 carrying out1 and promoting participation in multigenerational activities1 which projects may include--2 7,b7 in paragraph 7#a71 in the matter preceding subparagraph 7,a71 by striking provide and inserting providing2 7,c7 in paragraph 7#b7-- 7i7 by striking coordinate and inserting coordinating2 and 7ii7 by adding and at the end2 7,d7 by striking paragraphs 7#c7 and 7#d7 and inserting the following3 7#c7 promoting volunteerism1 including by providing opportunities-- 7,a7 for older individuals to become mentors to individuals in younger generations2 and 7,b7 at facilities that serve older individuals or individuals in younger generations1 at which multigenerational activities might occur4 2 7#b7 in subsection 7c77#b71 by striking 7#d7 and inserting 7#c72 7#c7 in subsection 7d7-- 7,a7 by striking paragraph 7#a72 and 7,b7 by redesignating paragraphs 7#b7 through 7#e7 as paragraphs 7#a7 through 7#d72 and 7#d7 in subsection 7h77#a71 by striking or a family support program4 and inserting or a family support program1 or a program at a multipurpose senior center1 long-term care facility1 or any other residential facility for older individuals44 #bjg4 ,,gao study and report on access to housing for older individuals ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct1 and submit to ,congress a report describing the results of1 a study that analyzes housing programs and services for older individuals under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq471 including-- 7#a7 an analysis of the ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities that-- 7,a7 assesses any metrics used by the ,committee to evaluate the success of the ,committee's activities and related ,federal programs2 7,b7 evaluates interagency coordination of ,federal housing programs for older individuals2 and 7,c7 assesses the availability of affordable housing for older individuals as the result of interagency coordination2 7#b7 an analysis of any overlap between1 and gaps in1 housing programs and services that assist older individuals in obtaining accessible and affordable housing that achieves the objectives of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq471 including programs under the ,administration for ,community ,living1 the ,department of ,housing and ,urban ,development1 and other ,federal programs1 as applicable1 and the availability1 accessibility1 and demand for such services2 7#c7 an analysis of the availability of affordable housing for such older individuals1 to the extent such information is available and taking into consideration incomes and geographic and demographic trends2 and 7#d7 any recommendations to improve the supply1 accessibility1 and affordability of housing for older individuals and coordination of services provided under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 and other related ,federal programs1 as applicable4 #bjh4 ,report relating to health outcomes for older individuals living with or near family members 7a7 ,in general ,the ,secretary shall prepare a report that assesses-- 7#a7 the health outcomes for older individuals who live with1 on the same property as1 or otherwise in the community in close geographic proximity1 relative to the area1 to family members2 and 7#b7 the degree to which programs under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq47 promote living in the settings described in paragraph 7#a71 as appropriate4 7b7 ,inclusion ,the report described under subsection 7a7 shall include-- 7#a7 an assessment of physical and mental health outcomes of older individuals who live in the settings described in subsection 7a77#a7 in comparison to physical and mental health outcomes of older individuals who do not live in such settings2 7#b7 an assessment of the extent to which living in such settings mitigates social isolation and loneliness in older adults2 and 7#c7 a description of the different types of such settings and whether1 and to what extent1 findings under paragraphs 7#a7 and 7#b7 vary across such different types4 7c7 ,submission ,not later than #b years after the date of enactment of this ,act1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,education and ,workforce of the ,house of ,representatives the report required by subsection 7a74 #bji4 ,improving broadband coordination and reducing social isolation 7a7 ,in general ,the ,assistant ,secretary shall1 as appropriate1 coordinate with the ,assistant ,secretary of ,commerce for ,communications and ,information of the ,national ,telecommunications and ,information ,administration to ensure that the aging network 7as defined in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb77 and other relevant stakeholders are aware of1 and1 subject to applicable eligibility criteria1 have access to1 ,federal programs relating to digital literacy and the adoption of broadband that may support aging in place for older individuals4 7b7 ,report ,not later than #ij days after the date of enactment of this ,act1 the ,assistant ,secretary shall prepare1 and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions1 the ,special ,committee on ,aging1 and the ,committee on ,commerce1 ,science1 and ,transportation of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives1 a report regarding any coordination efforts carried out pursuant to subsection 7a74 ,,iii ,enhancing ,innovation and ,flexibility in ,nutrition ,services #cja4 ,medically tailored meals 7a7 ,definitions ,section #ajb7ad7 7#db ,u4,s4,c4 #cjjb7ad77 is amended-- 7#a7 in subparagraph 7,c71 by inserting 1 which may include counseling related to the provision of medically tailored meals after counseling2 and 7#b7 in subparagraph 7,d71 by inserting 7including from medically tailored meals7 after improved nutrition4 7b7 ,administration of nutrition services ,section #bje7;a77#b77;,a7 7#db ,u4,s4,c4 #cjaf7;a77#b77;,a77 is amended-- 7#a7 in clause 7vi71 by inserting 1 including through the use of innovative approaches after systems2 and 7#b7 in clause 7viii71 by inserting and innovative interventions after including strategies4 7c7 ,nutrition education ,section #bad7b77;,c7 7#db ,u4,s4,c4 #cjbj;e7#b77;,c77 is amended by inserting 1 including interventions1 after other activities4 7d7 ,nutrition services purposes ,section #ccj7c7 7#db ,u4,s4,c4 #cjcj;d-#ba7c77 is amended by inserting 1 tailored to their individual medical and nutritional needs to the extent feasible1 after services4 #cjb4 ,nutrition service providers ,section #cci 7#db ,u4,s4,c4 #cjcj;g-#ba7-- 7#a7 in paragraph 7#a71 by striking and at the end2 7#b7 in paragraph 7#b71 by striking the period and inserting 2 and2 and 7#c7 by adding at the end the following3 7#c7 where feasible1 when selecting local nutrition providers1 give consideration to the capabilities of community-based organizations if such organizations meet the requirements of subpart #a or #b and can provide nutrition services in the designated area4 4 #cjc4 ,grab-and-go meals ,section #cjh7;b77#d7 7#db ,u4,s4,c4 #cjbh7;b77#d77 is amended by adding at the end the following3 7,e7 ,a ,state may elect in its plan under section #cjg to allow use of not more than #be percent of the funds received by such ,state under subpart #a of part ,c1 calculated after any transfers under subparagraphs 7,a7 and 7,b7 are completed1 to make meals available at congregate meal sites or other community locations for consumption by older individuals outside such congregate meal sites4 ,a ,state electing to allow use of funds under the preceding sentence shall-- 7i7 ensure that such allowable use supplements but does not supplant the delivery of services through the congregate meals program under section #cca2 and 7ii7 notify the ,assistant ,secretary of such election1 including a description of the amount and percentage of funds received by such ,state under subpart #a of part ,c to be used for such purposes4 4 #cjd4 ,nutrition ,services ,incentive ,program innovation ,section #caa 7#db ,u4,s4,c4 #cjcj;a7 is amended-- 7#a7 in subsection 7b77#a71 by striking subsection 7e7 and inserting subsection 7f77#a72 7#b7 by redesignating subsections 7e7 and 7f7 as subsections 7f7 and 7g71 respectively2 7#c7 by inserting after subsection 7d7 the following3 7e7 7#a7 ,subject to subsection 7f77#b71 a ,state agency or title ,,vi grantee may implement innovative approaches1 including any approaches demonstrated to be effective through an award under section #cdj1 to achieve the purposes described in section #ccj7a7 by improving-- 7,a7 the quality1 composition1 preparation1 modality1 delivery1 or location of meals provided to older individuals under this ,act2 or 7,b7 the efficiency and effectiveness of distributing1 delivering1 or otherwise making meals available to older individuals under this ,act4 7#b7 ,in implementing approaches under paragraph 7#a71 a ,state agency or title ,,vi grantee may1 with the approval of the ,assistant ,secretary1 waive any requirements of subparts #a or #b of part ,c or section #cci if the ,state agency or title ,,vi grantee determines that such requirements impede the ability of such ,state agency or title ,,vi grantee to successfully implement such approach4 ,the ,assistant ,secretary shall approve a request for a waiver under the preceding sentence unless the ,assistant ,secretary determines that such waiver is not consistent with the objectives of this ,act or the purposes described in section #ccj7a74 7#c7 ,the authority to carry out activities described in paragraph 7#a7 shall expire on ,october #a1 #bjbi4 7#d7 ,not later than ,september #cj1 #bjbh1 the ,assistant ,secretary shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives describing any activities carried out by ,state agencies or title ,,vi grantees under paragraph 7#a71 an assessment of the outcomes of such activities1 and recommendations for scaling implementation of any successful innovative approaches within programs established under this section or subparts #a and #b of part ,c4 2 and 7#d7 in subsection 7f71 as so redesignated-- 7,a7 by striking ,there are and inserting 7#a7 ,there are2 and 7,b7 by adding at the end the following3 7#b7 ,if the amount appropriated to carry out this section for a fiscal year exceeds the amount appropriated to carry out this section for fiscal year #bjbd1 a ,state agency and title ,,vi grantee in receipt of an allotment under subsection 7b7 may elect to use the difference between the allotment received for the fiscal year and the allotment received for fiscal year #bjbd for activities described in subsection 7e74 4 #cje4 ,,gao study on ,nutrition ,services ,incentive ,program 7a7 ,in general ,not later than #ah months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study to evaluate the ,nutrition ,services ,incentive ,program under section #caa 7#db ,u4,s4,c4 #cjcj;a7 7referred to in this section as the ,program74 7b7 ,inclusions ,the study under this section-- 7#a7 shall-- 7,a7 include an assessment of how ,states and ,tribal organizations use funding provided under the ,program1 including the degree to which ,states and ,tribal organizations use such funding to procure food products from local or regional producers for meals supported under the ,program2 and 7,b7 identify any challenges or barriers to increasing the use of local and regional producers under the ,program2 and 7#b7 may make recommendations related to improving the effectiveness of the ,program1 including with respect to the use of local and regional producers4 #cjf4 ,innovations in nutrition programs and services ,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 #cdj4 ,innovations in nutrition programs and services 7a7 ,in general ,from funds available under subsection 7d71 the ,assistant ,secretary shall make grants1 on a competitive basis1 to eligible entities1 to achieve the purposes of section #ccj7a7 by developing1 implementing1 and evaluating innovative local or regional approaches to improve the quality1 effectiveness1 efficiency1 and outcomes of nutrition programs and services described in sections #caa1 #cca1 and #ccf4 7b7 ,eligibility ,in order to be eligible for a grant under subsection 7a71 an entity shall-- 7#a7 be-- 7,a7 a ,state agency1 an area agency on aging1 an ,indian tribe1 a tribal organization1 a nutrition service provider1 a multipurpose senior center1 a health care entity1 an institution of higher education1 or an other public or nonprofit private entity2 or 7,b7 a partnership between any entities described in subparagraph 7,a72 and 7#b7 submit an application at such time and in such manner as the ,assistant ,secretary may require1 including-- 7,a7 a description of an innovative approach referred to in subsection 7a7 that the entity proposes to implement under the grant2 7,b7 a plan for evaluating the effectiveness1 including cost-effectiveness1 of the innovative approach proposed2 and 7,c7 as appropriate1 plans for the publication of the results of such evaluation4 7c7 ,report ,not later than #a year after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd and annually thereafter1 the ,assistant ,secretary shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives describing any activities carried out under subsection 7a71 an assessment of the outcomes of such activities1 and recommendations for scaling implementation of any successful innovative approaches implemented under this section1 through programs established under section #caa1 #cca1 or #ccf4 7d7 ,reservation ,from the total of the amounts made available for a fiscal year under paragraphs 7#a7 and 7#b7 of section #cjc7;b7 and in section #caa7;e71 the ,assistant ,secretary shall reserve an amount equal to not more than #a percent1 to carry out activities described in subsection 7a74 4 ,,iv ,supporting ,family ,caregivers #dja4 ,improving the ,national ,family ,caregiver ,support ,program 7a7 ,state requirements for ,state and community programs on aging grants ,section #cje7;a77#c77;,e7 7#db ,u4,s4,c4 #cjbe7;a77#c77;,e77 is amended-- 7#a7 in clause 7i71 by striking and at the end2 7#b7 in clause 7ii71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following3 7iii7 available supports for family caregivers and older relative caregivers 7as defined in section #cgb7;a774 4 7b7 ,area plan requirements ,section #cjf7;a77#g77;,d7 7#db ,u4,s4,c4 #cjbf7;a77#g77;,d77 is amended-- 7#a7 in clause 7i71 by striking and at the end2 7#b7 in clause 7ii71 by adding and after the semicolon2 and 7#c7 by adding at the end the following3 7iii7 available supports for family caregivers and older relative caregivers 7as defined in section #cgb7;a772 4 7c7 ,definitions relating to the ,national ,family ,caregiver ,support ,program 7#a7 ,in general ,section #cgb7;a7 7#db ,u4,s4,c4 #cjcjs7a77 is amended-- 7,a7 in paragraph 7#a7-- 7i7 in the first sentence1 by striking ,the term and inserting the following3 7,a7 ,in general ,the term 2 and 7ii7 in subparagraph 7,a7 7as so designated71 in the second sentence-- 7,i7 by striking the period at the end and inserting 2 and2 and 7,,ii7 by striking ,such assessment shall be administered through and inserting the following3 7,b7 ,administration of assessments ,a caregiver assessment under subparagraph 7,a7 shall-- 7i7 be administered through 2 and 7,,iii7 by adding at the end the following3 7ii7 take into account-- 7,i7 linguistic and cultural differences2 7,,ii7 the ease for the caregiver to access information1 supports1 or services1 and the timeliness of access to such information1 supports1 or services2 7,,iii7 barriers to accessing information1 supports1 or services2 7,,iv7 the availability of information1 supports1 or services in accessible formats2 and 7,v7 the quality of information1 supports1 or services received1 and the degree to which it is helpful to the caregiver4 2 7,b7 by striking paragraph 7#b7 and inserting the following3 7#b7 ,child or youth ,the term child or youth means an individual who is not more than-- 7,a7 #ah years of age2 or 7,b7 #bb years of age1 in the case of an individual who is enrolled in any form of schooling 7including on a part-time basis71 including-- 7i7 in high school or secondary school 7as such terms are defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja772 or 7ii7 in an institution of higher education 7as defined in section #ajb of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajjb774 2 and 7,c7 in paragraph 7#d77;,b77i71 by inserting adult after or other4 7#b7 ,conforming amendments ,part ,e of title ,,iii 7#db ,u4,s4,c4 #cjcjs et seq47 is amended-- 7,a7 by inserting or youth after child each place it appears 7other than in section #cgb7;a77#b7 7as amended by paragraph 7#a77;,b772 and 7,b7 by inserting or youth after children each place it appears 7other than in section #cgc7;c77#c77;,a7 7as amended by subsection 7d77#b77;,b774 7d7 ,program authorized ,section #cgc 7#db ,u4,s4,c4 #cjcjs-#a7 is amended-- 7#a7 in subsection 7b77#c7-- 7,a7 by inserting which may include trauma-informed services1 peer supports1 after individual counseling12 and 7,b7 by inserting elder abuse prevention1 after nutrition12 7#b7 in subsection 7c7-- 7,a7 in the subsection heading1 by striking priority and inserting priority2 consideration2 and 7,b7 by adding at the end the following3 7#c7 ,consideration ,in providing services under this part1 the ,state shall consider-- 7,a7 that older relative caregivers caring for multiple children or youth may need greater resources and supports2 and 7,b7 the circumstances and unique needs of different types of caregivers1 including the needs of children and their older relative caregivers whose families have been affected by substance use disorder1 including opioid use disorder4 2 7#c7 in subsection 7e7-- 7,a7 in the matter preceding paragraph 7#a71 by striking ,not later than and all that follows through the ,assistant ,secretary shall and inserting ,the ,assistant ,secretary shall1 on a regular basis2 7,b7 in paragraph 7#a7-- 7i7 in subparagraph 7,b7-- 7,i7 by inserting or evidence-informed after evidence based2 and 7,,ii7 by striking and at the end2 7ii7 by redesignating subparagraph 7,c7 as subparagraph 7,d72 and 7iii7 by inserting after subparagraph 7,b7 the following3 7,c7 the use of caregiver assessments2 and 2 and 7,c7 in paragraph 7#b71 by striking make available and inserting prepare1 publish1 and disseminate2 7#d7 in subsection 7i7-- 7,a7 in paragraph 7#a71 by inserting 1 which may include the improvement of the quality and consistency of caregiver assessments and access to other information1 supports1 or services after section #fca2 and 7,b7 in paragraph 7#b71 by inserting 7including outcome measures7 after program evaluation2 and 7#e7 in subsection 7j7-- 7,a7 in the matter preceding paragraph 7#a71 by striking ,not later than and all that follows through shall provide technical assistance and inserting ,beginning not later than #a year after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd1 the ,assistant ,secretary1 in consultation with stakeholders with appropriate expertise and1 as appropriate1 informed by the most recent strategy developed under the ,,raise ,family ,caregivers ,act 7#db ,u4,s4,c4 #cjcjs note7 and the most recent report developed under the ,supporting ,grandparents ,raising ,grandchildren ,act 7,public ,law #aae-aif2 #acb ,stat4 #aeaa71 shall provide ongoing technical assistance2 7,b7 in paragraph 7#b71 by striking and at the end2 7,c7 by redesignating paragraph 7#c7 as paragraph 7#d72 and 7,d7 by inserting after paragraph 7#b7 the following3 7#c7 the quality and consistency of caregiver assessments used across ,states2 and 4 #djb4 ,emphasizing respite care ,section #cba7;a77#ai7 7#db ,u4,s4,c4 #cjcj;d7a77#ai77 is amended to read as follows3 7#ai7 services1 which may include respite care through various models1 designed to support family members and other persons providing voluntary care to older individuals that need long-term care services1 which may include older individuals with cognitive impairments such as ,alzheimer's disease and related disorders with neurological and organic brain dysfunction2 4 #djc4 ,clarifying supportive services ,section #cba7;a77#ah7 7#db ,u4,s4,c4 #cjcj;d7a77#ah77 is amended by striking mentally impaired older individuals and inserting older individuals with cognitive1 physical1 or mental impairments4 #djd4 ,direct care workforce resource center ,section #daa7;a77#ac7 7#db ,u4,s4,c4 #cjcb7;a77#ac77 is amended-- 7#a7 by striking subparagraph 7,b72 7#b7 by striking 7#ac7 and all that follows through 7,a7 to and inserting the following3 7#ac7 in coordination with the ,secretary of ,labor and1 as appropriate1 the heads of other relevant ,federal departments and agencies1 the establishment and operation of a national resource center that supports the growth and professionalization of the direct care workforce necessary to meet the needs of older individuals and individuals with disabilities1 and1 in a manner that does not unnecessarily duplicate the activities of other resource centers supported by the ,assistant ,secretary1 that addresses training and other educational needs of family caregivers1 which activities of the center may include-- 7,a7 the provision of training and technical assistance1 including through the development and dissemination of educational materials1 to direct care workers and family caregivers2 and 7,b7 supporting the demonstration of new1 and promoting existing1 strategies for the recruitment1 retention1 career development1 or advancement of direct care workers to 2 and 7#c7 in subparagraph 7,b71 as so designated in paragraph 7#b71 by striking 2 and at the end and inserting a semicolon4 #dje4 ,supporting ,grandparents ,raising ,grandchildren ,act 7a7 ,findings ,the ,supporting ,grandparents ,raising ,grandchildren ,act 7,public ,law #aae-aif2 #acb ,stat4 #aeaa7 is amended by striking section #b4 7b7 ,definitions ,the ,supporting ,grandparents ,raising ,grandchildren ,act is amended by redesignating section #d as section #b and moving the section so as to follow section #a4 7c7 ,advisory council ,section #c of the ,supporting ,grandparents ,raising ,grandchildren ,act is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a7-- 7i7 by redesignating subparagraphs 7,g7 through 7,i7 as subparagraphs 7,h7 through 7,j72 7ii7 by inserting after subparagraph 7,f7 the following3 7,g7 ,the ,assistant ,secretary for ,health4 2 7iii7 in subparagraph 7,i71 as so redesignated1 by striking of children2 and 7iv7 in subparagraph 7,j71 as so redesignated1 by striking relatives and inserting relative caregivers2 and 7,b7 by adding at the end the following3 7#c7 ,limitation on non-,federal members ,not more than #aj members of the ,advisory ,council may be individuals who are not ,federal officers or employees4 2 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,a7-- 7,i7 in the matter preceding clause 7i71 by striking relatives and inserting relative caregivers2 and 7,,ii7 in clause 7i7-- 7aa7 by striking the health1 and inserting the near- and long-term health1 including mental health12 and 7bb7 by striking care2 and and inserting care1 including any needs related to the circumstances that caused such children to be raised by a grandparent or older relative caregiver2 and2 and 7ii7 in subparagraph 7,b7-- 7,i7 by striking 7,b7 and all that follows through ,in and inserting the following3 7,b7 ,considerations ,in 2 and 7,,ii7 by striking needs of those affected by the opioid crisis and inserting needs and challenges of individuals affected by substance use disorder1 including opioid use disorder1 or1 as applicable and appropriate1 needs and challenges of individuals related to other circumstances1 which may include public health emergencies42 7,b7 in paragraph 7#b7-- 7i7 in subparagraph 7,a71 in the matter preceding clause 7i71 by striking enactment of this ,act and inserting enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd2 and 7ii7 in subparagraph 7,b7-- 7,i7 in clause 7i7-- 7aa7 by striking relatives and inserting relative caregivers2 and 7bb7 by striking needs of children and all that follows and inserting needs of children and their older relative caregivers who have been affected by substance use disorder1 including opioid use disorder22 7,,ii7 in clause 7ii71 by striking the and at the end2 7,,iii7 by redesignating clause 7iii7 as clause 7iv72 and 7,,iv7 by inserting after clause 7ii7 the following3 7iii7 a description of any activities of the ,department of ,health and ,human ,services to evaluate the effectiveness of supportive services in addressing the needs of children and their older relative caregivers1 including those who have been affected by substance use disorder1 including opioid use disorder1 and any related findings2 and 2 7,c7 in paragraph 7#c7-- 7i7 in the matter preceding subparagraph 7,a7-- 7,i7 by striking 7#c7 and all that follows through ,not and inserting the following3 7#c7 ,follow-up reports ,not 2 7,,ii7 by striking #b years and inserting #ahj days2 and 7,,iii7 by inserting after submitted1 the following3 and every #b years thereafter until the ,advisory ,council terminates under subsection 7f712 and 7,d7 in paragraph 7#d7 by striking relatives each place it appears and inserting relative caregivers2 7#c7 in subsection 7d71 by striking the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app474 and inserting chapter #aj of title #e1 ,united ,states ,code42 and 7#d7 in subsection 7f71 by striking terminate and all that follows and inserting terminate on ,september #cj1 #bjbi44 #djf4 ,,raise ,family ,caregivers ,act 7a7 ,strategy ,section #c of the ,,raise ,family ,caregivers ,act 7#db ,u4,s4,c4 #cjcjs note7 is amended-- 7#a7 in subsection 7c7-- 7,a7 in the matter preceding paragraph 7#a71 by inserting 7or the ,secretary's designee7 after ,the ,secretary2 and 7,b7 in paragraph 7#a71 by inserting and made publicly available by the ,secretary1 after caregiver programs12 and 7#b7 in subsection 7d77#b71 by inserting in after caregiver programs4 7b7 ,council ,section #e7;e7 of that ,act 7#db ,u4,s4,c4 #cjcjs note7 is amended by striking ,the ,federal ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 and inserting ,chapter #aj of title #e1 ,united ,states ,code14 7c7 ,sunset extension ,section #f of that ,act 7#db ,u4,s4,c4 #cjcjs note7 is amended by striking terminate and all that follows and inserting terminate on ,september #cj1 #bjbi44 ,v ,community ,service ,senior ,opportunities ,act #eja4 ,improving the ,community ,service ,employment ,program 7a7 ,program ,section #ejb7;b77#a7 7#db ,u4,s4,c4 #cjef7;b77#a7 is amended-- 7#a7 in subparagraph 7,c77ii71 by striking section #eac7;a77#b77;,e7 and inserting section #eac7;a77#b77;,f72 and 7#b7 in subparagraph 7,e71 by inserting older individuals1 after youth14 7b7 ,performance ,section #eac 7#db ,u4,s4,c4 #cjefk7 is amended-- 7#a7 in subsection 7a77#b7-- 7,a7 by redesignating subparagraph 7,e7 as subparagraph 7,f72 and 7,b7 by inserting after subparagraph 7,d7 the following3 7,e7 ,biennial report ,not later than #b years after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd1 and every #b years thereafter during the period of the program described in section #ejb7;a77#a71 the ,secretary shall prepare and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives a report regarding the methodology used to arrive at the expected levels of performance described in subparagraph 7,b7 for each grantee1 including the particular statistical model used and other factors taken into account1 as described in subparagraph 7,d74 2 7#b7 in subsection 7c7 and paragraphs 7#a77;,a71 7#b77;,a71 7#c77;,a7 of subsection 7d71 by striking subsection 7a77#b77;,e7 and inserting subsection 7a77#b77;,f72 and 7#c7 in subsection 7d7-- 7,a7 in paragraph 7#b77;,b77iii71 by adding at the end the following3 ,for grants awarded on or after the date that is #b years after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd1 any grantee who has failed to meet the expected levels of performance for the #b consecutive years prior to the subsequent grant competition under section #ead shall not be allowed to compete in the subsequent grant competition under section #ead following the second consecutive year of failure but may compete in the next such grant competition after that subsequent competition42 and 7,b7 in paragraph 7#c77;,b77iii71 by adding at the end the following3 ,for grants awarded on or after the date that is #b years after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd1 if the ,secretary determines that the ,state fails to meet the expected levels of performance described in subparagraph 7,a7 for #b consecutive program years1 the ,secretary shall provide for the conduct by the ,state of a competition to award the funds allotted to the ,state under section #ejf7;e7 for the first full program year following the ,secretary's determination44 7c7 ,definitions ,section #eah7;a77#a77;,a7 7#db ,u4,s4,c4 #cjefp7a77#a77;,a77 is amended to read as follows3 7,a7 social1 health1 welfare1 and educational services 7including literacy tutoring and services provided by the aging network71 legal and other counseling services and assistance 7including tax counseling and assistance and financial counseling71 and library1 recreational1 and other similar services2 4 #ejb4 ,,gao report on alignment within the ,community ,service ,employment ,program 7a7 ,review ,not later than #ah months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall complete a review in which the ,comptroller ,general-- 7#a7 evaluates-- 7,a7 the distinct differences and similarities between the older ,american community service employment program as authorized under title ,v of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjef et seq47 and the programs carried out under title ,i of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #caaa et seq472 and 7,b7 how the programs described in subparagraph 7,a7 serve older individuals in seeking and obtaining community service employment2 7#b7 analyzes the efficacy and impacts of the indicators of performance described in section #eac7;b7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjefk7b7 and corrective measures described in section #eac7;d7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjefk7d77 for the older ,american community service employment program1 compared with the efficacy and impacts of the indicators of performance and corrective measures described in section #aaf of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cada7 for programs authorized under title ,i of such ,act2 and 7#c7 evaluates how the ,department of ,labor coordinates delivery of services with ,state and national grantees under title ,v of the ,older ,americans ,act of #aife and ,states and local workforce development areas under title ,i of the ,workforce ,innovation ,opportunity ,act to serve older individuals4 7b7 ,report to ,congress ,not later than #ahj days after the date of enactment of this ,act1 the ,comptroller ,general shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives a report on the results of such review4 ,,vi ,improving ,services for ,native ,elders #fja4 ,older ,americans ,tribal ,advisory ,committee ,section #bja7;c7 7#db ,u4,s4,c4 #cjaa7;c77 is amended by adding at the end the following3 7#d7 7,a7 ,in addition to other methods of government-to-government consultation between the ,administration and ,indian tribes and conferring with organizations representing ,native ,hawaiians1 the ,assistant ,secretary shall establish an advisory committee1 to be known as the ,older ,americans ,tribal ,advisory ,committee 7referred to in this paragraph as the ,committee7 to provide advice and guidance to the ,assistant ,secretary on matters relating to the needs of older individuals who are ,native ,americans and implementation of related programs and activities under this ,act4 7,b7 ,the ,committee shall be composed of #aa voting1 non-,federal members1 including-- 7i7 geographically diverse individuals with expertise on the range of issues affecting ,indian tribes1 organizations representing ,native ,hawaiians1 and older individuals who are ,native ,americans2 7ii7 not less than #a member who is an ,alaska ,native2 and 7iii7 not less than #a member who is a ,native ,hawaiian4 7,c7 ,the ,committee shall include non-voting1 ex officio representatives of relevant ,federal departments and agencies1 including-- 7i7 the ,administration2 7ii7 the ,indian ,health ,service2 7iii7 the ,centers for ,medicare ,medicaid ,services2 7iv7 the ,department of the ,interior2 7v7 the ,department of ,labor2 and 7vi7 any other agency or office with subject matter expertise that the ,assistant ,secretary determines appropriate4 7,d7 ,the ,committee shall meet in person not less frequently than twice each year4 7,e7 ,the ,committee shall coordinate1 as appropriate1 with the ,secretary's ,tribal ,advisory ,committee of the ,department of ,health and ,human ,services4 7,f7 7i7 ,not less frequently than once each year1 the ,committee shall submit to the ,assistant ,secretary and make publicly available a report that describes-- 7,i7 the activities of the ,committee during the previous year2 and 7,,ii7 recommendations for administrative action1 including the identification of any statutory barriers to carrying out such recommendations1 for the following year4 7ii7 ,not later than #fj days after the date on which the ,assistant ,secretary receives a report under clause 7i71 the ,assistant ,secretary shall submit to the ,committee a written response to such report4 7,g7 ,chapter #aj of title #e1 ,united ,states ,code1 shall not apply to the ,committee4 7,h7 ,in establishing1 developing procedures for1 and operating the ,committee1 the ,assistant ,secretary shall-- 7i7 consult with ,indian tribes and confer with organizations representing ,native ,hawaiians2 and 7ii7 take into consideration best practices of other tribal advisory committees operated by the ,department of ,health and ,human ,services before the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd4 4 #fjb4 ,supportive services2 set aside 7a7 ,supportive services ,section #fcf 7#db ,u4,s4,c4 #cjegk-#ba7 is amended-- 7#a7 in subsection 7a71 by striking may and inserting shall1 as practicable12 and 7#b7 in subsection 7b77#b71 by striking in-home assistance and inserting in-home services4 7b7 ,funding set aside ,section #fdd 7#db ,u4,s4,c4 #cjego7 is amended-- 7#a7 by striking ,of and inserting 7a7 ,in general4--,of2 and 7#b7 by adding at the end the following3 7b7 ,report ,not later than #a year after the date of enactment of the ,older ,americans ,act ,reauthorization ,act of #bjbd1 the ,assistant ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives1 a report on the use of funds under part ,d4 ,such report shall include-- 7#a7 the total amount of funds made available under subsection 7a7 to carry out part ,d for each fiscal year2 7#b7 a list of award recipients under part ,d2 and 7#c7 a summary of supportive services for healthy aging and independence provided under part ,d4 4 #fjc4 ,,gao report on ,tribal services ,not later than #ah months after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report that-- 7#a7 evaluates and identifies barriers to ,indian ,tribes 7as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd77 and organizations serving ,native ,hawaiians accessing programs under title ,,vi of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjeg et seq471 and coordination of such programs under such title ,,vi with programs funded under titles ,,iii and ,,iv of such ,act 7#db ,u4,s4,c4 #cjba et seq41 #db ,u4,s4,c4 #cjca et seq471 including by-- 7,a7 estimating the number of ,native ,americans unserved by programs under such title ,,vi2 7,b7 identifying ,states making grants to ,indian ,tribes under such title ,,iii2 and 7,c7 providing estimates of funding necessary to support programs under such title ,,vi for all ,tribal organizations 7as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act7 and organizations serving ,native ,hawaiians that are not eligible under such title ,,vi 7as in effect on the date of enactment of this ,act72 and 7#b7 details how grantees under title ,v of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjef et seq47 are serving older individuals who are ,native ,americans with funds received under such title ,v1 including by evaluating how the ,secretary of ,labor coordinates with ,state and national grantees under such title ,v to serve older individuals who are ,native ,americans4 ,,vii ,strengthening the ,long-,term ,care ,ombudsman ,programs and ,elder ,abuse ,prevention #gja4 ,director of the ,office of ,long-,term ,care ,ombudsman ,programs ,section #bja7;d77#b77;,a7 7#db ,u4,s4,c4 #cjaa7;d77#b77;,a77 is amended in the second sentence by inserting serve on a full-time basis and after shall4 #gjb4 ,legal assistance training resources relating to elder abuse prevention ,section #bja7;e77#b77;,a7 7#db ,u4,s4,c4 #cjaa7;e77#b77;,a77 is amended by striking clause 7v7 and inserting the following3 7v7 establishing an information clearinghouse to collect1 maintain1 and disseminate information concerning best practices and resources for training1 technical assistance1 and other activities1 which may include training resources for paralegals or law students who are under the direct supervision of an attorney1 to assist ,long-,term ,care ,ombudsman programs1 adult protective services programs1 and other legal services relating to defense of guardianship and the matters described in clause 7ii77,i71 to assist ,states and communities to carry out evidence-based programs to prevent and address elder abuse1 neglect1 and exploitation2 4 #gjc4 ,improving training of volunteers under the ,state ,long-,term ,care ,ombudsman ,program ,section #gab 7#db ,u4,s4,c4 #cjeh;g7 is amended-- 7#a7 in subsection 7h77#e7-- 7,a7 in the matter preceding subparagraph 7,a7-- 7i7 by striking the representatives and inserting each type of representative2 and 7ii7 by inserting types of before unpaid volunteers2 7,b7 in subparagraph 7,a71 by inserting for each such type of representative before the semicolon at the end2 7,c7 in subparagraph 7,b77iii71 by striking and at the end2 7,d7 in subparagraph 7,c71 by adding and at the end2 and 7,e7 by adding at the end the following3 7,d7 with respect to representatives of the ,office who are unpaid volunteers1 take into consideration the degree to which each such type of unpaid volunteer performs activities requiring specialized training1 with a goal of reducing unnecessary training requirements for prospective unpaid volunteers2 2 and 7#b7 by adding at the end the following3 7k7 ,training requirements for unpaid volunteers 7#a7 ,in general ,in providing the model standards described in subsection 7h77#e71 the ,director of the ,office of ,long-,term ,care ,ombudsman ,programs shall review and1 as necessary1 update such model standards on a regular basis to tailor such model standards to the individualized training needs of each type of representative of the ,office1 including each type of unpaid volunteer4 7#b7 ,considerations ,in carrying out paragraph 7#a71 the ,director of the ,office of ,long-,term ,care ,ombudsman ,programs shall take into consideration the degree to which each type of representative of the ,office performs activities that require specialized training1 with a goal of reducing unnecessary training requirements for unpaid volunteers4 4 #gjd4 ,reporting on ,state ,long-,term ,care ,ombudsman ,programs ,chapter #b of subtitle ,a of title ,,vii 7#db ,u4,s4,c4 #cjeh;f et seq47 is amended by adding at the end the following3 #gad4 ,reports to ,congress ,each year1 the ,assistant ,secretary shall submit1 to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,education and the ,workforce of the ,house of ,representatives1 and make publicly available1 a report that-- 7#a7 aggregates all reports submitted under section #gab7;h7 for such year2 and 7#b7 provides a summary of the findings of such reports4 4 #gje4 ,study on ,state ,long-,term ,care ,ombudsman ,programs 7a7 ,in general ,the ,assistant ,secretary shall seek to enter into a contract with the ,national ,academies of ,sciences1 ,engineering1 and ,medicine 7referred to in this section as the ,national ,academies7 to conduct a study on the ,state ,long-,term ,care ,ombudsman programs carried out under the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjja et seq471 including an assessment of the effectiveness of such programs and any related challenges1 and recommendations4 ,the study shall include an assessment of the current 7as of the date on which the contract is entered into7 recommended staff-to-bed ratio for such programs1 as appropriate4 7b7 ,report ,not later than #ah months after the date on which a contract is entered into under subsection 7a71 the ,national ,academies shall publicly issue a report on the findings of such study4 ,,viii ,authorizations of appropriations #hja4 ,administration on ,aging ,section #baf 7#db ,u4,s4,c4 #cjbj;f7 is amended-- 7#a7 in subsection 7a71 by striking #dc1icg1daj and all that follows through fiscal year #bjbd and inserting#ee1dfi1ifh for fiscal year #bjbe1 #eh1jcd1aig for fiscal year #bjbf1 #fj1gaf1ifd for fiscal year #bjbg1 #fc1ebc1gdg for fiscal year #bjbh1 and #ff1dfj1bha for fiscal year #bjbi2 and 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by striking #b1ahj1ffj and all that follows through fiscal year #bjbd and inserting #b1gec1jcc for fiscal year #bjbe1 #b1hhj1bih for fiscal year #bjbf1 #c1jac1ddg for fiscal year #bjbg1 #c1aeb1gea for fiscal year #bjbh1 and #c1bih1did for fiscal year #bjbi2 7,b7 in paragraph 7#b71 by striking #a1ihh1jfj and all that follows through fiscal year #bjbd and inserting #b1eji1hhj for fiscal year #bjbe1 #b1fbe1ije for fiscal year #bjbf1 #b1gdg1bid for fiscal year #bjbg1 #b1hgd1bid for fiscal year #bjbh1 and #c1jjg1afe for fiscal year #bjbi2 7,c7 in paragraph 7#c71 by striking #a1cga1gdj and all that follows through fiscal year #bjbd and inserting #a1gca1gij for fiscal year #bjbe1 #a1haa1hdf for fiscal year #bjbf1 #a1hie1fjc for fiscal year #bjbg1 #a1ihc1bcb for fiscal year #bjbh1 and #b1jgd1iaa for fiscal year #bjbi2 and 7,d7 in paragraph 7#d71 by striking #h1fhg1ccj and all that follows through fiscal year #bjbd and inserting #aj1ifg1eed for fiscal year #bjbe1 #aa1dgd1eee for fiscal year #bjbf1 #ab1jjd1iic for fiscal year #bjbg1 #ab1eei1ieb for fiscal year #bjbh1 and #ac1adj1efe for fiscal year #bjbi4 #hjb4 ,grants for ,state and community programs on aging 7a7 ,in general ,section #cjc 7#db ,u4,s4,c4 #cjbc7 is amended-- 7#a7 in subsection 7a77#a71 by striking #dab1jbi1ahj and all that follows through fiscal year #bjbd and inserting #ebj1agg1cdg for fiscal year #bjbe1 #edd1bbc1gfb for fiscal year #bjbf1 #efi1cha1ghj for fiscal year #bjbg1 #eie1gjb1ghe for fiscal year #bjbh1 and #fbc1bdj1eda for fiscal year #bjbi2 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by striking #ecj1jae1idj and all that follows through fiscal year #bjbd and inserting #ffi1acb1iac for fiscal year #bjbe1 #gjj1jfe1adh for fiscal year #bjbf1 #gcb1dbg1bih for fiscal year #bjbg1 #gff1bhe1dfe for fiscal year #bjbh1 and #hja1gjh1hjd for fiscal year #bjbi2 and 7,b7 in paragraph 7#b71 by striking #bfh1ice1idj and all that follows through fiscal year #bjbd and inserting #cci1ebe1dbh for fiscal year #bjbe1 #cee1bbj1ghf for fiscal year #bjbf1 #cga1fda1fih for fiscal year #bjbg1 #chh1hba1gje for fiscal year #bjbh1 and #djf1gie1hii for fiscal year #bjbi2 7#c7 in subsection 7d71 by striking #bf1ehg1cfj and all that follows through fiscal year #bjbd and inserting #cc1efe1ibi for fiscal year #bjbe1 #ce1aag1eic for fiscal year #bjbf1 #cf1gdj1ihf for fiscal year #bjbg1 #ch1dci1dbd for fiscal year #bjbh1 and #dj1baf1cgf for fiscal year #bjbi2 and 7#d7 in subsection 7e71 by striking #aic1hfi1jbj and all that follows through fiscal year #bjbd and inserting #bdd1gee1aga for fiscal year #bjbe1 #bef1jfi1eeb for fiscal year #bjbf1 #bfg1ijf1iff for fiscal year #bjbg1 #bhj1bia1eic for fiscal year #bjbh1 and #bic1bdh1gbh for fiscal year #bjbi4 7b7 ,nutrition services incentive program ,section #caa 7#db ,u4,s4,c4 #cjcj;a71 as amended by section #cjd of this ,act1 is amended in subsection 7f71 by striking #aga1bgc1hcj and all that follows through fiscal year #bjbd and inserting #baf1bbi1bfd for fiscal year #bjbe1 #bbf1bbd1ifh for fiscal year #bjbf1 #bcf1fhb1gdg for fiscal year #bjbg1 #bdg1fbc1ifa for fiscal year #bjbh1 and #bei1jgj1ieh for fiscal year #bjbi4 #hjc4 ,activities for health1 independence1 and longevity ,section #daa7;b7 7#db ,u4,s4,c4 #cjcb7;b77 is amended-- 7#a7 in paragraph 7#a71 by striking #ad1ead1eej and all that follows through fiscal year #bjbd and inserting #ah1cbd1bhe for fiscal year #bjbe1 #ai1aga1cfh for fiscal year #bjbf1 #bj1jeg1fji for fiscal year #bjbg1 #bj1ihd1hai for fiscal year #bjbh1 and #ba1ied1hib for fiscal year #bjbi2 and 7#b7 in paragraph 7#b71 by striking #ae1fac1ddj and all that follows through fiscal year #bjbd and inserting #ai1gaa1fjh for fiscal year #bjbe1 #bj1fbb1hbc for fiscal year #bjbf1 #ba1egf1afa for fiscal year #bjbg1 #bb1egc1egj for fiscal year #bjbh1 and #bc1fag1jhf for fiscal year #bjbi4 #hjd4 ,community ,service ,senior ,opportunities ,act ,section #eag7;a7 7#db ,u4,s4,c4 #cjefo7a77 is amended by striking #dbh1jjj1jjj and all that follows through fiscal year #bjbd and inserting #edj1cdj1aic for fiscal year #bjbe1 #efe1cah1fbg for fiscal year #bjbf1 #eia1dea1hjd for fiscal year #bjbg1 #fah1gic1jdh for fiscal year #bjbh1 and #fdg1cih1bje for fiscal year #bjbi4 #hje4 ,grants for ,native ,americans ,section #fdc 7#db ,u4,s4,c4 #cjegn7 is amended-- 7#a7 in paragraph 7#a71 by striking #cg1ajb1efj and all that follows through fiscal year #bjbd and inserting #dg1jbh1dce for fiscal year #bjbe1 #di1bjb1dcd for fiscal year #bjbf1 #ea1dgf1icb for fiscal year #bjbg1 #ec1hef1egd for fiscal year #bjbh1 and #ef1cdf1bbj for fiscal year #bjbi2 and 7#b7 in paragraph 7#b71 by striking #aj1gei1ibj and all that follows through fiscal year #bjbd and inserting #ac1ehd1aea for fiscal year #bjbe1 #ad1bab1aaj for fiscal year #bjbf1 #ad1hfi1jih for fiscal year #bjbg1 #ae1eef1deg for fiscal year #bjbh1 and #af1bge1eia for fiscal year #bjbi4 #hjf4 ,allotments for elder rights protection activities ,section #gjb 7#db ,u4,s4,c4 #cjeh;a7 is amended-- 7#a7 in subsection 7a71 by striking #ah1jff1iej and all that follows through fiscal year #bjbd and inserting #bb1hji1ajh for fiscal year #bjbe1 #bc1hfc1eab for fiscal year #bjbf1 #bd1iff1fei for fiscal year #bjbg1 #bf1abj1hja for fiscal year #bjbh1 and #bg1cbh1big for fiscal year #bjbi2 and 7#b7 in subsection 7b71 by striking #e1ajg1aaj and all that follows through fiscal year #bjbd and inserting #f1ddg1fji for fiscal year #bjbe1 #f1gde1ffe for fiscal year #bjbf1 #g1jeg1dii for fiscal year #bjbg1 #g1chc1gdh for fiscal year #bjbh1 and #g1gbe1jgi for fiscal year #bjbi4