,,ii #aaith ,,congress #ast ,session ,s4 #cccg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #c1 #bjbe,mrs4 ,gillibrand 7for herself1 ,ms4 ,alsobrooks1 and ,mr4 ,kim7 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 require the ,assistant ,secretary for ,aging to award grants to ,states1 ,indian tribes1 and tribal organizations to create or implement ,multisector ,plans for ,aging and ,aging with a ,disability1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,strategic ,plan for ,aging ,act4 #b4 ,supporting ,multisector ,plans for ,aging and ,aging with a ,disability 7a7 ,in general ,part ,a of ,,iv of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb et seq47 is amended by adding at the end the following3 #dbc4 ,supporting ,multisector ,plans ,for ,aging and ,aging with a ,disability 7a7 ,definitions ,in this section3 7#a7 ,aging and disability stakeholders 7,a7 ,in general ,the term aging and disability stakeholders means a group of individuals with experience or expertise in aging or disability issues1 which shall consist of-- 7i7 representatives from area agencies on aging2 7ii7 covered individuals2 and 7iii7 representatives from not less than #c of the groups described in subparagraph 7,b74 7,b7 ,additional groups ,the groups described in this subparagraph are the following3 7i7 ,advocates for covered individuals4 7ii7 ,academics with expertise in aging or disability issues4 7iii7 ,philanthropic organizations with experience in supporting aging or disability initiatives4 7iv7 ,individuals and community partners serving older individuals1 including individuals employed by area agencies on aging or by multipurpose senior centers4 7v7 ,providers of aging or disability services4 7vi7 ,representatives of units of general purpose local government 7as defined in section #cja74 7vii7 ,any other group of individuals serving or representing covered individuals1 as determined appropriate by the ,assistant ,secretary4 7#b7 ,covered individuals ,the term covered individuals means-- 7,a7 older individuals1 including older individuals with disabilities2 7,b7 individuals who are family members of older individuals1 including family members of older individuals with disabilities2 7,c7 paid caregivers1 and unpaid caregivers1 of older individuals1 including any such caregivers of older individuals with disabilities2 and 7,d7 older relative caregivers4 7#c7 ,disability ,notwithstanding section #ajb7ac71 the term disability has the meaning given the term in section #c of the ,americans with ,disabilities ,act of #aiij 7#db ,u4,s4,c4 #abajb74 7#d7 ,eligible entity ,the term eligible entity means a ,state1 ,indian tribe1 or tribal organization4 7#e7 ,multisector plan for aging and aging with a disability2 master plan for aging2 plan ,the terms ,multisector ,plan for ,aging and ,aging with a ,disability1 ,master ,plan for ,aging1 and ,plan mean a multi-year planning process1 administered by an eligible entity1 that convenes cross-sector stakeholders1 including aging and disability stakeholders1 to collaboratively address the diverse needs of covered individuals4 7#f7 ,older relative caregiver ,the term older relative caregiver has the meaning given such term in section #cgb4 7#g7 ,qualified leader ,the term qualified leader1 with respect to an eligible entity1 means-- 7,a7 the head of the eligible entity1 or the head of an agency or department of the eligible entity2 7,b7 a legislative committee of the eligible entity2 or 7,c7 another leader of the eligible entity1 as determined appropriate by the ,assistant ,secretary4 7#h7 ,targeted subgroup ,the term targeted subgroup means a subgroup of older individuals 7including older individuals with disabilities7 who are older individuals with greatest social need1 or greatest economic need1 as a result of geographic location1 disability status1 sexual orientation1 gender identity1 sex characteristics1 socioeconomic status1 language1 immigration status1 or other factors determined appropriate by the ,assistant ,secretary4 7b7 ,purpose ,the purpose of this section is to provide eligible entities with resources to create1 coordinate1 implement1 and evaluate cross-sector plans to improve the health1 well-being1 and quality of life of covered individuals1 which may include targeted subgroups4 7c7 ,grants 7#a7 ,in general ,the ,assistant ,secretary shall award grants on a competitive basis in accordance with this section to eligible entities to each create or implement a ,multisector ,plan for ,aging and ,aging with a ,disability 7also known as a ,master ,plan for ,aging7 that meets the requirements under paragraph 7#b74 ,such grants may be used in the creation or implementation stage of such a ,plan4 7#b7 ,plans ,a ,plan created or implemented by an eligible entity through a grant under this section shall-- 7,a7 have a creation or implementation process that is informed or led by a working group of aging and disability stakeholders 7which may include stakeholders who represent targeted subgroups7 that reflects the diversity and demographics of the population in the jurisdiction of the eligible entity2 7,b7 serve as a strategic planning resource that helps the eligible entity work across agencies or departments of the eligible entity 7including political subdivisions of the eligible entity71 in collaboration with public or private programs operating in the jurisdiction of the eligible entity1 and through collaborations with other eligible entities receiving such a grant to serve an area in the jurisdiction of the first eligible entity1 to transform the infrastructure and coordination of key services1 supports1 and initiatives described in paragraph 7#c7 for covered individuals2 7,c7 enable a qualified leader of the eligible entity to communicate a clear vision1 and priorities1 for a period of not less than #aj years for the eligible entity with respect to the transformation described in subparagraph 7,b72 7,d7 guide policy of the eligible entity 7including a political subdivision of the eligible entity71 including through public or private programs1 and through funding priorities1 to assist people in the jurisdiction of the eligible entity in aging with dignity and autonomy2 7,e7 include at least one goal for each of the key aging issues described in paragraph 7#d7 and develop initiatives to carry out each such goal2 7,f7 be more comprehensive than the area plans approved under section #cjf by the ,state agency prior to the date of the creation of the ,plan2 7,g7 be more comprehensive than the ,state plans approved under section #cjg by the ,assistant ,secretary prior to the date of the creation of the ,plan2 and 7,h7 be created through a planning process that builds on the planning processes for the area plans described in subparagraph 7,f7 and the ,state plans described in subparagraph 7,g74 7#c7 ,key services1 supports1 and initiatives ,the key services1 supports1 and initiatives described in this paragraph may include-- 7,a7 disease prevention and health promotion services1 long-term care services and supports1 human services1 and any other public health or health care1 services1 supports1 or initiatives2 7,b7 services1 supports1 and initiatives with respect to-- 7i7 retirement security2 7ii7 nutrition and food security2 7iii7 economic security1 including benefits access and job training and placement2 7iv7 elder rights protection and autonomy2 7v7 housing1 including home modifications1 minor home repair1 and home technology improvements2 7vi7 education1 including digital and financial literacy and education on retirement planning2 7vii7 accessible and reliable transportation2 7viii7 civic participation and social and community engagement2 and 7ix7 broadband access2 7,c7 services1 supports1 and initiatives for assisting covered individuals with disaster preparedness and during a major disaster or emergency declared by the ,president under section #dja or #eja of the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act 7#db ,u4,s4,c4 #eagj1 #eaia7 or any other natural disaster declared by the ,governor of the applicable ,state2 7,d7 affordable1 accessible1 and culturally and linguistically appropriate services1 including translation1 interpretation1 and outreach for limited ,english proficiency communities2 and 7,e7 any other services1 supports1 or initiatives with respect to covered individuals1 as determined appropriate by the eligible entity4 7#d7 ,key aging issues ,the key aging issues described in this paragraph are each of the following3 7,a7 ,supporting the ability of older individuals to be stably and safely housed1 which may include supporting their ability to age well in the setting of their choice and to access homelessness prevention services4 7,b7 ,expanding access to affordable1 age-friendly disease prevention and health promotion services and health care1 including nutrition services1 exercise programs1 stress management services1 fall prevention services1 mental health services1 behavioral health care1 and substance use disorder services to promote longevity4 7,c7 ,promoting disaster and pandemic preparedness4 7,d7 ,promoting age-friendly communities1 as defined in section #bjc7;c77#i74 7,e7 ,addressing the ability of older individuals to access affordable1 high-quality long-term services and supports1 including access to caregivers and home and community-based services4 7,f7 ,expanding access to services that promote elder justice and reduce elder abuse1 neglect1 and exploitation4 7,g7 ,reducing disparities in outcomes for covered individuals4 7,h7 ,promoting economic security and retirement security and reducing poverty for covered individuals4 7,i7 ,promoting social connection and reducing isolation and loneliness for covered individuals4 7,j7 ,ensuring public spaces are accessible to1 including safe for1 older individuals1 including older individuals with disabilities4 7,k7 ,ensuring access to healthy and affordable foods and reducing food insecurity1 hunger1 and malnutrition4 7d7 ,eligibility ,to be eligible for a grant under this section1 an eligible entity shall submit an application to the ,assistant ,secretary at such time1 in such manner1 and containing such information as the ,assistant ,secretary may require1 including-- 7#a7 information demonstrating the commitment of the eligible entity to creating or implementing a ,plan1 as evidenced by-- 7,a7 an ,executive order issued by the head of the eligible entity1 or legislation enacted in the jurisdiction of the eligible entity1 authorizing a ,plan2 7,b7 a letter from a qualified leader of the eligible entity demonstrating the commitment of the eligible entity to working across government agencies or departments of the eligible entity1 as well as with aging and disability stakeholders and other stakeholders in the public and private sectors1 to create or implement a ,plan2 and 7,c7 any other declarations1 activities1 or actions as determined appropriate by the ,assistant ,secretary2 7#b7 a description of-- 7,a7 the working group described in subsection 7c77#b77;,a7 that the eligible entity has convened or plans to convene2 and 7,b7 any other anticipated activities and programs 7such as public hearings1 public comment periods1 or listening sessions7 to support creating or implementing a ,plan that reflects demonstrated input from aging and disability stakeholders1 including covered individuals1 and other members of the public1 including input from members of ,indian tribes or tribal organizations2 7#c7 an assessment of the needs of covered individuals1 which may include targeted subgroups1 served by the eligible entity2 7#d7 a consideration of varying needs of populations across different types of geographies in the jurisdiction of the eligible entity1 including urban1 rural1 and frontier1 as applicable2 and 7#e7 details on how the ,plan will comply with subparagraphs 7,f71 7,g71 and 7,h7 of subsection 7c77#b74 7e7 ,awards 7#a7 ,in general ,the ,assistant ,secretary shall award not more than #fe grants under this section during the #e-year period beginning on the date of enactment of this section4 7#b7 ,set aside ,of the grants awarded under paragraph 7#a71 the ,assistant ,secretary shall award not less than #aj grants to eligible entities that are ,indian tribes or tribal organizations4 7#c7 ,process ,the ,assistant ,secretary shall establish a process for-- 7,a7 selecting1 including for prioritizing1 eligible entities to receive a grant under this section2 and 7,b7 subject to paragraph 7#d71 determining the amount of each such grant1 which shall include a tiered system depending on the population in the jurisdiction of the eligible entity4 7#d7 ,maximum amount ,no grant awarded under this section to an eligible entity shall exceed #ejj1jjj4 7#e7 ,terms 7,a7 ,in general ,an eligible entity receiving a grant under this section shall-- 7i7 receive a total amount for the grant as a lump sum2 and 7ii7 subject to subparagraph 7,b71 obligate and expend such total amount in accordance with this section not later than #c years after receiving such lump sum4 7,b7 ,extension of availability ,an eligible entity may1 pursuant to an agreement with the ,assistant ,secretary1 obligate and expend amounts from a grant under this section in accordance with the requirements of this section after the #c-year period described in subparagraph 7,a77ii74 7f7 ,deadline ,in the case of a grant awarded under this section to create a ,plan1 the eligible entity receiving the grant shall create the ,plan and begin implementing the ,plan not later than #b years after receiving the grant4 7g7 ,assessment and evaluation process 7#a7 ,developmental assessment ,not later than #a year after receiving a grant under this section1 the eligible entity receiving the grant shall submit to the ,assistant ,secretary a developmental assessment4 ,such assessment may include-- 7,a7 #c or more goals with respect to the ,plan that the eligible entity commits to addressing in the final ,plan described in paragraph 7#b77;,a72 7,b7 demonstrated use of data metrics to inform the goals of the ,plan1 which data metrics are derived from-- 7i7 datasets or qualitative data with respect to the population in the jurisdiction of the eligible entity2 and 7ii7 nationwide datasets or qualitative data1 with an awareness that national datasets may not include data with respect to ,indian tribes and tribal organizations2 7,c7 demonstrated involvement with #c or more governmental departments or agencies of the eligible entity on creation or implementation of the ,plan2 7,d7 demonstrated input from-- 7i7 the working group described in subsection 7c77#b77;,a7 convened by the eligible entity2 and 7ii7 any other aging and disability stakeholders2 7,e7 demonstrated input from other individuals who will be impacted by the ,plan2 7,f7 as applicable1 demonstrated incorporation of aging1 disability1 and older relative caregiver plans and initiatives existing on the day before the receipt of the grant in the jurisdiction of the eligible entity1 which may include such existing age-friendly plans1 ,tribal plans and resolutions1 initiatives in area plans submitted under section #cjf and ,state plans submitted under section #cjg1 and working groups or task forces related to aging1 disability1 or older relative caregiver initiatives2 7,g7 demonstrated assurances that the eligible entity agrees to make available 7directly or through public or private entities7 non-,federal contributions towards the costs of the ,plan2 and 7,h7 as applicable1 a timeline and working plan for finalizing the ,plan and beginning implementation of the ,plan not later than #b years after the grant is awarded4 7#b7 ,implementation assessment ,not later than #b years after receiving a grant under this section1 the eligible entity receiving the grant shall submit to the ,assistant ,secretary an implementation assessment4 ,such assessment shall include-- 7,a7 a final ,plan1 including #c or more goals for the ,plan and short- and long-term priorities or initiatives to meet each of those goals2 7,b7 an update regarding all matters included in the developmental assessment submitted under paragraph 7#a72 7,c7 for each priority or initiative described in subparagraph 7,a71 identified benchmarks or data metrics that are identified in a publicly accessible way such as through a data dashboard or in a report2 7,d7 a plan for accountability that includes-- 7i7 demonstrated commitment of a qualified leader of the eligible entity to execute and oversee such plan for accountability1 as evidenced by information determined appropriate by the ,assistant ,secretary2 7ii7 one or more departments or agencies of the eligible entity listed as accountable for each priority or initiative described in subparagraph 7,a72 7iii7 a plan to continue to engage aging and disability stakeholders1 and other key players or partners as determined by the eligible entity1 through advisory groups1 public hearings held by the implementation committee as described in clause 7iv77,,ii77cc71 or other means2 7iv7 the establishment of an implementation committee1 which shall-- 7,i7 consist of the working group described in subsection 7c77#b77;,a7 convened by the eligible entity and as applicable other regional1 ,state1 local1 or ,tribal participants as determined appropriate by the eligible entity2 and 7,,ii7 be responsible for-- 7aa7 assisting in ensuring that the goals of the ,plan described in subparagraph 7,a7 are implemented2 7bb7 participating in the development of the progress report described in subparagraph 7,e72 and 7cc7 holding public hearings1 with an opportunity for public comment1 for the purposes described in clause 7iii72 and 7v7 a plan for identifying and responding to any disparities in access to key services1 supports1 and initiatives in the jurisdiction of the eligible entity as described in subsection 7c77#c72 and 7,e7 a progress report schedule that includes-- 7i7 an established process for bi-yearly updates to the ,plan throughout a #aj-year period2 and 7ii7 opportunities for input from aging and disability stakeholders and any other individuals impacted by the ,plan4 7h7 ,consultation ,in carrying out this section1 the ,assistant ,secretary shall consult the ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities established under section #bjc7;c74 7i7 ,technical assistance ,the ,assistant ,secretary shall provide technical assistance to eligible entities who are seeking or have received a grant under this section in complying with the requirements of this section or otherwise creating or implementing a ,plan4 7j7 ,funding 7#a7 ,authorization of appropriations ,there is authorized to be appropriated for each of fiscal years #bjbf through #bjcj to the ,assistant ,secretary to remain available until expended #f1ejj1jjj to carry out this section4 7#b7 ,administrative costs ,of the amounts appropriated under this section for a year1 the ,assistant ,secretary shall use not more than #c percent to carry out subsection 7i7 and for any other administrative costs4 4 7b7 ,interagency ,coordinating ,committee on ,healthy ,aging and ,age-,friendly ,communities ,section #bjc7;c77#a7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjac7;c77#a77 is amended by striking with respect to aging issues and and inserting with respect to aging issues1 advising the ,assistant ,secretary on carrying out the grant program under section #dbc1 and4