Union Calendar No. 206
116th CONGRESS 1st Session |
[Report No. 116–258]
To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes.
September 16, 2019
Ms. Bonamici (for herself, Ms. Stefanik, Mrs. Lee of Nevada, Mr. Comer, Ms. Wild, and Mr. Johnson of South Dakota) introduced the following bill; which was referred to the Committee on Education and Labor
October 28, 2019
Additional sponsors: Mr. Sablan, Mr. Guthrie, Ms. Stevens, Mr. Thompson of Pennsylvania, Mr. Courtney, Mr. Allen, Mr. Trone, Mr. Watkins, Mrs. Hayes, Mr. DeFazio, Mr. Fitzpatrick, Mr. Wright, Mr. David P. Roe of Tennessee, Mr. Walberg, Mr. Smucker, Mr. Meuser, Mr. Morelle, Mr. Keller, Mr. David Scott of Georgia, and Ms. Norton
October 28, 2019
Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed in italic]
[For text of introduced bill, see copy of bill as introduced on September 16, 2019]
To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
(b) Table of contents.—The table of contents of this Act is the following:
Sec. 1. Short title; table of contents.
Sec. 101. Person-centered, trauma-informed care.
Sec. 102. Vaccination.
Sec. 103. Functions of Assistant Secretary.
Sec. 104. Professional standards for nutrition official under the Assistant Secretary.
Sec. 105. Interagency Coordinating Committee on Age-Friendly Communities.
Sec. 106. Technical assistance on age-friendly communities.
Sec. 107. Malnutrition.
Sec. 108. Coordination with resource centers.
Sec. 109. Arts education.
Sec. 110. Social determinants of health.
Sec. 111. Federal coordination of supports and services for living independently and safely at home.
Sec. 112. Falls prevention and chronic disease self-management education.
Sec. 113. Extension of RAISE Family Caregivers Act.
Sec. 114. Support for socially-isolated older Americans.
Sec. 115. Increased focus of Assistant Secretary on social isolation.
Sec. 116. Advisory council on social isolation.
Sec. 117. Supportive services and senior centers.
Sec. 118. Demonstration projects.
Sec. 119. Younger onset Alzheimer’s Disease.
Sec. 120. Priority for the senior community service employment program.
Sec. 121. Direct care workforce.
Sec. 122. National resource center for older individuals experiencing the long-term and adverse consequences of trauma.
Sec. 123. National Resource Center for Women and Retirement.
Sec. 124. Definition.
Sec. 125. Review of reports.
Sec. 126. Area plans.
Sec. 127. Addressing chronic pain management.
Sec. 128. Extension of the Supporting Grandparents Raising Grandchildren Act.
Sec. 129. Screening for suicide risk.
Sec. 130. Traumatic brain injury.
Sec. 131. Addressing public health emergencies and emerging health threats.
Sec. 201. National family caregiver support program cap.
Sec. 202. Minimum funding level for State administrative expenses.
Sec. 203. Culturally-appropriate, medically-tailored meals.
Sec. 204. Business acumen provisions and clarification regarding outside funding for area agencies on aging.
Sec. 205. Other practices.
Sec. 206. Caregiver assessments.
Sec. 207. Research and evaluation.
Sec. 208. Grant program for multigenerational collaboration.
Sec. 301. State Long-Term Care Ombudsman Program minimum funding and maintenance of effort.
Sec. 302. State long-term care volunteer ombudsman representatives.
Sec. 303. Clarification regarding board and care facilities.
Sec. 401. Expanding supportive services for Native American aging programs.
Sec. 402. Enhancing capacity to support Native American aging programs.
Sec. 501. Technical corrections.
Sec. 502. Authorization of appropriations; uses of funds.
Sec. 503. Effective date.
Section 101(2) of the Older Americans Act of 1965 (42 U.S.C. 3001(2)) is amended by inserting “(including access to person-centered, trauma-informed care)” after “health”.
Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) is amended—
(a) Review of applications.— Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is amended—
(1) by amending subsection (a)(4) to read as follows:
“(4) administer the grants provided by this Act but not approve an application submitted by an applicant for a grant for a program for which such applicant previously received a grant unless the Assistant Secretary determines—
(b) Addressing the needs of older individuals in disasters.—Section 202(a) of the Older Americans Act of 1965 (42 U.S.C. 3012(a)) is amended—
(3) by adding at the following at the end the following:
“(32) provide technical assistance to and share best practices with States and area agencies on aging on how to collaborate and coordinate activities and develop long-range emergency preparedness plans with local and State emergency response agencies, relief organizations, local and State governments, federal agencies as appropriate, and any other institutions that have responsibility for disaster relief service delivery.”.
Section 205(a)(2)(C)(ii) of the Older Americans Act of 1965 (42 U.S.C. 3016(a)(2)(C)(ii) is amended to read as follows:
Section 203 of the Older Americans Act of 1965 (42 U.S.C. 3013) is amended—
(1) in subsection (b)—
(C) by adding at the end the following:
“(20) section 393D of the Public Health Service Act (42 U.S.C. 280b–1f), relating to safety of seniors.”, and
(2) in subsection (c)—
(A) in paragraph (1)—
(ii) by inserting “to support the ability of older individuals to age in place, including through the provision of homelessness prevention services, support the ability of older individuals to access preventive health care, promote age-friendly communities, and address the ability of older individuals to access long-term care supports, including access to caregivers and home- and community-based services” before the period at the end,
(B) in paragraph (4) by inserting “, except that the 1st term of a member appointed to the Interagency Coordinating Committee on Age-Friendly Communities shall begin not later than 1 year after the date of the enactment of the effective date of this exception” before the period at the end,
(D) in paragraph (6)—
(ii) by amending subparagraph (B)(ii) to read as follows:
(iii) in subparagraph (E)—
(iv) by redesignating subparagraphs (E), (F), and (G) as subparagraphs (F), (G), and (H), respectively,
(v) by inserting after subparagraph (D) the following:
“(E) work with the Centers for Disease Control and Prevention, the National Institute on Aging, Centers for Medicare and Medicaid Services, the Housing and Urban Development Office of Lead Hazard Control and Healthy Homes, and other Federal agencies as appropriate, to develop recommendations, in accordance with paragraph (1), to reduce falls among older individuals that incorporate evidence-based falls prevention programs and home modifications to reduce and prevent falls;”, and
(vi) by adding at the end the following:
“(9) In this subsection, the term ‘age-friendly community’ means a community that-—
“(A) is taking steps—
“(i) to include accessible housing, accessible spaces and buildings, safe and secure paths, variable route transportation services, and programs and services designed to maintain health and well-being;
Section 205(a)(2) of the Older Americans Act of 1965 (42 U.S.C. 3016(a)(2)) is amended—
(2) by inserting after subparagraph (B) the following:
“(C) The Assistant Secretary may provide technical assistance, including through the regional offices of the Administration, to State agencies, area agencies on aging, local government agencies, or leaders in age-friendly communities (as defined in section 203(c)(9)) regarding—
The Older Americans Act of 1965 (42 U.S.C. 2011 et seq.) is amended—
(a) Area plans.—Section 306(a) of the Older Americans Act of 1965 (42 U.S.C. 3026(a)) is amended—
(3) by adding at the end the following:
“(18) provide assurances that the area agency on aging will collect data to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of the programs, policies, and services provided by such area agency on aging in assisting these individuals. Each agency plan shall provide assurances that the area agency on aging will use outreach efforts that will identify individuals eligible for assistance under this Act, with special emphasis on those individuals whose needs are the focus of all centers established under title IV. This requirement applies to all centers funded on the day before the effective date of this paragraph.”.
(b) State plans.—Section 307(a) of the Older Americans Act of 1965 (42 U.S.C. 3027) is amended by adding at the end the following:
“(31) The State shall prepare and submit to the Assistant Secretary annual reports on the data collected to determine the services that are needed by older individuals whose needs are the focus of all centers funded under title IV and the effectiveness of the programs, policies, and services provided by area agencies on aging in assisting these individuals. The reports shall describe any outreach efforts and other activities described in section 306(a)(18). This requirement applies to all centers funded on the day before the date of the enactment of the effective date of this paragraph.”.
(a) Program design.—Section 202(a)(5) of the Older Americans Act of 1965 (42 U.S.C. 3012(a)(5)) is amended by inserting “cultural experiences, activities and services, including the arts,” after “education),”.
(b) Supportive services.—Section 321(a)(7) of the Older Americans Act of 1965 (42 U.S.C. 3030d(a)(7)) is amended by inserting “cultural experiences (including the arts),” after “art therapy,”.
Section 301(a)(1) of the Older Americans Act of 1965 (42 U.S.C. 3021(a)(1)) is amended—
Title II of the Older Americans Act of 1965 (42 U.S.C. 3011–3020) is amended by inserting after section 203A the following:
“SEC. 203B. Federal coordination of supports and services for living independently and safely at home.
“(a) Initiative.—The Assistant Secretary shall carry out an initiative under this section to identify and disseminate information about Federal resources to promote falls prevention, home assessments, and home modifications, which may include in-home assistive technology, to enable older individuals to live independently and safely in a home environment.
“(b) Coordination of Federal efforts.—In carrying out the initiative under this section, the Assistant Secretary shall coordinate, through memoranda of understanding, agreements, or other appropriate means of coordination, with all Federal efforts and Federal programs in effect on the effective date of this section that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals, including older individuals with disabilities.
“(c) Reports.—Not later than 1 year after the effective date of this section, and triennially thereafter as needed, the Assistant Secretary shall publish a report that includes—
“(1) an inventory of the then current Federal programs that support evidence-based falls prevention, home assessments, and home modifications, which may include in-home assistive technology, for older individuals and older individuals with disabilities;
“(2) for the fiscal year of the report, statistical data on the number of older individuals and older individuals with disabilities served by each Federal program described in paragraph (1), including a demographic analysis and the approximate amount of Federal funding invested in each such program;
“(3) an evaluation of the impact of Federal programs that support falls prevention and home modifications, which may include in-home assistive technology, on health status and health outcomes in populations supported by such efforts and programs; and
Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)) is amended—
Section 6 of the RAISE Family Caregivers Act (Public Law 115–119; 132 Stat. 27) is amended by striking “3” and inserting “4”.
Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) is amended—
Section 202(a) of the Older Americans Act of 1965 (42 U.S.C. 3012(a)), as amended by section 103, is amended—
Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012), as amended by section 103, is amended by adding at the end the following:
“(i) (1) The Assistant Secretary shall convene an advisory council on social isolation with aging network stakeholders, including caregivers, and select members in a manner that ensures geographic diversity of the members—
“(A) to review and evaluate efforts to address social isolation and loneliness among older individuals; and
Section 321(a) of the Older Americans Act of 1965 (42 U.S.C. 3030d(a)) is amended—
(a) Demonstrations.—Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)), as amended by section 112, is amended—
(b) Repeal.—Section 416 of the Older Americans Act of 1965 (42 U.S.C. 3032e) is repealed.
(a) Definition of “family caregiver”.—Section 302(3) of the Older Americans Act of 1965 (42 U.S.C. 3022(3)) is amended by inserting “of any age” after “an individual”.
(b) Definition of “resident”.—Section 711(6) of the Older Americans Act of 1965 (42 U.S.C. 3058(6)) is amended by inserting “of any age” after “individual”.
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
(2) in section 514(e)(1) by inserting “older individuals who have been incarcerated or are under supervision following the release from prison or jail,” after “need,”, and
(a) Demonstrations.—Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)), as amended by sections 112 and 118, is amended—
(2) by inserting after paragraph (15) the following:
“(16) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and to solicit, develop, and implement strategies—
(b) Older American community service employment program.—Section 502(e)(2)(B) of the Older Americans Act of 1965 (42 U.S.C. 3056(e)(2)(B)) is amended—
(3) by adding at the end the following:
“(v) attract, retain, and advance the direct care workforce, in consultation with the Assistant Secretary, providing for wages and benefits needed to reduce barriers to entry for a diverse and high-quality direct care workforce, supportive services and career planning, and paid on-the-job training or work-based learning, with appropriate safety training;”.
Section 411(a) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)), as amended by sections 112, 118, and 121, is amended—
(2) by inserting after paragraph (16) the following:
Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012), as amended by sections 103 and 116, is amended by adding at the end the following:
“(j) (1) The Assistant Secretary shall, directly or by grant or contract, operate the National Resource Center for Women and Retirement (in this subsection referred to as the ‘Center’).
“(2) The Center shall—
“(A) provide basic financial management, retirement planning, and other educational tools that promote financial wellness and help to identify and prevent fraud and elder exploitation, and integrate these with information on health and long-term care;
“(B) annually disseminate a summary of outreach provided, including work to provide user-friendly consumer information and public education materials;
Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is amended—
Sec. 308(b) of the Older Americans Act of 1965 (42 U.S.C. 3028(b)) is amended by inserting at the end the following:
“(8) The Assistant Secretary shall review the reports submitted under section 307(a)(31), and include in the report required by section 207(a), aggregated data, including the effectiveness and outreach efforts included in 307(a)(31), on services that are needed by older individuals whose needs are the focus of all centers funded under title IV. This requirement applies to all centers funded on the day before the date of the effective date of this paragraph.”.
Section 306(a)(4) of the Older Americans Act of 1965 (42 U.S.C. 3026(a)(4)) is amended in subparagraph (B)(i)(VII) by inserting “, specifically including survivors of the Holocaust” after “placement”.
Section 102(14)(D) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)) is amended by inserting “chronic pain management,” after “substance abuse reduction,”.
Section 3(f) of the Supporting Grandparents Raising Grandchildren Act (Public Law 115–196) is amended by striking “3” and inserting “4”.
Section 102(14)(G) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)(G)) is amended by inserting “and screening for suicide risk” after “depression”.
(a) Definitions.—Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002), as amended by section 114, is amended—
(b) Health screening.—Section 321(a)(8) of the Older Americans Act of 1965 (42 U.S.C.3030d(a)(8)) is amended to read as follows:
“(8) services designed to provide health screening (including mental and behavioral health screening, screening for social isolation and loneliness, falls prevention services screening and traumatic brain injury screening) to detect or prevent (or both) illnesses and injuries that occur most frequently in older individuals;”.
(c) Activities for health.—Section 411(a)(12) of the Older Americans Act of 1965 (42 U.S.C. 3032(a)(12)) is amended to read as follows:
Section 102(14) of the Older Americans Act of 1965 (42 U.S.C. 3002(14)), as amended by sections 114 and 130, is amended—
(a) Federal share.—Section 373(g)(2) of the Older Americans Act of 1965 (42 U.S.C. 3030s–1(g)(2)) is amended by striking subparagraph (C).
(b) Monitoring the impact of the elimination of the cap on funds for older relative caregivers.—
(1) REPORT.—Not later than 18 months after the date of the enactment of this Act, and annually thereafter, the Assistant Secretary shall submit to the Committee on Education and Labor of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report on the impact of the amendment made by subsection (a) to eliminate the limitation on funds that States may allocate to provide support services to older relative caregivers in the National Family Caregiver Support Program established under part E of title III of the Older Americans Act of 1965 (42 U.S.C. 3030s–3030s–2). Each such report shall also be made available to the public.
(2) CONTENTS.—For purposes of reports required by paragraph (1), each State that receives an allotment under such National Family Caregiver Support Program for fiscal year 2020 or a subsequent fiscal year shall report to the Assistant Secretary for the fiscal year involved the amount of funds of the total Federal and non-Federal share allotment used by the State to provide support services for caregiver support for older relative caregivers and family caregivers.
Section 308(b)(2)(A) of the Older Americans Act of 1965 (42 U.S.C. 3028(b)(2)(B)) is amended by striking “$500,000” and inserting “$750,000”.
Section 339(2)(A) of the Older Americans Act of 1965 (42 U.S.C. 3939h(2)(A)) is amended by inserting “, including cultural considerations and preferences (including needs based on religious, cultural, or ethnic requirements) and medically tailored meals” before the comma at the end.
(a) Assistance relating to growing and sustaining capacity.—Section 202(b)(9) of the Older Americans Act of 1965 (42 U.S.C. 3012(b)(9)) is amended—
(b) Clarifying partnerships for area agencies on aging.—Section 306 of the Older Americans Act of 1965 (42 U.S.C. 3026) is amended by adding at the end the following:
Section 315 of the Older Americans Act of 1965 (42 U.S.C. 3030c-2) is amended by adding at the end the following:
(a) Definition of caregiver assessment.—Section 372(a) of the Older Americans Act of 1965 (42 U.S.C. 3030s(a)) is amended by adding at the end the following:
“(4) CAREGIVER ASSESSMENT.—The term ‘caregiver assessment’ means a systematic process of gathering information about the situation of a caregiver who voluntarily participates in such process to identify the caregiver’s specific needs, barriers, and existing supports as identified by the caregiver that—
(b) Use of caregiver assessments.—Section 373(b) of the Older Americans Act of 1965 (42 U.S.C. 3030s–1(b)) is amended by inserting “may be informed through the use of caregiver assessments and” after “with,”.
(c) Technical assistance for caregiver assessments.—Section 373 of the Older Americans Act of 1965 (42 U.S.C. 3030s–1) is amended by adding at the end the following:
“(h) Technical assistance for caregiver assessments.—Not later than 1 year after the effective date of this subsection, the Assistant Secretary, in consultation with caregivers, older individuals, individuals with a disability who receive care from an older relative caregiver, the aging network, and other experts and stakeholders, shall provide technical assistance to promote and implement the use of caregiver assessments. Such technical assistance shall include sharing available tools and templates, comprehensive assessment protocols, and best practices concerning—
(d) Reporting on caregiver assessment.—Section 373(e) of the Older Americans Act of 1965 (42 U.S.C. 3030s–1(e)) is amended—
(1) in paragraph (3) by inserting “, including caregiver assessments used in the State,” after “mechanisms” the 1st place it appears, and
(2) by adding at the end the following:
“(4) REPORT ON CAREGIVER ASSESSMENTS.—
“(A) IN GENERAL.—Not later than 3 years after the effective date of this paragraph, the Assistant Secretary shall issue a report on the use of caregiver assessments by area agencies on aging, entities contracting with such agencies, and organizations. Such report shall include—
“(i) an analysis of the current use of caregiver assessments, including a repository of caregiver assessment tools or templates and comprehensive assessment protocols;
“(B) SUBMISSION.—Not later than 6 months after the issuance of the report under subparagraph (A), the Assistant Secretary shall submit the report to the Committee on Education and Labor of the House of Representatives, the Committee on Health, Education, Labor, and Pensions of the Senate, and the Special Committee on Aging of the Senate.”.
Section 201 of the Older Americans Act of 1965 (42 U.S.C. 3011) is amended by adding at the end the following:
“(g) (1) The Assistant Secretary shall coordinate the research and evaluation functions of this Act under a National Research, Demonstration, and Evaluation Center for the Aging Network (in this subsection referred to as the ‘Center’), which shall be headed by a director designated by the Assistant Secretary from individuals described in paragraph (4).
“(2) The purpose of the Center shall be—
“(3) Activities of the Center shall include conducting, promoting, coordinating, and providing support for—
“(4) The director shall be an individual with substantial knowledge of and experience in aging and health policy, and research administration.
“(5) Not later than October 1, 2020, and at 5-year intervals thereafter, the director shall prepare and publish in the Federal Register for public comment a draft of a 5-year plan that—
“(6) The director shall, as appropriate, coordinate with other Federal departments and agencies involved in research in the field of aging.
“(7) Not later than December 31, 2020, and annually thereafter, the director shall prepare, and submit to the Secretary, the Committee on Health, Education, Labor, and Pensions of the Senate, the Special Committee on Aging of the Senate, and the Committee on Education and Labor of the House of Representatives, a report on the activities funded under this section and title IV.
Section 417 of the Older Americans Act of 1965 (42 U.S.C. 3032f) is amended—
(1) by amending subsection (a) to read as follows:
“(a) Grants and contracts.—The Assistant Secretary shall award grants to, and enter into contracts with, eligible organizations to carry out projects—
“(1) to provide opportunities for older individuals to participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals and individuals in younger generations by developing—
(2) by amending subsection (b) to read as follows:
(3) in subsection (c)—
(A) in the matter preceding paragraph (1), by inserting “that serves individuals in younger generations and older individuals” after “to carry out a project”;
(4) by amending subsection (e) to read as follows:
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
Section 712(a)(5) of the Older Americans Act of 1965 (42 U.S.C. 3058g(a)(5)) is amended—
Section 102(35)(C) of the Older Americans Act of 1965 (42 U.S.C. 3002(35)(C)) is amended by striking “for purposes of sections 307(a)(12) and 712,”.
Title VI of the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.) is amended—
(1) in part D—
(A) by amending section 643 to read as follows:
“SEC. 643. Authorization of appropriations.
“There are authorized to be appropriated to carry out this title—
(3) by inserting after part C the following:
“(a) In general.—The Assistant Secretary shall carry out a demonstration program for making grants to tribal or Native Hawaiian organizations with applications approved under parts A and B, to pay for the Federal share of carrying out programs, to enable the organizations to provide a wider range of in-home and community supportive services to enable older individuals to maintain their health and independence and to avoid long-term care facility placement.
“(b) Supportive services.—
“(1) IN GENERAL.—Subject to paragraph (2), supportive services described in subsection (a) may include any of the activities described in section 321(a).
“(2) PRIORITY.—The Assistant Secretary, in making grants under this section, shall give priority to organizations that will use the grant funds for supportive services described in subsection (a) that are for in-home assistance, transportation, information and referral, case management, health and wellness programs, legal services, family caregiver support services, and other services that directly support the independence of the older individuals served.”.
Title II of the Older Americans Act of 1965 (42 U.S.C. 3011 et seq.) is amended—
(1) in section 201(c)(3)(H) by inserting “to ensure adequate capacity to deliver the services under such title, which technical assistance programs may include program management, data development and use, basic business skills, grant development, program and service innovations, and staff professional development and certification” before the semicolon at the end, and
(2) section 216 is amended to read as follows:
“SEC. 216. Authorization of appropriations.
“(a) In general.—For purposes of carrying out this Act, there are authorized to be appropriated for administration, salaries, and expenses of the Administration $44,042,171 for fiscal year 2020, $46,684,701 for fiscal year 2021, $49,485,783 for fiscal year 2022, $52,454,930 for fiscal year 2023, and $55,602,226 for fiscal year 2024.
“(b) Authorization of appropriations for programs.—There are authorized to be appropriated—
“(2) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,186,227 for fiscal year 2020, $2,317,401 for fiscal year 2021, $2,456,445 for fiscal year 2022, $2,603,832 for fiscal year 2023, and $2,760,062 for fiscal year 2024;
“(3) to carry out section 215, $1,992,460 for fiscal year 2020, $2,112,008 for fiscal year 2021, $2,238,728 for fiscal year 2022, $2,373,052 for fiscal year 2023, and $2,515,435 for fiscal year 2024;
“(4) to carry out section 202 (relating to Elder Rights Support Activities under this title), $1,375,011 for fiscal year 2020, $1,457,511 for fiscal year 2021, $1,544,962 for fiscal year 2022, $1,637,660 for fiscal year 2023, and $1,735,919 for fiscal year 2024;
The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended—
(2) in section 202(a)(23) by striking “sections 307(a)(18) and 731(b)(2)” and inserting “sections 307(a)(13) and 731”,
(4) in sections 203(c)(7), 207(b)(2)(B), and 215(i) by striking “Committee on Education and the Workforce” and inserting “Committee on Education and Labor”,
(5) in section 207(b)(3)(A) by striking “Administrator of the Health Care Finance Administration” and inserting “Administrator of the Centers for Medicare and Medicaid Services”,
(6) in section 304(a)(3)(C) by striking “term” and all that follows through “does”, and inserting “term ‘State’ does”,
(7) in section 306(a)—
(a) Authorization of appropriations; uses of funds.—Section 303 of the Older Americans Act of 1965 (42 U.S.C. 3023) is amended to read as follows:
“SEC. 303. Authorization of appropriations; uses of funds.
“(a) (1) There are authorized to be appropriated to carry out part B (relating to supportive services) $413,011,586 for fiscal year 2020, $437,792,281 for fiscal year 2021, $464,059,818 for fiscal year 2022, $491,903,407 for fiscal year 2023, and $521,417,612 for fiscal year 2024.
“(b) (1) There are authorized to be appropriated to carry out subpart 1 of part C (relating to congregate nutrition services) $531,279,663 for fiscal year 2020, $563,156,443 for fiscal year 2021, $596,945,830 for fiscal year 2022, $632,762,580 for fiscal year 2023, and $670,728,334 for fiscal year 2024.
“(2) There are authorized to be appropriated to carry out subpart 2 of part C (relating to home delivered nutrition services) $269,577,167 for fiscal year 2020, $285,751,797 for fiscal year 2021, $302,896,905 for fiscal year 2022, $321,070,719 for fiscal year 2023, and $340,334,963 for fiscal year 2024.
“(c) Grants made under part B, and subparts 1 and 2 of part C, of this title may be used for paying part of the cost of—
“(d) There are authorized to be appropriated to carry out part D (relating to disease prevention and health promotion services) $26,650,753 for fiscal year 2020, $28,249,798 for fiscal year 2021, $29,944,786 for fiscal year 2022, $31,741,473 for fiscal year 2023, and $33,645,961 for fiscal year 2024.
(b) Section 304(a)(3)(D) of the Older Americans Act of 1965 (42 U.S.C. 3024(a)(3)(D)) is amended—
(c) Section 311(e) of the Older Americans Act of 1965 (42 U.S.C. 3030a(e)) is amended to read as follows:
(d) Section 411(b) of the Older Americans Act of 1965 (42 U.S.C. 3032(b)) is amended to read as follows:
“(b) Authorization of appropriations.—There are authorized to be appropriated to carry out—
(e) Section 517(a) of the Older Americans Act of 1965 (42 U.S.C. 3056o(a)) is amended to read as follows:
(f) Section 702 of the Older Americans Act of 1965 (42 U.S.C.3058a) is amended to read as follows:
Union Calendar No. 206 | |||||
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[Report No. 116–258] | |||||
A BILL | |||||
To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes. | |||||
October 28, 2019 | |||||
Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed |