,,ii  #aai? ,,congress  #a/ ,session    
,s4 #cccg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #c1 #bjbe,mrs4
 ,gillibr& 7= h]self1 ,ms4 ,alsobrooks1 
& ,mr4 ,kim7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,old] ,am]icans ,act ( #aife to       
require ! ,assi/ant ,secret>y = ,ag+ to 
aw>d grants to ,/ates1 ,indian tribes1 &
 tribal organizations to create or      
implem5t ,multisector ,plans = ,ag+ &   
,ag+ ) a ,disability1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,/rategic ,plan = ,ag+ ,act4  #b4     
,support+ ,multisector ,plans = ,ag+ &  
,ag+ ) a ,disability  7a7 ,9 g5]al ,"p  
,a ( ,,iv ( ! ,old] ,am]icans ,act (    
#aife 7#db ,u4,s4,c4 #cjcb et seq47 is  
am5d$ by add+ at ! end ! foll[+3  #dbc4 
,support+ ,multisector ,plans ,= ,ag+ & 
,ag+ ) a ,disability  7a7 ,def9itions ,9
 ?is section3 7#a7 ,ag+ & disability    
/akehold]s  7,a7 ,9 g5]al ,! t]m ag+ &  

disability /akehold]s means a gr\p (    
individuals ) exp]i5ce or exp]tise 9 ag+
 or disability issues1 :i* %all consi/  
(-- 7i7 repres5tatives f area ag5cies on
 ag+2  7ii7 cov]$ individuals2 &  7iii7 
repres5tatives f n less ?an #c ( ! gr\ps
 describ$ 9 subp>agraph 7,b74  7,b7     
,additional gr\ps ,! gr\ps describ$ 9   
?is subp>agraph are ! foll[+3 7i7       
,advocates = cov]$ individuals4  7ii7   
,academics ) exp]tise 9 ag+ or          
disability issues4  7iii7 ,philan?ropic 
organizations ) exp]i5ce 9 support+ ag+ 
or disability initiatives4  7iv7        
,individuals & community p>tn]s s]v+    
old] individuals1 includ+ individuals   
employ$ by area ag5cies on ag+ or by    
multipurpose s5ior c5t]s4  7v7 ,provid]s
 ( ag+ or disability s]vices4  7vi7     
,repres5tatives ( units ( g5]al purpose 
local gov]nm5t 7z def9$ 9 section #cja74
  7vii7 ,any o!r gr\p ( individuals s]v+
 or repres5t+ cov]$ individuals1 z      
det]m9$ appropriate by ! ,assi/ant      
,secret>y4  7#b7 ,cov]$ individuals ,!  

t]m cov]$ individuals means-- 7,a7 old] 
individuals1 includ+ old] individuals ) 
disabilities2  7,b7 individuals :o are  
family memb]s ( old] individuals1       
includ+ family memb]s ( old] individuals
 ) disabilities2  7,c7 paid c>egiv]s1 & 
unpaid c>egiv]s1 ( old] individuals1    
includ+ any su* c>egiv]s ( old]         
individuals ) disabilities2 &  7,d7 old]
 relative c>egiv]s4  7#c7 ,disability   
,not)/&+ section #ajb7ac71 ! t]m        
disability has ! mean+ giv5 ! t]m 9     
section #c ( ! ,am]icans ) ,disabilities
 ,act ( #aiij 7#db ,u4,s4,c4 #abajb74   
7#d7 ,eligible entity ,! t]m eligible   
entity means a ,/ate1 ,indian tribe1 or 
tribal organization4  7#e7 ,multisector 
plan = ag+ & ag+ ) a disability2 ma/]   
plan = ag+2 plan ,! t]ms ,multisector   
,plan = ,ag+ & ,ag+ ) a ,disability1    
,ma/] ,plan = ,ag+1 & ,plan mean a      
multi-ye> plann+ process1 adm9i/]$ by an
 eligible entity1 t conv5es cross-sector
 /akehold]s1 includ+ ag+ & disability   
/akehold]s1 to collaboratively address !

 div]se ne$s ( cov]$ individuals4  7#f7 
,old] relative c>egiv] ,! t]m old]      
relative c>egiv] has ! mean+ giv5 su*   
t]m 9 section #cgb4  7#g7 ,qualifi$     
lead] ,! t]m qualifi$ lead]1 ) respect  
to an eligible entity1 means-- 7,a7 !   
head ( ! eligible entity1 or ! head ( an
 ag5cy or dep>tm5t ( ! eligible entity2 
7,b7 a legislative committee ( !        
eligible entity2 or  7,c7 ano!r lead] ( 
! eligible entity1 z det]m9$ appropriate
 by ! ,assi/ant ,secret>y4  7#h7 ,t>get$
 subgr\p ,! t]m t>get$ subgr\p means a  
subgr\p ( old] individuals 7includ+ old]
 individuals ) disabilities7 :o are old]
 individuals ) greate/ social ne$1 or   
greate/ economic ne$1 z a result (      
geographic location1 disability /atus1  
sexual ori5tation1 g5d] id5tity1 sex    
*>act]i/ics1 socioeconomic /atus1       
language1 immigration /atus1 or o!r     
factors det]m9$ appropriate by !        
,assi/ant ,secret>y4  7b7 ,purpose ,!   
purpose ( ?is section is to provide     
eligible entities ) res\rces to create1 

coord9ate1 implem5t1 & evaluate         
cross-sector plans to improve ! heal?1  
well-be+1 & quality ( life ( cov]$      
individuals1 :i* may include t>get$     
subgr\ps4  7c7 ,grants  7#a7 ,9 g5]al ,!
 ,assi/ant ,secret>y %all aw>d grants on
 a competitive basis 9 accordance ) ?is 
section to eligible entities to ea*     
create or implem5t a ,multisector ,plan 
= ,ag+ & ,ag+ ) a ,disability 7also kn[n
 z a ,ma/] ,plan = ,ag+7 t meets !      
requirem5ts "u p>agraph 7#b74 ,su*      
grants may be us$ 9 ! creation or       
implem5tation /age ( su* a ,plan4  7#b7 
,plans ,a ,plan creat$ or implem5t$ by  
an eligible entity ?r\gh a grant "u ?is 
section %all-- 7,a7 h a creation or     
implem5tation process t is in=m$ or l$  
by a work+ gr\p ( ag+ & disability      
/akehold]s 7:i* may include /akehold]s  
:o repres5t t>get$ subgr\ps7 t reflects 
! div]sity & demographics ( ! population
 9 ! jurisdiction ( ! eligible entity2  
7,b7 s]ve z a /rategic plann+ res\rce t 
helps ! eligible entity "w across       

ag5cies or dep>tm5ts ( ! eligible entity
 7includ+ political subdivisions ( !    
eligible entity71 9 collaboration )     
public or private programs op]at+ 9 !   
jurisdiction ( ! eligible entity1 &     
?r\gh collaborations ) o!r eligible     
entities receiv+ su* a grant to s]ve an 
area 9 ! jurisdiction ( ! fir/ eligible 
entity1 to trans=m ! infra/ructure &    
coord9ation ( key s]vices1 supports1 &  
initiatives describ$ 9 p>agraph 7#c7 =  
cov]$ individuals2  7,c7 enable a       
qualifi$ lead] ( ! eligible entity to   
communicate a cle> vision1 & priorities1
 = a p]iod ( n less ?an #aj ye>s = !    
eligible entity ) respect to !          
trans=mation describ$ 9 subp>agraph     
7,b72  7,d7 guide policy ( ! eligible   
entity 7includ+ a political subdivision 
( ! eligible entity71 includ+ ?r\gh     
public or private programs1 & ?r\gh     
fund+ priorities1 to assi/ p 9 !        
jurisdiction ( ! eligible entity 9 ag+ )
 dignity & autonomy2  7,e7 include at   
lea/ "o goal = ea* ( ! key ag+ issues   

describ$ 9 p>agraph 7#d7 & develop      
initiatives to c>ry out ea* su* goal2   
7,f7 be m compreh5sive ?an ! area plans 
approv$ "u section #cjf by ! ,/ate ag5cy
 prior to ! date ( ! creation ( ! ,plan2
  7,g7 be m compreh5sive ?an ! ,/ate    
plans approv$ "u section #cjg by !      
,assi/ant ,secret>y prior to ! date ( ! 
creation ( ! ,plan2 &  7,h7 be creat$   
?r\gh a plann+ process t builds on !    
plann+ processes = ! area plans describ$
 9 subp>agraph 7,f7 & ! ,/ate plans     
describ$ 9 subp>agraph 7,g74  7#c7 ,key 
s]vices1 supports1 & initiatives ,! key 
s]vices1 supports1 & initiatives        
describ$ 9 ?is p>agraph may include--   
7,a7 disease prev5tion & heal? promotion
 s]vices1 long-t]m c>e s]vices &        
supports1 human s]vices1 & any o!r      
public heal? or heal? c>e1 s]vices1     
supports1 or initiatives2  7,b7 s]vices1
 supports1 & initiatives ) respect to-- 
7i7 retirem5t security2  7ii7 nutrition 
& food security2  7iii7 economic        
security1 includ+ b5efits access & job  

tra9+ & placem5t2  7iv7 eld] rights     
protection & autonomy2  7v7 h\s+1       
includ+ home modifications1 m9or home   
repair1 & home te*nology improvem5ts2   
7vi7 education1 includ+ digital &       
f9ancial lit]acy & education on         
retirem5t plann+2  7vii7 accessible &   
reliable transportation2  7viii7 civic  
p>ticipation & social & community       
engagem5t2 &  7ix7 broadb& access2  7,c7
 s]vices1 supports1 & initiatives =     
assi/+ cov]$ individuals ) disa/]       
prep>$ness & dur+ a major disa/] or     
em]g5cy decl>$ by ! ,presid5t "u section
 #dja or #eja ( ! ,rob]t ,t4 ,/af=d     
,disa/] ,relief & ,em]g5cy ,assi/ance   
,act 7#db ,u4,s4,c4 #eagj1 #eaia7 or any
 o!r natural disa/] decl>$ by ! ,gov]nor
 ( ! applicable ,/ate2  7,d7 af=dable1  
accessible1 & culturally & l+ui/ically  
appropriate s]vices1 includ+            
translation1 int]pretation1 & outrea* = 
limit$ ,engli% pr(ici5cy communities2 & 
7,e7 any o!r s]vices1 supports1 or      
initiatives ) respect to cov]$          

individuals1 z det]m9$ appropriate by ! 
eligible entity4  7#d7 ,key ag+ issues  
,! key ag+ issues describ$ 9 ?is        
p>agraph are ea* ( ! foll[+3 7,a7       
,support+ ! ability ( old] individuals  
to be /ably & safely h\s$1 :i* may      
include support+ _! ability to age well 
9 ! sett+ ( _! *oice & to access        
homelessness prev5tion s]vices4  7,b7   
,exp&+ access to af=dable1 age-fri5dly  
disease prev5tion & heal? promotion     
s]vices & heal? c>e1 includ+ nutrition  
s]vices1 ex]cise programs1 /ress        
managem5t s]vices1 fall prev5tion       
s]vices1 m5tal heal? s]vices1 behavioral
 heal? c>e1 & sub/ance use disord]      
s]vices to promote longevity4  7,c7     
,promot+ disa/] & p&emic prep>$ness4    
7,d7 ,promot+ age-fri5dly communities1 z
 def9$ 9 section #bjc7;c77#i74  7,e7    
,address+ ! ability ( old] individuals  
to access af=dable1 high-quality        
long-t]m s]vices & supports1 includ+    
access to c>egiv]s & home &             
community-bas$ s]vices4  7,f7 ,exp&+    

access to s]vices t promote eld] ju/ice 
& r$uce eld] abuse1 neglect1 &          
exploitation4  7,g7 ,r$uc+ disp>ities 9 
outcomes = cov]$ individuals4  7,h7     
,promot+ economic security & retirem5t  
security & r$uc+ pov]ty = cov]$         
individuals4  7,i7 ,promot+ social      
connection & r$uc+ isolation & lonel9ess
 = cov]$ individuals4  7,j7 ,ensur+     
public spaces are accessible to1 includ+
 safe =1 old] individuals1 includ+ old] 
individuals ) disabilities4  7,k7       
,ensur+ access to heal?y & af=dable     
foods & r$uc+ food insecurity1 hung]1 & 
malnutrition4  7d7 ,eligibility ,to be  
eligible = a grant "u ?is section1 an   
eligible entity %all submit an          
application to ! ,assi/ant ,secret>y at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,assi/ant ,secret>y may   
require1 includ+-- 7#a7 in=mation       
demon/rat+ ! commitm5t ( ! eligible     
entity to creat+ or implem5t+ a ,plan1 z
 evid5c$ by-- 7,a7 an ,executive ord]   
issu$ by ! head ( ! eligible entity1 or 

legislation enact$ 9 ! jurisdiction ( ! 
eligible entity1 au?oriz+ a ,plan2  7,b7
 a lett] f a qualifi$ lead] ( ! eligible
 entity demon/rat+ ! commitm5t ( !      
eligible entity to work+ across gov]nm5t
 ag5cies or dep>tm5ts ( ! eligible      
entity1 z well z ) ag+ & disability     
/akehold]s & o!r /akehold]s 9 ! public &
 private sectors1 to create or implem5t 
a ,plan2 &  7,c7 any o!r decl>ations1   
activities1 or actions z det]m9$        
appropriate by ! ,assi/ant ,secret>y2   
7#b7 a description (-- 7,a7 ! work+ gr\p
 describ$ 9 subsection 7c77#b77;,a7 t ! 
eligible entity has conv5$ or plans to  
conv5e2 &  7,b7 any o!r anticipat$      
activities & programs 7su* z public     
he>+s1 public comm5t p]iods1 or li/5+   
sessions7 to support creat+ or implem5t+
 a ,plan t reflects demon/rat$ input f  
ag+ & disability /akehold]s1 includ+    
cov]$ individuals1 & o!r memb]s ( !     
public1 includ+ input f memb]s ( ,indian
 tribes or tribal organizations2  7#c7  
an assessm5t ( ! ne$s ( cov]$           

individuals1 :i* may include t>get$     
subgr\ps1 s]v$ by ! eligible entity2    
7#d7 a consid]ation ( v>y+ ne$s (       
populations across diff]5t types (      
geographies 9 ! jurisdiction ( !        
eligible entity1 includ+ urban1 rural1 &
 fronti]1 z applicable2 &  7#e7 details 
on h[ ! ,plan w comply ) subp>agraphs   
7,f71 7,g71 & 7,h7 ( subsection 7c77#b74
  7e7 ,aw>ds  7#a7 ,9 g5]al ,! ,assi/ant
 ,secret>y %all aw>d n m ?an #fe grants 
"u ?is section dur+ ! #e-ye> p]iod      
beg9n+ on ! date ( enactm5t ( ?is       
section4  7#b7 ,set aside ,( ! grants   
aw>d$ "u p>agraph 7#a71 ! ,assi/ant     
,secret>y %all aw>d n less ?an #aj      
grants to eligible entities t are       
,indian tribes or tribal organizations4 
7#c7 ,process ,! ,assi/ant ,secret>y    
%all e/abli% a process =-- 7,a7 select+1
 includ+ = prioritiz+1 eligible entities
 to receive a grant "u ?is section2 &   
7,b7 subject to p>agraph 7#d71 det]m9+ !
 am\nt ( ea* su* grant1 :i* %all include
 a ti]$ sy/em dep5d+ on ! population 9 !

 jurisdiction ( ! eligible entity4  7#d7
 ,maximum am\nt ,no grant aw>d$ "u ?is  
section to an eligible entity %all exce$
 #ejj1jjj4  7#e7 ,t]ms  7,a7 ,9 g5]al   
,an eligible entity receiv+ a grant "u  
?is section %all-- 7i7 receive a total  
am\nt = ! grant z a lump sum2 &  7ii7   
subject to subp>agraph 7,b71 obligate & 
exp5d su* total am\nt 9 accordance ) ?is
 section n lat] ?an #c ye>s aft] receiv+
 su* lump sum4  7,b7 ,ext5sion (        
availability ,an eligible entity may1   
pursuant to an agreem5t ) ! ,assi/ant   
,secret>y1 obligate & exp5d am\nts f a  
grant "u ?is section 9 accordance ) !   
requirem5ts ( ?is section aft] ! #c-ye> 
p]iod describ$ 9 subp>agraph 7,a77ii74  
7f7 ,deadl9e ,9 ! case ( a grant aw>d$  
"u ?is section to create a ,plan1 !     
eligible entity receiv+ ! grant %all    
create ! ,plan & beg9 implem5t+ ! ,plan 
n lat] ?an #b ye>s aft] receiv+ ! grant4
  7g7 ,assessm5t & evaluation process   
7#a7 ,developm5tal assessm5t ,n lat] ?an
 #a ye> aft] receiv+ a grant "u ?is     

section1 ! eligible entity receiv+ !    
grant %all submit to ! ,assi/ant        
,secret>y a developm5tal assessm5t4 ,su*
 assessm5t may include-- 7,a7 #c or m   
goals ) respect to ! ,plan t ! eligible 
entity commits to address+ 9 ! f9al     
,plan describ$ 9 p>agraph 7#b77;,a72    
7,b7 demon/rat$ use ( data metrics to   
in=m ! goals ( ! ,plan1 :i* data metrics
 are d]iv$ f-- 7i7 datasets or          
qualitative data ) respect to !         
population 9 ! jurisdiction ( ! eligible
 entity2 &  7ii7 nationwide datasets or 
qualitative data1 ) an aw>5ess t        
national datasets may n include data )  
respect to ,indian tribes & tribal      
organizations2  7,c7 demon/rat$         
involvem5t ) #c or m gov]nm5tal         
dep>tm5ts or ag5cies ( ! eligible entity
 on creation or implem5tation ( ! ,plan2
  7,d7 demon/rat$ input f-- 7i7 ! work+ 
gr\p describ$ 9 subsection 7c77#b77;,a7 
conv5$ by ! eligible entity2 &  7ii7 any
 o!r ag+ & disability /akehold]s2  7,e7 
demon/rat$ input f o!r individuals :o w 

be impact$ by ! ,plan2  7,f7 z          
applicable1 demon/rat$ incorporation (  
ag+1 disability1 & old] relative c>egiv]
 plans & initiatives exi/+ on ! day be=e
 ! receipt ( ! grant 9 ! jurisdiction ( 
! eligible entity1 :i* may include su*  
exi/+ age-fri5dly plans1 ,tribal plans &
 resolutions1 initiatives 9 area plans  
submitt$ "u section #cjf & ,/ate plans  
submitt$ "u section #cjg1 & work+ gr\ps 
or task =ces relat$ to ag+1 disability1 
or old] relative c>egiv] initiatives2   
7,g7 demon/rat$ assurances t ! eligible 
entity agrees to make available         
7directly or ?r\gh public or private    
entities7 non-,f$]al contributions t[>ds
 ! co/s ( ! ,plan2 &  7,h7 z applicable1
 a timel9e & work+ plan = f9aliz+ !     
,plan & beg9n+ implem5tation ( ! ,plan n
 lat] ?an #b ye>s aft] ! grant is aw>d$4
  7#b7 ,implem5tation assessm5t ,n lat] 
?an #b ye>s aft] receiv+ a grant "u ?is 
section1 ! eligible entity receiv+ !    
grant %all submit to ! ,assi/ant        
,secret>y an implem5tation assessm5t4   

,su* assessm5t %all include-- 7,a7 a    
f9al ,plan1 includ+ #c or m goals = !   
,plan & %ort- & long-t]m priorities or  
initiatives to meet ea* ( ^? goals2     
7,b7 an update reg>d+ all matt]s includ$
 9 ! developm5tal assessm5t submitt$ "u 
p>agraph 7#a72  7,c7 = ea* priority or  
initiative describ$ 9 subp>agraph 7,a71 
id5tifi$ b5*m>ks or data metrics t are  
id5tifi$ 9 a publicly accessible way su*
 z ?r\gh a data da%bo>d or 9 a report2  
7,d7 a plan = acc\ntability t includes--
 7i7 demon/rat$ commitm5t ( a qualifi$  
lead] ( ! eligible entity to execute &  
ov]see su* plan = acc\ntability1 z      
evid5c$ by in=mation det]m9$ appropriate
 by ! ,assi/ant ,secret>y2  7ii7 "o or m
 dep>tm5ts or ag5cies ( ! eligible      
entity li/$ z acc\ntable = ea* priority 
or initiative describ$ 9 subp>agraph    
7,a72  7iii7 a plan to cont9ue to engage
 ag+ & disability /akehold]s1 & o!r key 
play]s or p>tn]s z det]m9$ by ! eligible
 entity1 ?r\gh advisory gr\ps1 public   
he>+s held by ! implem5tation committee 

z describ$ 9 clause 7iv77,,ii77cc71 or  
o!r means2  7iv7 ! e/abli%m5t ( an      
implem5tation committee1 :i* %all-- 7,i7
 consi/ ( ! work+ gr\p describ$ 9       
subsection 7c77#b77;,a7 conv5$ by !     
eligible entity & z applicable o!r      
regional1 ,/ate1 local1 or ,tribal      
p>ticipants z det]m9$ appropriate by !  
eligible entity2 &  7,,ii7 be           
responsible =-- 7aa7 assi/+ 9 ensur+ t !
 goals ( ! ,plan describ$ 9 subp>agraph 
7,a7 are implem5t$2  7bb7 p>ticipat+ 9 !
 developm5t ( ! progress report describ$
 9 subp>agraph 7,e72 &  7cc7 hold+      
public he>+s1 ) an opportunity = public 
comm5t1 = ! purposes describ$ 9 clause  
7iii72 &  7v7 a plan = id5tify+ &       
respond+ to any disp>ities 9 access to  
key s]vices1 supports1 & initiatives 9 !
 jurisdiction ( ! eligible entity z     
describ$ 9 subsection 7c77#c72 &  7,e7 a
 progress report s*$ule t includes-- 7i7
 an e/abli%$ process = bi-ye>ly updates 
to ! ,plan ?r\gh\t a #aj-ye> p]iod2 &   
7ii7 opportunities = input f ag+ &      

disability /akehold]s & any o!r         
individuals impact$ by ! ,plan4  7h7    
,consultation ,9 c>ry+ out ?is section1 
! ,assi/ant ,secret>y %all consult !    
,int]ag5cy ,coord9at+ ,committee on     
,heal?y ,ag+ & ,age-,fri5dly            
,communities e/abli%$ "u section        
#bjc7;c74  7i7 ,te*nical assi/ance ,!   
,assi/ant ,secret>y %all provide        
te*nical assi/ance to eligible entities 
:o are seek+ or h receiv$ a grant "u ?is
 section 9 comply+ ) ! requirem5ts ( ?is
 section or o!rwise creat+ or implem5t+ 
a ,plan4  7j7 ,fund+  7#a7 ,au?orization
 ( appropriations ,!re is au?oriz$ to be
 appropriat$ = ea* ( fiscal ye>s #bjbf  
?r\gh #bjcj to ! ,assi/ant ,secret>y to 
rema9 available until exp5d$ #f1ejj1jjj 
to c>ry out ?is section4  7#b7          
,adm9i/rative co/s ,( ! am\nts          
appropriat$ "u ?is section = a ye>1 !   
,assi/ant ,secret>y %all use n m ?an #c 
p]c5t to c>ry out subsection 7i7 & = any
 o!r adm9i/rative co/s4  4  7b7         
,int]ag5cy ,coord9at+ ,committee on     

,heal?y ,ag+ & ,age-,fri5dly            
,communities ,section #bjc7;c77#a7 ( !  
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjac7;c77#a77 is am5d$ by    
/rik+ ) respect to ag+ issues & & ins]t+
 ) respect to ag+ issues1 advis+ !      
,assi/ant ,secret>y on c>ry+ out ! grant
 program "u section #dbc1 &4