OLDER AMERICANS ACT REAUTHORIZATION ACT OF 2025

Quick facts

Record: Senate Floor
Section type: Floor speeches
Chamber: Senate
Date: July 14, 2026
Congress: 119th Congress
Why this source matters: This section came from the Senate floor portion of the record.

Linked context

People mentioned: Boozman, John
Bills and resolutions: S. 2120 (119th Congress)
Committees: Committee on Health, Education, Labor, and Pensions, Special Committee on Aging, Committee on Education and Workforce

Readable version of the official text

Mr. BOOZMAN. Mr. President, I ask unanimous consent that the Senate Committee on Health, Education, Labor, and Pensions be discharged from further consideration of S. 2120 and the Senate proceed to its immediate consideration.

The PRESIDING OFFICER. The clerk will report the bill by title.

The bill clerk read as follows:

A bill (S. 2120) to amend the Older Americans Act of 1965

to authorize appropriations for fiscal years 2026 through

2030, and for other purposes.

There being no objection, the committee was discharged, and the

Senate proceeded to consider the bill.

Mr. BOOZMAN. I ask unanimous consent that the bill be considered read a third time and passed and that the motion to reconsider be considered made and laid upon the table.

The PRESIDING OFFICER. Without objection, it is so ordered.

The bill (S. 2120) was ordered to be engrossed for a third reading, was read the third time, and passed, as follows:

S. 2120

Be it enacted by the Senate and House of Representatives of

the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Older Americans Act

Reauthorization Act of 2025”.

SEC. 2. TABLE OF CONTENTS.

The table of contents for this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
Sec. 4. Definitions.

TITLE I—STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER

INDIVIDUALS

Sec. 101. Declaration of objectives. Sec. 102. Addressing mental health and substance use disorders and

cognitive impairments of older individuals. Sec. 103. List of national resource centers. Sec. 104. Awareness of relevant Federal programs. Sec. 105. Evaluations and surveys. Sec. 106. Contracting. Sec. 107. Guidance on reallocation of funding between area agencies on

aging. Sec. 108. Right to first refusal. Sec. 109. Area agency on aging capabilities. Sec. 110. Supporting older individuals with disabilities through

improved coordination.
Sec. 111. Business acumen, fiscal training, and technical assistance.
Sec. 112. Enhancing access to assistive technology.
Sec. 113. White House Conference on Aging.
Sec. 114. Technical amendments.

TITLE II—IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR

OLDER INDIVIDUALS

Sec. 201. Disease prevention and health promotion services. Sec. 202. Improving health outcomes. Sec. 203. Technical assistance on evidence-based programs. Sec. 204. Enhancing multipurpose senior centers. Sec. 205. Addressing home modifications. Sec. 206. National resource center for engaging older adults. Sec. 207. Multigenerational and civic engagement activities. Sec. 208. Report relating to health outcomes for older individuals

living with or near family members. Sec. 209. Improving broadband coordination and reducing social

isolation.

TITLE III—ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES

Sec. 301. Medically tailored meals.
Sec. 302. Grab-and-go meals.
Sec. 303. GAO study on Nutrition Services Incentive Program.
Sec. 304. Innovations in nutrition programs and services.

TITLE IV—SUPPORTING FAMILY CAREGIVERS

Sec. 401. Improving the National Family Caregiver Support Program.
Sec. 402. Emphasizing respite care.
Sec. 403. Clarifying supportive services.
Sec. 404. Direct care workforce resource center.
Sec. 405. Supporting Grandparents Raising Grandchildren Act.
Sec. 406. RAISE Family Caregivers Act.

TITLE V—COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT

Sec. 501. Improving the Community Service Employment Program.

Sec. 502. GAO report on alignment within the Community Service

Employment Program.

TITLE VI—IMPROVING SERVICES FOR NATIVE ELDERS

Sec. 601. Older Americans Tribal Advisory Committee.
Sec. 602. Supportive services; set aside.
Sec. 603. GAO report on Tribal services.
Sec. 604. Technical amendments.

TITLE VII—STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND

ELDER ABUSE PREVENTION

Sec. 701. Director of the Office of Long-Term Care Ombudsman Programs. Sec. 702. Legal assistance training resources relating to elder abuse

prevention. Sec. 703. Improving training of volunteers under the State Long-Term

Care Ombudsman Program.
Sec. 704. Reporting on State Long-Term Care Ombudsman Programs.
Sec. 705. Study on State Long-Term Care Ombudsman Programs.

TITLE VIII—AUTHORIZATIONS OF APPROPRIATIONS

Sec. 801. Administration on Aging.
Sec. 802. Grants for State and community programs on aging.
Sec. 803. Activities for health, independence, and longevity.
Sec. 804. Community Service Senior Opportunities Act.
Sec. 805. Grants for Native Americans.
Sec. 806. Allotments for elder rights protection activities.

SEC. 3. REFERENCES.

Except as otherwise expressly provided in this Act,

wherever in this Act an amendment or repeal is expressed in

terms of an amendment to, or a repeal of, a section or other

provision, the reference shall be considered to be made to

that section or other provision of the Older Americans Act of

1965 (42 U.S.C. 3001 et seq.).

SEC. 4. DEFINITIONS.

In this Act, the terms “area agency on aging”,

“Assistant Secretary”, “older individual”, and

“Secretary” have the meanings given such terms in section

102 of the Older Americans Act of 1965 (42 U.S.C. 3002).

TITLE I—STRENGTHENING THE AGING NETWORK TO MEET THE NEEDS OF OLDER

INDIVIDUALS

SEC. 101. DECLARATION OF OBJECTIVES.

Section 101 (42 U.S.C. 3001) is amended—

(1) in the matter preceding paragraph (1), by striking “of

the following objectives:” and inserting “of the objectives

of—”;

(2) in each of paragraphs (1) through (10), by amending the

first word so that it begins with a lowercase letter;

(3) in each of paragraphs (1) through (8), by striking the

period at the end and inserting a semicolon;

(4) in each of paragraphs (9) and (10), by striking the

period at the end and inserting “; and”;

(5) in paragraph (2), by inserting “to improve health

outcomes and reduce health care expenditures” after

“economic status”;

(6) by redesignating paragraphs (1) through (10) as

subparagraphs (A) through (J), respectively, and adjusting

the margins accordingly;

(7) in the matter preceding subparagraph (A) (as so

redesignated), by striking “our democratic society, the

older people” and inserting the following: “our democratic

society—

“(1) the older people”; and

(8) by adding at the end the following:

“(2) the families of older individuals and community-based

organizations, including faith-based organizations, also play

a vital role in supporting and honoring older individuals and

their happiness, dignity, and independence.”.

SEC. 102. ADDRESSING MENTAL HEALTH AND SUBSTANCE USE

DISORDERS AND COGNITIVE IMPAIRMENTS OF OLDER

INDIVIDUALS.

Section 201(f) (42 U.S.C. 3011(f)) is amended to read as

follows:

“(f)(1) 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

Services, including by ensuring that relevant information

disseminated and research conducted or supported by the

Department takes into consideration such services.

“(2) It shall be the duty of the Assistant Secretary,

acting through the individual designated under paragraph (1),

and in consultation with the heads of relevant agencies

within the Department of Health and Human Services, including

the Substance Abuse and Mental Health Services

Administration, to develop objectives, priorities, and a

long-term plan for supporting State and local efforts under

this Act involving education about, and prevention,

detection, and treatment of, mental health and substance use

disorders and cognitive impairments, including age-related

dementia, depression, and Alzheimer's disease and related

neurological disorders with neurological and organic brain

dysfunction.

“(3) Not later than 2 years after the date of enactment of

the Older Americans Act Reauthorization Act of 2025, the

Assistant Secretary shall report to 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 Workforce of the House of Representatives on

the activities of the officer or employee designated under

paragraph (1) in carrying out the requirements under this

subsection, including any activities to identify and reduce

duplication and gaps across the Department in such

information disseminated and research conducted or supported

by the Department.”.

SEC. 103. LIST OF NATIONAL RESOURCE CENTERS.

Section 202 (42 U.S.C. 3012) is amended—

(1) in subsection (d)(4), by striking “Resource Center on

Elder Abuse” and inserting “Center”; and

(2) by striking subsection (h) and inserting the following:

“(h)(1) The Assistant Secretary shall publish online in a

publicly accessible format, on an annual basis, a list of

national resource centers and demonstration projects

authorized under, or administratively established through

funds provided under, this Act.

“(2) The Assistant Secretary shall ensure that the list

published pursuant to paragraph (1)—

“(A) includes—

“(i) a description of each such center and demonstration

project, including the projected goals and activities of each

such center and demonstration project;

“(ii) a citation to the statutory authorization of each

such center and demonstration project, or a citation to the

statutory authority that the Assistant Secretary relies upon

to administratively establish each such center and

demonstration project;

“(iii) the award amount for each such center and

demonstration project; and

“(iv) a summary of any evaluations required under this Act

for each such center, including a description of any measures

of effectiveness; and

“(B) is directly provided to State agencies, area agencies

on aging, and the Committee on Health, Education, Labor, and

Pensions and the Special Committee on Aging of the Senate and

the Committee on Education and Workforce of the House of

Representatives.”.

SEC. 104. AWARENESS OF RELEVANT FEDERAL PROGRAMS.

Title II (42 U.S.C. 3011 et seq.) is amended by inserting

after section 203A (42 U.S.C. 3013a) the following:

“SEC. 203B. AWARENESS OF RELEVANT FEDERAL PROGRAMS.

“In carrying out section 203(a)(1), 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 of, and, subject

to applicable eligibility criteria, have access to, Federal

programs that may advance the objectives of this Act,

including programs described in section 203(b) and other

programs to meet housing, health care, and other supportive

service needs to help such individuals age in place.”.

SEC. 105. EVALUATIONS AND SURVEYS.

Section 206 (42 U.S.C. 3017) is amended—

(1) by striking subsection (d) and inserting the following:

“(d)(1) In carrying out evaluations under this section,

the Secretary shall—

“(A) award grants to, or enter into contracts with, public

or nonprofit private organizations or academic or research

institutions to survey State agencies, area agencies on

aging, and other program and project participants about the

strengths and weaknesses of the programs and projects; and

“(B) conduct, where appropriate, evaluations that compare

the effectiveness of related programs in achieving common

objectives.

“(2) The surveys and evaluations under paragraph (1) shall

include information on programs, services, use and sources of

funding (including any transfer of funding between area

agencies on aging), identified unmet need for services and

related indicators, and any other challenges faced by State

agencies and area agencies on aging in carrying out the

activities of this Act.

“(3) The Secretary shall, in carrying out the evaluations

under paragraph (1), consult with organizations concerned

with older individuals, including organizations that

represent minority individuals, older individuals residing in

rural areas, and older individuals with disabilities.”; and

(2) in subsection (g), by striking “him” and inserting

“the Secretary”.

SEC. 106. CONTRACTING.

(a) In General.—Section 212 (42 U.S.C. 3020c) is amended—

(1) in the section heading, by striking “and grant

authority”;

(2) by striking subsection (a) and inserting the following:

“(a) In General.—Subject to subsection (b), this Act

shall not be construed to prevent a recipient of a grant or a

contract under this Act (other than title V) from entering

into a contract, commercial relationship, or other business

arrangement (referred to in this section as an `agreement')

with a profitmaking organization for the recipient to provide

services to individuals or entities not otherwise receiving

services under this Act, provided that—

“(1) in the case funds provided under this Act are used in

developing or carrying out the agreement—

“(A) such agreement guarantees that the cost is reimbursed

to the recipient;

“(B) if such agreement provides for the provision of 1 or

more services, of the type

provided under this Act by or on behalf of such recipient, to

an individual or entity seeking to receive such services—

“(i) the individuals and entities may only purchase such

services at their fair market rate;

“(ii) all costs incurred by the recipient in providing

such services (and not otherwise reimbursed under

subparagraph (A)), are reimbursed to such recipient; and

“(iii) except in the case of an agreement with a health

plan or health care provider, the recipient reports the rates

for providing such services under such agreement in

accordance with subsection (c) 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 (as applicable); and

“(C) any amount of payment to the recipient under the

agreement that exceeds reimbursement under this subsection of

the recipient's costs is used to provide, or support the

provision of, services under this Act; and

“(2) subject to subsection (e), in the case no funds

provided under this Act are used in developing or carrying

out the agreement—

“(A) not later than 45 days after the agreement first goes

into effect, and annually thereafter until the termination of

such agreement, the recipient of a grant or contract under

this Act shall, in writing—

“(i) notify the State agency of—

“(I) the existence of the agreement; and

“(II) the services provided and populations served under

the agreement; and

“(ii) provide assurances to the State agency that—

“(I) nothing in the agreement—

“(aa) undermines—

“(AA) the duties of the recipient under this Act; or

“(BB) the provision of services in accordance with this

Act; or

“(bb) violates any other terms and conditions of an award

received by the recipient under this Act; and

“(II) any potential real or perceived conflict of interest

with respect to the agreement has been prevented, mitigated,

or otherwise addressed, including providing a description of

any such conflicts of interest and a description of the

actions taken to mitigate such conflicts of interest; and

“(B) not later than 45 days after the population or

services under the agreement substantially change due to an

amendment to the agreement, the recipient shall, in writing—

“(i) notify the State agency of such change; and

“(ii) provide the assurances described in subparagraph

(A)(ii) with respect to such change.”;

(3) by striking subsection (b) and inserting the following:

“(b) Ensuring Appropriate Use of Funds.—An agreement—

“(1) described in subsection (a)(1) may not—

“(A) be made without the prior approval of the State

agency (or, in the case of a grantee under title VI, without

the prior recommendation of the Director of the Office for

American Indian, Alaskan Native, and Native Hawaiian Aging

and the prior approval of the Assistant Secretary), after

timely submission of all relevant documents related to the

agreement including information on all costs incurred; or

“(B) directly or indirectly provide for, or have the

effect of, paying, reimbursing, subsidizing, or otherwise

compensating an individual or entity in an amount that

exceeds the fair market value of the services subject to such

agreement; and

“(2) described in subsection (a) may not—

“(A) result in the displacement of services otherwise

available to an older individual with greatest social need,

an older individual with greatest economic need, or an older

individual who is at risk for institutional placement; or

“(B) in any other way compromise, undermine, or be

inconsistent with the objective of serving the needs of older

individuals, as determined by the Assistant Secretary.”;

(4) by striking subsection (c) and inserting the following:

“(c) Monitoring and Reporting.—To ensure that any

agreement described in subsection (a)(1) complies with the

requirements of this section and other applicable provisions

of this Act, the Assistant Secretary shall develop and

implement uniform monitoring procedures and reporting

requirements consistent with the provisions of subparagraphs

(A) through (E) of section 306(a)(13) in consultation with

the State agencies and area agencies on aging. The Assistant

Secretary shall conduct a review on the impact of such

agreements on the provision of services under this Act,

including the number of agreements per State, summaries of

such agreements, and the impact of such agreements on access

to services consistent with the goals of this Act. The

Assistant Secretary shall annually prepare and submit to 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 Workforce of the House of

Representatives the findings of such review.”; and

(5) by striking subsection (e) and inserting the following:

“(e) Requesting Additional Information for Certain Non-OAA

Agreements.—

“(1) In general.—In the case of an agreement described in

subsection (a)(2), if the State agency has a reasonable

belief that an agreement may violate the assurances provided

under subsection (a)(2)(A)(ii), the State agency may request

additional information from the recipient of funds under this

Act that is a party to such agreement, which may include a

request for a copy of such agreement. Such recipient shall

make a good faith effort to address such request for

additional information, 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

recipient. If such recipient declines to provide a copy of an

agreement to a State agency, such recipient shall provide a

justification to the State agency within 30 days of receiving

such request.

“(2) Confidentiality.—A State agency shall keep

confidential, as required by applicable Federal and State

law, all information received under this subsection that is—

“(A) a trade secret;

“(B) commercial or financial information; and

“(C) information obtained from an individual that is

privileged and confidential.

“(f) Definitions.—In this section:

“(1) Cost.—The term `cost' means an expense, including an

administrative expense, incurred by a recipient in developing

or carrying out an agreement described in subsection (a),

whether the recipient contributed funds, staff time, or other

plant, equipment, or services to meet the expense.

“(2) Recipient.—The term `recipient' means an area agency

on aging in a State with multiple planning and service

areas.”.

(b) Area Plans.—Section 306 (42 U.S.C. 3026) is amended—

(1) in subsection (a)(13)—

(A) in subparagraph (B)(i), by striking “any service to

older individuals” and inserting “any service under this

Act to older individuals or caregivers”; and

(B) in subparagraph (E), by inserting “or caregivers under

this Act” after “older individuals”; and

(2) in subsection (g), by inserting “, except as provided

under section 212(a)(2),” after “Nothing in this Act”.

SEC. 107. GUIDANCE ON REALLOCATION OF FUNDING BETWEEN AREA

AGENCIES ON AGING.

(a) In General.—Not later than 1 year after the date of

enactment of this Act, the Assistant Secretary shall

disseminate one-time guidance to State agencies (as defined

in section 102 of the Older Americans Act of 1965 (42 U.S.C.

3002)) and area agencies on aging on circumstances under

which funds appropriated pursuant to part B and subparts 1

and 2 of part C of title III of the Older Americans Act (42

U.S.C. 3030d et seq., 42 U.S.C. 3030e et seq., 42 U.S.C.

3030f et seq.) may be appropriate to reallocate between area

agencies on aging within a single State, with the approval of

the State agency and the concurrence of any involved area

agencies on aging, within a budget year.

(b) Considerations.—In disseminating the guidance under

subsection (a), the Assistant Secretary may consider

circumstances that affect the expenditure of the funds

described in such subsection.

SEC. 108. RIGHT TO FIRST REFUSAL.

Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is amended

to read as follows:

“(B) Whenever a State agency designates a new area agency

on aging after the date of enactment of the Older Americans

Act Reauthorization Act of 2025, the State agency shall give

the right to first refusal to a unit of general purpose local

government if—

“(i) such unit can meet the requirements of subsection

(c);

“(ii)(I) such unit has demonstrated experience

administering services for older individuals; or

“(II) the State agency determines that there is not

another entity eligible under subsection (c)(1) within the

planning and service area with such demonstrated experience;

and

“(iii) the boundaries of such unit and the boundaries of

the planning and service area are reasonably contiguous.”.

SEC. 109. AREA AGENCY ON AGING CAPABILITIES.

(a) Organization.—Section 305(c) (42 U.S.C. 3025(c)) is

amended—

(1) by redesignating paragraphs (1) through (5) as

subparagraphs (A) through (E), respectively, and moving such

subparagraphs 2 ems to the right;

(2) by striking “shall be” and inserting the following:

“shall—

“(1) be—”;

(3) in subparagraph (E), as so redesignated—

(A) by striking “(b)(5)” and inserting “(b)(5)(A)”; and

(B) by inserting “and” after the semicolon; and

(4) by striking “and shall provide assurance,” and all

that follows through “the area plan.” and inserting the

following:

“(2) provide assurance, determined adequate by the State

agency, that the area agency on aging will have the ability,

and maintain the capabilities necessary, to develop an area

plan as required under section 306(a), and carry out,

directly or through contractual or other arrangements, and

oversee activities in accordance with—

“(A) the plan within the planning and service area;

“(B) any other relevant requirements of this Act;

“(C) other applicable Federal and State laws; and

“(D) other terms and conditions of awards received under

this Act.

In designating an area agency on aging within the planning

and service area or within any unit of general purpose local

government designated as a planning and service area, the

State shall give preference to an established office on

aging, unless the State agency finds that no such office

within the planning and service area will have the capacity

to carry out the area plan.”.

(b) Plans.—Section 306(f)(1) (42 U.S.C. 3026(f)(1)) is

amended—

(1) by inserting “the assurances required under section

305(c)(2),” after “of this section,”; and

(2) by striking the period at the end and inserting “, and

if the State agency determines, in the discretion of the

State agency, that an area agency on aging failed in 2

successive years to comply with the requirements under this

title, then the State agency may require the area agency on

aging to submit a plan for a 1-year period that meets such

requirements, for subsequent years until the State agency

determines that the area agency on aging is in compliance

with such requirements.”.

SEC. 110. SUPPORTING OLDER INDIVIDUALS WITH DISABILITIES

THROUGH IMPROVED COORDINATION.

(a) Area Plans.—Section 306(a)(5) (42 U.S.C. 3026(a)(5))

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 disabilities, which may include centers

for independent living, relevant service providers, and other

community-based organizations, as appropriate”.

(b) Supporting Older Individuals With Disabilities Through

Improved Coordination.—

(1) In general.—The Administrator of the Administration

for Community Living of the Department of Health and Human

Services (referred to in this section as the

“Administrator”) shall identify—

(A) opportunities to improve coordination between the aging

and disability networks, which may include the formation of

partnerships to serve individuals eligible for programs under

the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.);

(B) lessons learned from disability networks, including

centers for independent living, State developmental

disabilities councils, university centers for excellence in

developmental disabilities education, research, and service,

and State protection and advocacy agencies that could improve

operations and service delivery within the aging network; and

(A) and (B).

(2) Guidance.—Not later than 2 years after the date of

enactment of this Act, the Administrator shall issue guidance

to State agencies and area agencies on aging on strategies to

leverage disability networks, including centers for

independent living, State developmental disabilities

councils, university centers for excellence in developmental

disabilities, education, research, and service, and State

protection and advocacy agencies, as appropriate, to

strengthen the provision of services under the Older

Americans Act of 1965 (42 U.S.C. 3001 et seq.).

(3) Technical assistance.—The Administrator shall

coordinate across the Administration for Community Living to

address any technical assistance needs identified under

paragraph (1)(C) in a manner that does not unnecessarily

duplicate other technical assistance activities carried out

prior to the date of enactment of this Act.

(1) in paragraph (4), by striking “(as defined in section

3 of the Americans with Disabilities Act of 1990 (42 U.S.C.

12102))”;

(2) in paragraph (13), by striking “The term” and all

that follows through “adjustment.” and inserting “The term

`disability' has the meaning given such term in section 3 of

the Americans with Disabilities Act of 1990 (42 U.S.C.

12102).”; and

(3) in paragraph (49)(B), by striking “of the major life

activities specified in subparagraphs (A) through (G) of

paragraph (8)” and inserting “major life activities

specified in section 3(2) of the Americans with Disabilities

Act of 1990 (42 U.S.C. 12102(2)).”.

SEC. 111. BUSINESS ACUMEN, FISCAL TRAINING, AND TECHNICAL

ASSISTANCE.

Section 307(a) (42 U.S.C. 3027(a)) is amended by adding at

the end the following:

“(31) The plan shall provide assurances that the State

agency, to the extent feasible and when applicable and

appropriate, provides technical assistance for area agencies

on aging related to the development of business acumen, sound

fiscal practices, capacity building, organizational

development, innovation, 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 effectively.”.

SEC. 112. ENHANCING ACCESS TO ASSISTIVE TECHNOLOGY.

Section 307(a) (42 U.S.C. 3027(a)), as amended by section

111 of this Act, is further amended by adding at the end the

following:

“(32) The plan shall provide assurances that the State

will coordinate services, to the extent feasible, with lead

agencies designated to carry out State assistive technology

programs under the Assistive Technology Act of 1998 (29

U.S.C. 3001 et seq.) and with area agencies on aging to

assist eligible older individuals, including older

individuals with disabilities, in accessing and acquiring

assistive technology.”.

SEC. 113. WHITE HOUSE CONFERENCE ON AGING.

The Older Americans Act Amendments of 1987 (42 U.S.C. 3001

note; Public Law 100-175) is amended by striking title II and

inserting the following:

“TITLE II—WHITE HOUSE CONFERENCE ON AGING

“SEC. 201. AUTHORIZATION OF THE CONFERENCE.

“(a) Authority To Call Conference.—Not earlier than

January 21, 2025 and not later than December 31, 2025, the

President shall convene the White House Conference on Aging

in order to fulfill the purpose set forth in subsection (c)

and to make fundamental policy recommendations regarding

programs that are important to older individuals and to the

families and communities of such individuals.

“(b) Planning and Direction.—The Conference described in

subsection (a) shall be planned and conducted under the

direction of the Secretary, in cooperation with the Assistant

Secretary for Aging, the Director of the National Institute

on Aging, the Administrator of the Centers for Medicare &

Medicaid Services, the Social Security Administrator, and the

heads of such other Federal agencies serving older

individuals as are appropriate. Planning and conducting the

Conference includes the assignment of personnel.

“(c) Purpose.—The purpose of the Conference described in

subsection (a) shall be to gather individuals representing

the spectrum of thought and experience in the field of aging

to—

“(1) evaluate the manner in which the objectives of the

Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be

met by using the resources and talents of older individuals,

of families and communities of such individuals, and of

individuals from the public and private sectors;

“(2) evaluate the manner in which Federal policies,

programs, and activities meet and respond to the needs of

older individuals, including an examination of innovative and

fiscally responsible strategies relating to retirement

security, caregiving, nutrition and supportive services,

health care, elder justice, and long-term services and

supports;

“(3) be informed by the work and recommendations of the

Interagency Coordinating Committee on Healthy Aging and Age-

Friendly Communities, evaluate the recommendations of the

Committee, and, as appropriate, suggest implementation

strategies for such recommendations; and

“(4) develop recommendations to guide the President,

Congress, and Federal agencies in improving Federal programs

that serve older individuals, which may relate to the

prevention and mitigation of disease, injury, abuse, social

isolation, loneliness, and economic insecurity, including

food insecurity, and promotion of healthy aging in place.

“(d) Conference Participants and Delegates.—

“(1) Participants.—In order to carry out the purposes of

this section, the Conference shall bring together—

“(A) representatives of Federal, State, Tribal, and local

governments;

“(B) professionals and volunteers who are working in the

field of aging; and

“(C) representatives of the general public, particularly

older individuals.

“(2) Selection of delegates.—The delegates shall be

selected without regard to political affiliation or past

partisan activity and shall, to the best of the appointing

authority's ability, be representative of the spectrum of

thought in the field of aging. Delegates shall include older

individuals, individuals who are professionals in the field

of aging, individuals who are community leaders, minority

individuals, individuals from rural areas, low-income

individuals, and representatives of Federal, State, Tribal,

and local governments.

“SEC. 202. CONFERENCE ADMINISTRATION.

“(a) Administration.—In administering this section, the

Secretary shall—

“(1) consult with relevant State, Tribal, and local

officials, stakeholders, and subject matter experts in

planning the Conference;

“(2) request the cooperation and assistance of the heads

of such other Federal departments and agencies, including

such officials of the Interagency Coordinating Committee on

Healthy Aging and Age-Friendly Communities, as may be

appropriate in the carrying out of this section;

“(3) make available for public comment a proposed agenda

for the Conference, which will reflect to the greatest extent

possible the major issues facing older individuals,

consistent with the provisions of section 201(c);

“(4) prepare and make available such background materials

for the use of delegates to the Conference as the Secretary

deems necessary; and

“(5) engage such additional personnel as may be necessary

to carry out the provisions of this section without regard to

provisions of title 5, United States Code, governing

appointments in the competitive service, and without regard

to chapter 51 and subchapter III of chapter 53 of such title,

relating to classification and General Schedule pay rates.

“(b) Duties.—The Secretary shall, in carrying out the

Secretary's responsibilities and functions under this

section, and as part of the White House Conference on Aging,

ensure that—

“(1) the agenda prepared under subsection (a)(3) for the

Conference is published in the Federal Register not later

than 30 days after such agenda is approved by the Secretary;

“(2) the personnel engaged under subsection (a)(5) shall

be fairly balanced in terms of points of views represented

and shall be appointed without regard to political

affiliation or previous partisan activities;

“(3) the recommendations of the Conference are not

inappropriately influenced by any appointing authority or by

any special interest, but will instead be the result of the

independent judgment of the Conference; and

“(4) current and adequate statistical data, including

decennial census data, and other information on the well-

being of older individuals in the United States, are readily

available, in advance of the Conference, to the delegates of

the Conference, together with such information as may be

necessary to evaluate Federal programs and policies relating

to aging. In carrying out this subparagraph, the Secretary is

authorized to make grants to, and enter into cooperative

agreements with, public agencies and nonprofit private

organizations.

“(c) Gifts.—The Secretary may accept, on behalf of the

United States, gifts (in cash or in kind, including voluntary

and uncompensated services) that shall be available to carry

out this title. Gifts of cash shall be available in addition

to amounts appropriated to carry out this title. Gifts may be

earmarked by the donor for a specific purpose.

“(d) Records.—The Secretary shall maintain records

regarding—

“(1) the sources, amounts, and uses of gifts accepted

under subsection (c); and

“(2) the identity of each person receiving assistance to

carry out this title, and the amount of such assistance

received by each such person.

“SEC. 203. REPORT OF THE CONFERENCE.

“(a) Preliminary Report.—Not later than 100 days after

the date on which the Conference adjourns, the Secretary

shall publish and deliver to the States a preliminary report

on the Conference. Comments on the preliminary report of the

Conference shall be accepted by the Secretary.

“(b) Final Report.—Not later than 180 days after the date

on which the Conference adjourns, 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 report.

“SEC. 204. DEFINITIONS.

“In this title:

“(1) Conference.—The term `Conference' means the White

House Conference on Aging.

“(2) Secretary.—The term `Secretary' means the Secretary

of Health and Human Services.

“(3) State.—The term `State' means any of the several

States, the District of Columbia, the Commonwealth of Puerto

Rico, Guam, American Samoa, the Virgin Islands of the United

States, the Trust Territory of the Pacific Islands, or the

Commonwealth of the Northern Mariana Islands.”.

SEC. 114. TECHNICAL AMENDMENTS.

The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is

amended—

(1) in section 201(d)(3)(J) (42 U.S.C. 3011(d)(3)(J)), by

striking “Speaker of the House of Representatives and the

President pro tempore of the Senate” and inserting

“Committee on Health, Education, Labor, and Pensions of the

Senate and the Committee on Education and Workforce of the

House of Representatives”;

(2) in section 202(b)(8)(E) (42 U.S.C. 3012(b)(8)(E)), by

striking “preventative health benefits under the provisions

of, and amendments made by, the Medicare Prescription Drug,

Improvement, and Modernization Act of 2003” and inserting

“preventive health benefits under such program”;

(3) in section 203(c)(7) (42 U.S.C. 3013(c)(7))—

(A) in the matter preceding subparagraph (A), by striking

“the Committee on Education and Labor of the House of

Representatives” and inserting “the Committee on Education

and Workforce of the House of Representatives”; and

(B) in subparagraph (C), by striking “chairman” and

inserting “chairperson”;

(4) in section 339 (42 U.S.C. 3030g-21), by striking “this

chapter” each place it appears and inserting “this part”;

and

(5) in section 432(b)(1) (42 U.S.C. 3033a(b)(1)), by

striking “Speaker of the House of Representatives and the

President pro tempore of the Senate” and inserting

“Committee on Health, Education, Labor, and Pensions of the

Senate and the Committee on Education and Workforce of the

House of Representatives”.

TITLE II—IMPROVING HEALTH OUTCOMES AND ENCOURAGING INDEPENDENCE FOR

OLDER INDIVIDUALS

SEC. 201. DISEASE PREVENTION AND HEALTH PROMOTION SERVICES.

Section 102(14) (42 U.S.C. 3002(14)) is amended—

(1) in subparagraph (B), by inserting “heart rate,

respiratory function,” after “hearing,”;

(2) in subparagraph (K), by inserting “providing” before

“information”;

(3) by redesignating subparagraphs (L), (M), (N), and (O),

as subparagraphs (M), (N), (O), and (P), respectively;

(4) by inserting after subparagraph (K) the following:

“(L) providing information concerning testing, diagnosis,

and treatment of infectious diseases, taking into

consideration infectious diseases for which older individuals

are at increased risk of infection or serious health

outcomes;”; and

(5) in subparagraph (P), as so redesignated, by striking

“subparagraphs (A) through (N)” and inserting

“subparagraphs (A) through (O)”.

SEC. 202. IMPROVING HEALTH OUTCOMES.

(a) Research and Evaluation Activities.—Section 201 (42

U.S.C. 3011) is amended—

(1) in subsection (c)(3)(B), by striking “in behalf” and

inserting “on behalf”; and

(2) in subsection (g)—

(A) in paragraph (3)(A)(ii), by inserting “reduction of

health care expenditures,” after “quality of life,”; and

(B) in paragraph (7), by inserting “and recommendations

relating to further research, evaluation, and demonstration

projects conducted under this section” after “title IV”.

(b) Falls Prevention Programs.—Section 411(a)(15) (42

U.S.C. 3032(a)(15)) is amended to read as follows:

“(15) bringing to scale and sustaining evidence-based

falls prevention programs to reduce the number of falls, fear

of falling, and fall-related injuries affecting older

individuals, including older individuals with disabilities,

which shall—

“(A) provide training and technical assistance to the

aging network; and

“(B) share best practices with the aging network,

including the Aging and Disability Resource Centers;”.

Age-Friendly Communities.—Section 203(c) (42 U.S.C. 3013(c))

is amended—

(1) in paragraph (6)(B)—

(A) in clause (ii), by striking “and” after the

semicolon;

(B) in clause (iii), by inserting “and” after the

semicolon; and

“(iv) strategies to address social isolation, including by

promoting strong and stable connections across different

generations in a family and in the community;”; and

(2) in paragraph (7), as amended by section 114(3)—

(A) in subparagraph (B), by striking “and” at the end;

(B) by redesignating subparagraph (C) as subparagraph (D);

and

“(C) contains an assessment of the effectiveness of

relevant Federal efforts and programs, including

implementation of best practices described in paragraph

(6)(B); and”.

SEC. 203. TECHNICAL ASSISTANCE ON EVIDENCE-BASED PROGRAMS.

(a) Technical Assistance.—The Assistant Secretary, at the

request of a State agency (as defined in section 102 of the

Older Americans Act of 1965 (42 U.S.C. 3002)) or area

agencies on aging, may provide technical assistance on the

requirements of evidence-based programs under the Older

Americans Act of 1965 (42 U.S.C. 3001 et seq.).

(b) Consideration.—The Assistant Secretary may consider

whether there are evidence-informed practices, based on the

best available science, that may improve health outcomes.

SEC. 204. ENHANCING MULTIPURPOSE SENIOR CENTERS.

(a) In General.—Section 202(a)(30) (42 U.S.C. 3012(a)(30))

is amended by inserting “, access to services provided at

multipurpose senior centers, and (where appropriate) the

establishment and maintenance of multipurpose senior

centers” before the semicolon at the end.

(b) Area Agency on Aging Plans.—Section 306(a)(2)(A) (42

U.S.C. 3026(a)(2)(A)) is amended by inserting “, including

those services provided at multipurpose senior centers, where

appropriate” before the semicolon at the end.

3027(a)(2)(A)) is amended by inserting “and, to the extent

feasible, make such evaluation public” before the semicolon

at the end.

SEC. 205. ADDRESSING HOME MODIFICATIONS.

(a) Indoor Air Quality.—Section 361(c) (42 U.S.C.

3030m(c)) is amended by striking “buildings” and all that

follows and inserting “buildings and residences where older

individuals congregate or live”.

(b) Weatherization.—Section 321(a)(4) (42 U.S.C.

3030d(a)(4)) is amended by striking subparagraph (A) and

inserting “(A) to assist older individuals in obtaining and

maintaining adequate housing, including residential repair

and renovation projects, and (if assistance for

weatherization projects does not unnecessarily duplicate

other Federal assistance available) weatherization projects,

designed to enable older individuals to maintain their homes

in conformity with minimum housing and (as applicable and

appropriate) other relevant standards, in order to support

such older individuals in aging in place and maintaining

their health;”.

SEC. 206. NATIONAL RESOURCE CENTER FOR ENGAGING OLDER ADULTS.

Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is amended by

inserting “, such as providing appropriate training,

resources, and best practices to the aging network” after

“older individuals”.

SEC. 207. MULTIGENERATIONAL AND CIVIC ENGAGEMENT ACTIVITIES.

Section 417 (42 U.S.C. 3032f) is amended—

(1) in subsection (a)—

(A) in the matter preceding paragraph (1), by striking

“projects,” and all that follows through “to—” and

inserting the following: “projects to serve individuals in

younger generations and older individuals by developing,

carrying out, and promoting participation in

multigenerational activities to—”;

(B) in paragraph (2), by adding “and” at the end;

individuals to become a mentor to individuals in younger

generations; and” and inserting “opportunities—

“(A) for older individuals to become mentors to

individuals in younger generations; and

“(B) at facilities that serve older individuals or

individuals in younger generations, at which

multigenerational activities might occur.”; and

(D) by striking paragraph (4);

(2) in subsection (c)(2), by striking “(4)” and inserting

“(3)”;

(3) in subsection (d)—

(A) by striking paragraph (1); and

(B) by redesignating paragraphs (2) through (5) as

paragraphs (1) through (4), respectively;

(4) in subsection (g)—

(A) in paragraph (1), in the matter preceding subparagraph

(A), by striking “of enactment of the Supporting Older

Americans Act of 2020,” and inserting “on which the first

grant is awarded under this section following the date of

enactment of the Older Americans Act Reauthorization Act of

2025,”; and

(B) in paragraph (2), in the matter preceding subparagraph

(A), by striking “the Speaker of the House of

Representatives and the President pro tempore of the Senate”

and inserting “the Committee on Health, Education, Labor,

and Pensions of the Senate and the Committee on Education and

Workforce of the House of Representatives”; and

(5) in subsection (h)(1), by striking “or a family support

program.” and inserting “or a family support program, or a

program at a multipurpose senior center, long-term care

facility, or any other residential facility for older

individuals.”.

SEC. 208. REPORT RELATING TO HEALTH OUTCOMES FOR OLDER

INDIVIDUALS LIVING WITH OR NEAR FAMILY MEMBERS.

(a) In General.—The Secretary shall prepare a report that

assesses—

(1) the health outcomes for older individuals who live

with, on the same property as, or otherwise in the community

in close geographic proximity, relative to the area, to

family members; and

(2) the degree to which programs under the Older Americans

Act of 1965 (42 U.S.C. 3001 et seq.) promote living in the

settings described in paragraph (1), as appropriate.

(b) Inclusion.—The report described under subsection (a)

shall include—

(1) an assessment of physical and mental health outcomes of

older individuals who live in the settings described in

subsection (a)(1) in comparison to physical and mental health

outcomes of older individuals who do not live in such

settings;

(2) an assessment of the extent to which living in such

settings mitigates social isolation and loneliness in older

individuals; and

(3) a description of the different types of such settings

and whether, and to what extent, findings under paragraphs

(1) and (2) vary across such different types.

enactment of this Act, the Secretary shall submit to the

Committee on Health, Education, Labor, 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 (a).

SEC. 209. IMPROVING BROADBAND COORDINATION AND REDUCING

SOCIAL ISOLATION.

(a) In General.—The Assistant Secretary shall, as

appropriate, coordinate with the Assistant Secretary of

Commerce for Communications and Information of the National

Telecommunications and Information Administration to ensure

that the aging network (as defined in section 102 of the

Older Americans Act of 1965 (42 U.S.C. 3002)) and other

relevant stakeholders are aware of, and, subject to

applicable eligibility criteria, have access to, Federal

programs relating to digital literacy and the adoption of

broadband that may support healthy aging and aging in place

for older individuals.

(b) Report.—Not later than 90 days after the date of

enactment of this Act, the Assistant Secretary shall prepare,

and submit to the Committee on Health, Education, Labor, and

Pensions, the Special Committee on Aging, and the Committee

on Commerce, Science, and Transportation of the Senate and

the Committee on Education and Workforce of the House of

Representatives, a report regarding any coordination efforts

carried out pursuant to subsection (a).

TITLE III—ENHANCING INNOVATION AND FLEXIBILITY IN NUTRITION SERVICES

SEC. 301. MEDICALLY TAILORED MEALS.

(a) Definitions.—Section 102(14) (42 U.S.C. 3002(14)) is

amended—

(1) in subparagraph (C), by inserting “, which may include

counseling related to the provision of medically tailored

meals,” after “counseling”; and

(2) in subparagraph (D), by inserting “(including from

medically tailored meals)” after “improved nutrition”.

(b) Administration of Nutrition Services.—Section

205(a)(2)(A) (42 U.S.C. 3016(a)(2)(A)) is amended—

(1) in clause (vi), by inserting “, including through the

use of innovative approaches” after “systems”; and

(2) in clause (viii), by inserting “and innovative

interventions” after “including strategies”.

3020e(2)(C)) is amended by inserting “, including

interventions,” after “other activities”.

(d) Nutrition Services Purposes.—Section 330(3) (42 U.S.C.

3030d-21(3)) is amended by inserting “, tailored to their

individual medical and nutritional needs to the extent

feasible,” after “services”.

SEC. 302. GRAB-AND-GO MEALS.

Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by

adding at the end the following:

“(E) A State may elect in its plan under section 307 to

allow use of not more than 25 percent of the funds received

by such State under subpart 1 of part C, calculated after any

transfers under subparagraphs (A) and (B) are completed, to

make meals available at congregate meal sites or other

community locations for consumption by older individuals

outside such sites and locations, such as carry-out or

similar meals. A State electing to allow use of funds under

the preceding sentence shall—

“(i) ensure that such allowable use complements the

delivery of services through the congregate meals program

under section 331; and

“(ii) notify the Assistant Secretary of such election,

including a description of the amount and percentage of funds

received by such State under subpart 1 of part C to be used

for such purposes.”.

SEC. 303. GAO STUDY ON NUTRITION SERVICES INCENTIVE PROGRAM.

(a) In General.—The Comptroller General of the United

States shall conduct a study to evaluate the Nutrition

Services Incentive Program under section 311 (42 U.S.C.

3030a) (referred to in this section as the “Program”).

(b) Inclusions.—The study under this section—

(1) shall—

(A) include an assessment of how States and Tribal

organizations use funding provided under the Program,

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 Program; and

(B) identify any challenges or barriers to increasing the

use of local and regional producers under the Program; and

(2) may make recommendations related to improving the

effectiveness of the Program, including with respect to the

use of local and regional producers.

date of enactment of this Act, the Comptroller General of the

United States shall submit to the Committee on Health,

Education, Labor, and Pensions and the Special Committee on

Aging of the Senate and the Committee on Education and

Workforce of the House of Representatives a report on the

results of the study under this section.

SEC. 304. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.

Subpart 3 of part C of title III (42 U.S.C. 3030g-21 et

seq.) is amended by adding at the end the following:

“SEC. 340. INNOVATIONS IN NUTRITION PROGRAMS AND SERVICES.

“(a) Demonstration To Reduce Hunger, Food Insecurity, and

Malnutrition.—

“(1) In general.—From funds available under paragraph

(5), the Assistant Secretary shall make grants, on a

competitive basis, to eligible entities, to achieve the

purposes of section 330(1) by developing, testing,

implementing, and evaluating innovative local or regional

approaches to improve the quality, effectiveness, efficiency,

and outcomes of nutrition projects and services described in

sections 311, 331, and 336.

“(2) Eligibility.—In order to be eligible for a grant

under paragraph (1), an entity shall—

“(A) be—

“(i) a State agency, an area agency on aging, an Indian

Tribe, a Tribal organization, or another public or nonprofit

private entity, including a nutrition service provider, a

multipurpose senior center, a health care entity, or an

institution of higher education; or

“(ii) a partnership between any entities described in

clause (i); and

“(B) submit an application at such time and in such manner

as the Assistant Secretary may require, including—

“(i) a description of an innovative approach referred to

in paragraph (1) that the entity proposes to implement under

the grant;

“(ii) a plan for evaluating the effectiveness, including

cost-effectiveness, of the innovative approach proposed; and

“(iii) a plan for the publication of the results of such

evaluation.

“(3) Priority.—In selecting eligible entities for grants

under this subsection, the Assistant Secretary shall give

priority to eligible entities proposing to carry out a grant

in 1 or more rural areas.

“(4) Report.—Not later than 1 year after the date of

enactment of the Older Americans Act Reauthorization Act of

2025, and annually thereafter, the Assistant Secretary shall

submit a report to the Committee on Health, Education, Labor,

and Pensions and the Special Committee on Aging of the Senate

and the Committee on Education and

Workforce of the House of Representatives describing any

activities carried out under paragraph (1), an assessment of

the outcomes of such activities using rigorous methodologies,

and recommendations for inclusion of any successful

innovative approaches within nutrition programs established

under this Act.

“(5) Reservation.—From the total of the amounts made

available for a fiscal year under paragraphs (1) and (2) of

section 303(b) and in section 311(e), the Assistant Secretary

shall reserve an amount equal to not more than 1 percent to

carry out activities described in paragraph (1) of this

subsection.

“(b) Innovative Approaches To Reduce Hunger, Food

Insecurity, and Malnutrition.—

“(1) In general.—Subject to paragraph (6), in carrying

out nutrition projects established under this Act, a State

agency or title VI grantee may implement innovative

approaches, including any applicable approaches implemented

previously by the Assistant Secretary or pursuant to

subsection (a), that are demonstrated to be effective, to

achieve the purposes described in section 330(1) by

improving—

“(A) the quality, composition, preparation, modality,

delivery, or location of meals provided to older individuals

under this Act; or

“(B) the efficiency and effectiveness of distributing,

delivering, or otherwise making meals available to older

individuals under this Act.

“(2) Waiver.—At the request of a State agency

implementing an approach under paragraph (1), the Assistant

Secretary may waive any requirements of subpart 1 or 2 with

respect to such State agency if such requirements impede the

ability of such State agency to successfully implement such

an approach.

“(3) Flexibility.—The Secretary shall provide maximum

flexibility to a title VI grantee implementing an approach

under paragraph (1) in the same manner as the Secretary

provides maximum flexibility in accordance with section

614(c)(3).

“(4) Sunset.—The authority to carry out activities

described in paragraph (1) shall expire on October 1, 2030.

“(5) Report.—Not later than September 30, 2029, the

Assistant Secretary shall submit a report to the Committee on

Health, Education, Labor, and Pensions and the Special

Committee on Aging of the Senate and the Committee on

Education and Workforce of the House of Representatives

describing any activities carried out by State agencies or

title VI grantees under paragraph (1), an assessment of the

outcomes of such activities using rigorous methodologies, and

recommendations for inclusion of any successful innovative

approaches within nutrition programs established under this

Act.

“(6) Use of allotment.—If the amount appropriated to

carry out section 311 for a fiscal year exceeds the amount

appropriated to carry out section 311 for the prior fiscal

year or fiscal year 2024, whichever is greater, a State

agency and title VI grantee in receipt of an allotment under

section 311(b) may elect to use the difference between the

allotment received for the fiscal year and the allotment

received for the prior fiscal year or fiscal year 2024,

whichever is greater, for activities described in paragraph

(1).

“(7) Rule of construction.—Nothing in this subsection

shall be construed as limiting or prohibiting the

requirements described in section 339 from applying to

nutrition projects utilizing an innovative approach under

this subsection.”.

TITLE IV—SUPPORTING FAMILY CAREGIVERS

SEC. 401. IMPROVING THE NATIONAL FAMILY CAREGIVER SUPPORT

PROGRAM.

(a) State Requirements for State and Community Programs on

Aging Grants.—Section 305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E))

is amended—

(1) in clause (i), by striking “and” at the end;

(2) in clause (ii), by striking the period at the end and

inserting “; and”; and

(3) by adding at the end the following:

“(iii) available supports for family caregivers and older

relative caregivers (as defined in section 372(a)).”.

(b) Area Plan Requirements.—Section 306(a)(7)(D) (42

U.S.C. 3026(a)(7)(D)) is amended—

(1) in clause (i), by striking “and” at the end;

(2) in clause (ii), by adding “and” after the semicolon;

and

(3) by adding at the end the following:

“(iii) available supports for family caregivers and older

relative caregivers (as defined in section 372(a));”.

Support Program.—

(1) In general.—Section 372(a) (42 U.S.C. 3030s(a)) is

amended—

(A) in paragraph (1)—

(i) in the first sentence, by striking “The term” and

inserting the following:

“(A) In general.—The term”; and

(ii) in subparagraph (A) (as so designated), in the second

sentence—

(I) by striking the period at the end and inserting “;

and”;

(II) by striking “Such assessment shall be administered

through” and inserting the following:

“(B) Administration of assessments.—A caregiver

assessment under subparagraph (A) shall—

“(i) be administered through”; and

(III) by adding at the end the following:

“(ii) take into account—

“(I) linguistic and cultural differences;

“(II) the ease for the caregiver to access information,

supports, or services, and the timeliness of access to such

information, supports, or services;

“(III) barriers to accessing information, supports, or

services;

“(IV) the availability of information, supports, or

services in accessible formats; and

“(V) the quality of information, supports, or services

received, and the degree to which it is helpful to the

caregiver.”;

(B) by striking paragraph (2) and inserting the following:

“(2) Child or youth.—The term `child or youth' means an

individual who is not more than—

“(A) 18 years of age; or

“(B) 22 years of age, in the case of an individual who is

enrolled in any form of schooling (including on a part-time

basis), including—

“(i) in high school or secondary school (as such terms are

defined in section 8101 of the Elementary and Secondary

Education Act of 1965 (20 U.S.C. 7801)); or

“(ii) in an institution of higher education (as defined in

section 102 of the Higher Education Act of 1965 (20 U.S.C.

1002)).”; and

(i) in clause (i), by inserting “adult” after “or

other”; and

(ii) by amending clause (iii) to read as follows:

“(iii)(I) has a legal relationship to the child or youth,

such as legal custody, adoption, or guardianship, or is

raising the child or youth informally; and

“(II) in the case of a child or youth described in

paragraph (2)(B) who is 18 years of age or older, had

established such a legal relationship, or began raising such

child or youth informally, prior to the child or youth

reaching the age of 18; and”.

(2) Conforming amendments.—Part E of title III (42 U.S.C.

3030s et seq.) is amended—

(A) by inserting “or youth” after “child” each place it

appears (other than in sections 372(a)(2) (as amended by

paragraph (1)(B)) and 372(a)(4)(B)(iii) (as amended by

paragraph (1)(C)(ii))); and

(B) in section 373(c)(2)(B) (42 U.S.C. 3030s-1(c)(2)(B)),

by inserting “or youth” after “children”.

(d) Program Authorized.—Section 373 (42 U.S.C. 3030s-1) is

amended—

(1) in subsection (b)(3)—

(A) by inserting “which may include trauma-informed

services, peer supports,” after “individual counseling,”;

and

(B) by inserting “elder abuse prevention,” after

“nutrition,”;

(2) in subsection (c)—

(A) in the subsection heading, by striking “Priority” and

inserting “Priority; Consideration”; and

(B) by adding at the end the following:

“(3) Consideration.—In providing services under this

part, the State shall consider—

“(A) that older relative caregivers caring for multiple

children or youth may need greater resources and supports;

and

“(B) the circumstances and unique needs of different types

of caregivers, including the needs of children or youth and

their older relative caregivers whose families have been

affected by substance use disorder, including opioid use

disorder.”;

(3) in subsection (e)—

(A) in the matter preceding paragraph (1), by striking

“Not later than” and all that follows through “the

Assistant Secretary shall” and inserting “The Assistant

Secretary shall, on a regular basis”;

(B) in paragraph (1)—

(i) in subparagraph (B), by striking “and” at the end;

(ii) by redesignating subparagraph (C) as subparagraph (D);

and

(iii) by inserting after subparagraph (B) the following:

“(C) the use of caregiver assessments; and”; and

inserting “prepare, publish, and disseminate”;

(4) in subsection (i)—

(A) in paragraph (1), by inserting “, which may include

the improvement of the quality and consistency of caregiver

assessments and access to other information, supports, or

services” after “section 631”; and

(B) in paragraph (2), by inserting “(including outcome

measures)” after “program evaluation”; and

(5) in subsection (j)—

(A) in the matter preceding paragraph (1), by striking

“Not later than” and all that follows through “shall

provide technical assistance” and inserting “Beginning not

later than 1 year after the date of enactment of the Older

Americans Act Reauthorization Act of 2025, the Assistant

Secretary, in consultation with stakeholders with appropriate

expertise and, as appropriate, informed by the most recent

strategy developed under the RAISE Family Caregivers Act (42

U.S.C. 3030s note) and the most recent report developed under

the Supporting Grandparents Raising Grandchildren Act (Public

Law 115-196; 132 Stat. 1511), shall provide ongoing technical

assistance”;

(B) in paragraph (2), by striking “and” at the end;

(D) by inserting after paragraph (2) the following:

“(3) the quality and consistency of caregiver assessments

used across States; and”.

SEC. 402. EMPHASIZING RESPITE CARE.

Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is amended to

read as follows:

“(19) services, which may include respite care through

various models, designed to support family members and other

persons providing voluntary care to older individuals that

need long-term care services, which may include older

individuals with cognitive impairments such as Alzheimer's

disease and related disorders with neurological and organic

brain dysfunction;”.

SEC. 403. CLARIFYING SUPPORTIVE SERVICES.

Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is amended by

striking “mentally impaired older individuals” and

inserting “older individuals with cognitive, physical, or

mental impairments”.

SEC. 404. DIRECT CARE WORKFORCE RESOURCE CENTER.

Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amended—

(1) in subparagraph (B), by adding “and” at the end;

(2) by redesignating subparagraphs (A) and (B) as clauses

(i) and (ii), respectively, and adjusting the margins

accordingly;

(3) in the matter preceding clause (i) (as so

redesignated)—

(A) by inserting “and, as appropriate, the heads of other

relevant Federal departments and agencies” after “Labor”;

and

(B) by striking “workers, and the soliciting,” and

inserting the following: “workers, including—

“(A) the soliciting,”; and

(4) by adding at the end the following:

“(B) 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

disabilities, and, in a manner that does not unnecessarily

duplicate the activities of other resource centers supported

by the Assistant Secretary, that addresses training and other

educational needs of family caregivers, which activities of

the center may include—

“(i) the provision of training and technical assistance,

including through the development and dissemination of

educational materials, to States, long-term services and

supports providers, direct care workers, and family

caregivers; and

“(ii) promoting existing, and supporting the demonstration

of new, strategies for the recruitment, retention, career

development, or advancement of direct care workers to reduce

barriers to entry for a diverse and high-quality direct care

workforce, including providing wages, benefits, and

advancement opportunities needed to attract or retain direct

care workers;”.

SEC. 405. SUPPORTING GRANDPARENTS RAISING GRANDCHILDREN ACT.

(a) Findings.—The Supporting Grandparents Raising

Grandchildren Act (Public Law 115-196; 132 Stat. 1511) is

amended by striking section 2.

(b) Definitions.—The Supporting Grandparents Raising

Grandchildren Act is amended by redesignating section 4 as

section 2 and moving the section so as to follow section 1.

Grandparents Raising Grandchildren Act is amended—

(1) in subsection (b)—

(A) in paragraph (1)—

(i) by redesignating subparagraphs (G) through (I) as

subparagraphs (H) through (J);

(ii) by inserting after subparagraph (F) the following:

“(G) The Assistant Secretary for Health.”;

(iii) in subparagraph (I), as so redesignated, by striking

“of children”; and

(iv) in subparagraph (J), as so redesignated, by striking

“relatives” and inserting “relative caregivers”; and

(B) by adding at the end the following:

“(3) Limitation on non-federal members.—Not more than 10

members of the Advisory Council may be individuals who are

not Federal officers or employees.”;

(2) in subsection (c)—

(A) in paragraph (1)—

(i) in subparagraph (A)—

(I) in the matter preceding clause (i), by striking

“relatives” and inserting “relative caregivers”; and

(II) in clause (i)—

(aa) by striking “the health,” and inserting “the near-

and long-term health, including mental health,”; and

(bb) by striking “care; and” and inserting “care,

including any needs related to the circumstances that caused

such children to be raised by a grandparent or older relative

caregiver; and”; and

(ii) in subparagraph (B)—

(I) by striking “(B)” and all that follows through “In”

and inserting the following:

“(B) Considerations.—In”; and

(II) by striking “needs of those affected by the opioid

crisis” and inserting “needs and challenges of individuals

affected by substance use disorder, including opioid use

disorder, or, as applicable and appropriate, needs and

challenges of individuals related to other circumstances,

which may include public health emergencies”;

(B) in paragraph (2)—

(i) in subparagraph (A), in the matter preceding clause

(i), by striking “enactment of this Act” and inserting

“enactment of the Older Americans Act Reauthorization Act of

2025”; and

(ii) in subparagraph (B)—

(I) in clause (i)—

(aa) by striking “relatives” and inserting “relative

caregivers”; and

(bb) by striking “needs of children” and all that follows

through “epidemic;” and inserting “needs of children and

their older relative caregivers who have been affected by

substance use disorder, including opioid use disorder;”;

(II) in clause (ii), by striking “and” at the end;

(III) by redesignating clause (iii) as clause (iv); and

(IV) by inserting after clause (ii) the following:

“(iii) 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 caregivers, including those who have

been affected by substance use disorder, including opioid use

disorder, and any related findings; and”;

(i) in the matter preceding subparagraph (A)—

(I) by striking “(3)” and all that follows through

“Not” and inserting the following:

“(3) Follow-up reports.—Not”;

(II) by striking “2 years” and inserting “180 days”;

and

(III) by inserting after “submitted,” the following:

“and every 2 years thereafter until the Advisory Council

terminates under subsection (f),”; and

(D) in paragraph (4) by striking “relatives” each place

it appears and inserting “relative caregivers”;

(3) in subsection (d), by striking “the Federal Advisory

Committee Act (5 U.S.C. App.).” and inserting “chapter 10

of title 5, United States Code.”; and

(4) in subsection (f), by striking “terminate” and all

that follows through “Act.” and inserting “terminate on

September 30, 2030.”.

SEC. 406. RAISE FAMILY CAREGIVERS ACT.

(a) Strategy.—Section 3 of the RAISE Family Caregivers Act

(42 U.S.C. 3030s note) is amended—

(1) in subsection (c)—

(A) in the matter preceding paragraph (1), by inserting

“(or the Secretary's designee)” after “The Secretary”;

and

(B) in paragraph (1), by inserting “and made publicly

available by the Secretary,” after “caregiver programs,”;

and

(2) in subsection (d)(2), by inserting “in” after

“caregiver programs”.

(b) Council.—Section 4(e) of that Act (42 U.S.C. 3030s

note) is amended by striking “The Federal Advisory Committee

Act (5 U.S.C. App.)” and inserting “Chapter 10 of title 5,

United States Code,”.

3030s note) is amended by striking “terminate” and all that

follows through “Act.” and inserting “terminate on

September 30, 2030.”.

TITLE V—COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT

SEC. 501. IMPROVING THE COMMUNITY SERVICE EMPLOYMENT PROGRAM.

(a) Program.—Section 502(b)(1) (42 U.S.C. 3056(b)(1)) is

amended—

(1) in subparagraph (C)(ii), by striking “section

513(a)(2)(E)” and inserting “section 513(a)(2)(F)”; and

(2) in subparagraph (E), by inserting “older

individuals,” after “youth,”.

(b) Performance.—Section 513 (42 U.S.C. 3056k) is

amended—

(1) in subsection (a)(2)—

(A) in subparagraph (D)(iii), by inserting “, including

toward the long-term performance goals determined by the

Department of Labor under the Government Performance and

Results Act of 1993 (Public Law 103-62; 107 Stat. 285) and

the amendments made by such Act,” after “core measures”;

(B) by redesignating subparagraph (E) as subparagraph (F);

and

“(E) Biennial report.—Not later than 2 years after the

date of enactment of the Older Americans Act Reauthorization

Act of 2025, and every 2 years thereafter during the period

of the program described in section 502(a)(1), the Secretary

shall prepare, make publicly available, and submit to the

Committee on Health, Education, Labor, and Pensions and the

Special Committee on Aging of the Senate and the Committee on

Education and Workforce of the House of Representatives a

report regarding the methodology used to arrive at the

expected levels of performance described in subparagraph (B)

for each grantee, including the particular statistical model

used and other factors taken into account, as described in

subparagraph (D).”;

(2) in subsection (b)(1)(C), by striking “fourth quarter

after exit from the project” and inserting “second quarter

after exit from the project and remain in unsubsidized

employment during the fourth quarter after exit from the

project”;

(3) in subsection (c) and paragraphs (1)(A), (2)(A), and

(3)(A) of subsection (d), by striking “subsection

(a)(2)(E)” and inserting “subsection (a)(2)(F)”; and

(4) in subsection (d)—

(A) in paragraph (2)(B)(iii), by adding at the end the

following: “For grants awarded on or after the date that is

2 years after the date of enactment of the Older Americans

Act Reauthorization Act of 2025, any grantee who has failed

to meet the expected levels of performance for the 2

consecutive years prior to the subsequent grant competition

under section 514 shall not be allowed to compete in the

subsequent grant competition under

section 514 following the second consecutive year of failure

but may compete in the next such grant competition after that

subsequent competition.”; and

(B) in paragraph (3)(B)(iii), by adding at the end the

following: “For grants awarded on or after the date that is

2 years after the date of enactment of the Older Americans

Act Reauthorization Act of 2025, if the Secretary determines

that the State fails to meet the expected levels of

performance described in subparagraph (A) for 2 consecutive

program years, the Secretary shall provide for the conduct by

the State of a competition to award the funds allotted to the

State under section 506(e) for the first full program year

following the Secretary's determination.”.

(1) Definitions.—Section 518(a)(1)(A) (42 U.S.C.

3056p(a)(1)(A)) is amended to read as follows:

“(A) social, health, welfare, and educational services

(including literacy tutoring and services provided by the

aging network), legal and other counseling services and

assistance (including tax counseling and assistance and

financial counseling), and library, recreational, and other

similar services;”.

(2) Rule.—Section 518(b)(2)(F) (42 U.S.C. 3056p(b)(2)(F))

is amended to read as follows:

“(F) has failed to find employment after receiving any

combination of training services or the following career

services provided under title I of the Workforce Innovation

and Opportunity Act (29 U.S.C. 3111 et seq.)—

“(i) initial or comprehensive skills assessment;

“(ii) labor exchange services;

“(iii) provision of workforce and labor market information

or job search assistance;

“(iv) development of an individual employment plan;

“(v) group or individual counseling;

“(vi) career planning;

“(vii) internship, work experience, workforce preparation

activities, or prevocational services;

“(viii) English language acquisition and integrated

education and training; or

“(ix) followup services;”.

SEC. 502. GAO REPORT ON ALIGNMENT WITHIN THE COMMUNITY

SERVICE EMPLOYMENT PROGRAM.

(a) Review.—Not later than 18 months after the date of

enactment of this Act, the Comptroller General of the United

States shall complete a review in which the Comptroller

General—

(1) evaluates—

(A) the distinct differences and similarities between the

older American community service employment program as

authorized under title V of the Older Americans Act of 1965

(42 U.S.C. 3056 et seq.) and the programs carried out under

title I of the Workforce Innovation and Opportunity Act (29

U.S.C. 3111 et seq.); and

(B) how the programs described in subparagraph (A) serve

older individuals in seeking and obtaining community service

employment;

(2) analyzes the expected levels of performance described

in section 513(a) of the Older Americans Act of 1965 (42

U.S.C. 3056k(a)), the efficacy and impacts of the indicators

of performance described in section 513(b) of the Older

Americans Act of 1965 (42 U.S.C. 3056k(b)), and corrective

measures described in section 513(d) of the Older Americans

Act of 1965 (42 U.S.C. 3056k(d)) for the older American

community service employment program, compared with the

expected levels of performance, efficacy and impacts of the

indicators of performance, and corrective measures described

in section 116 of the Workforce Innovation and Opportunity

Act (29 U.S.C. 3141) for programs authorized under title I of

such Act, including the efficacy of the indicators of

performance described in section 513(b) of the Older

Americans Act of 1965 (42 U.S.C. 3056k(b)) for individuals

described in subsection (a)(3)(B)(ii) or subsection (b) of

section 518 of the Older Americans Act of 1965 (42 U.S.C.

3056p);

(3) develops recommendations for any alternative measures

that may better measure the efficacy of the older American

community service employment program as authorized under

title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et

seq.) for individuals described in subsection (a)(3)(B)(ii)

or subsection (b) of section 518 of the Older Americans Act

of 1965 (42 U.S.C. 3056p) to achieve the objectives described

in section 101 of the Older Americans Act of 1965 (42 U.S.C.

3001); and

(4) evaluates how the Department of Labor coordinates

delivery of services with State and national grantees under

title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et

seq.) and with States and local workforce development areas

under title I of the Workforce Innovation and Opportunity Act

(29 U.S.C. 3111 et seq.) to serve older individuals.

(b) Report to Congress.—Not later than 180 days after the

review required under this section is completed, the

Comptroller General shall submit to the Committee on Health,

Education, Labor, and Pensions and the Special Committee on

Aging of the Senate and the Committee on Education and

Workforce of the House of Representatives a report on the

results of such review.

TITLE VI—IMPROVING SERVICES FOR NATIVE ELDERS

SEC. 601. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE.

Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at

the end the following:

“(4)(A) In addition to other methods of government-to-

government consultation between the Administration and Indian

Tribes and conferring with organizations representing Native

Hawaiians, the Assistant Secretary shall establish an

advisory committee, to be known as the `Older Americans

Tribal Advisory Committee' (referred to in this paragraph as

the `Committee') 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 Act.

“(B) The Committee shall be composed of 11 voting, non-

Federal members, including—

“(i) geographically diverse individuals with expertise on

the range of issues affecting Indian Tribes, organizations

representing Native Hawaiians, and older individuals who are

Native Americans;

“(ii) not less than 1 member who is an Alaska Native; and

“(iii) not less than 1 member who is a Native Hawaiian.

“(C) The Committee shall include non-voting, ex officio

representatives of relevant Federal departments and agencies,

including—

“(i) the Administration;

“(ii) the Indian Health Service;

“(iii) the Centers for Medicare & Medicaid Services;

“(iv) the Department of the Interior;

“(v) the Department of Labor; and

“(vi) any other agency or office with subject matter

expertise that the Assistant Secretary determines

appropriate.

“(D) The Committee shall meet in person not less

frequently than twice each year.

“(E) The Committee shall coordinate, as appropriate, with

the Secretary's Tribal Advisory Committee of the Department

of Health and Human Services.

“(F)(i) Not less frequently than once each year, the

Committee shall submit to the Assistant Secretary and make

publicly available a report that describes—

“(I) the activities of the Committee during the previous

year; and

“(II) recommendations for administrative action, including

the identification of any statutory barriers to carrying out

such recommendations, for the following year.

“(ii) Not later than 60 days after the date on which the

Assistant Secretary receives a report under clause (i), the

Assistant Secretary shall submit to the Committee a written

response to such report.

“(G) Chapter 10 of title 5, United States Code, shall not

apply to the Committee.

“(H) In establishing, developing procedures for, and

operating the Committee, the Assistant Secretary shall—

“(i) consult with Indian Tribes and confer with

organizations representing Native Hawaiians; and

“(ii) 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 2025.”.

SEC. 602. SUPPORTIVE SERVICES; SET ASIDE.

(a) Supportive Services.—Section 636 (42 U.S.C. 3057k-21)

is amended—

(1) in subsection (a), by striking “may” and inserting

“shall, as practicable,”; and

(2) in subsection (b)(2), by striking “in-home

assistance” and inserting “in-home services”.

(b) Funding Set Aside.—Section 644 (42 U.S.C. 3057o) is

amended—

(1) by striking “Of” and inserting the following:

“(a) In General.—Of”; and

(2) by adding at the end the following:

“(b) Report.—Not later than 1 year after the date of

enactment of the Older Americans Act Reauthorization Act of

2025, the Assistant Secretary shall submit to the Committee

on Health, Education, Labor, and Pensions of the Senate and

the Committee on Education and Workforce of the House of

Representatives, a report on the use of funds under part D.

Such report shall include—

“(1) the total amount of funds made available under

subsection (a) to carry out part D for each fiscal year;

“(2) a list of award recipients under part D; and

“(3) a summary of supportive services for healthy aging

and independence provided under part D.”.

SEC. 603. GAO REPORT ON TRIBAL SERVICES.

Not later than 18 months after the date of enactment of

this Act, the Comptroller General of the United States shall

submit to Congress a report that—

(1) evaluates and identifies barriers to Indian Tribes (as

defined in section 4 of the Indian Self-Determination and

Education Assistance Act (25 U.S.C. 5304)) and organizations

serving Native Hawaiians accessing programs under title VI of

the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.), and

coordination of such programs under such title VI with

programs funded under titles III and IV of such Act (42

U.S.C. 3021 et seq., 42 U.S.C. 3031 et seq.), including by—

(A) estimating the number of Native Americans unserved by

programs under such title VI;

(B) identifying States and area agencies on aging making

grants to Indian Tribes under such title III; and

programs under such title VI for all Tribal organizations (as

defined in section 4 of the Indian Self-Determination and

Education Assistance Act (25 U.S.C. 5304)) and organizations

serving Native Hawaiians that are not eligible under such

title

VI (as in effect on the date of enactment of this Act); and

(2) details how grantees under title V of the Older

Americans Act of 1965 (42 U.S.C. 3056 et seq.) are serving

older individuals who are Native Americans with funds

received under such title V, 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 Americans.

SEC. 604. TECHNICAL AMENDMENTS.

The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is

amended—

(1) in section 102 (42 U.S.C. 3002)—

(A) in paragraph (27), by striking “the term `Indian

tribe' means any tribe” and inserting “the term `Indian

Tribe' means any Tribe”; and

(B) in paragraph (56), by striking “the term `tribal

organization' means” and inserting “the term `Tribal

organization' means”;

(2) in section 418(a)(2)(6) (42 U.S.C. 3032g(a)(2)(6)), by

striking “Speaker of the House of Representatives and the

President pro tempore of the Senate” and inserting

“Committee on Health, Education, Labor, and Pensions of the

Senate and the Committee on Education and Workforce of the

House of Representatives”;

(3) in section 612(c) (42 U.S.C. 3057c(c))—

(A) by striking “terms `Indian tribe' and `tribal

organization' have” and inserting “terms `Indian Tribe' and

`Tribal organization' have”; and

(B) by striking “(25 U.S.C. 450b)” and inserting “(25

U.S.C. 5304)”; and

(4) by striking “tribe”, “tribes”, and “tribal” each

place such terms appear and inserting “Tribe”, “Tribes”,

and “Tribal”, respectively.

TITLE VII—STRENGTHENING THE LONG-TERM CARE OMBUDSMAN PROGRAMS AND

ELDER ABUSE PREVENTION

SEC. 701. DIRECTOR OF THE OFFICE OF LONG-TERM CARE OMBUDSMAN

PROGRAMS.

Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is amended,

in the second sentence, by inserting “serve on a full-time

basis and” after “shall”.

SEC. 702. LEGAL ASSISTANCE TRAINING RESOURCES RELATING TO

ELDER ABUSE PREVENTION.

Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is amended

by striking clause (v) and inserting the following:

“(v) establishing an information clearinghouse to collect,

maintain, and disseminate information concerning best

practices and resources for training, technical assistance,

and other activities, which may include training resources

for paralegals or law students who are under the direct

supervision of an attorney, to assist State Long-Term Care

Ombudsman programs, adult protective services programs, and

other legal services relating to defense of guardianship,

promotion of self-determination, and the matters described in

clause (ii)(I), and to assist States and communities to carry

out evidence-based programs to prevent and address elder

abuse, neglect, and exploitation;”.

SEC. 703. IMPROVING TRAINING OF VOLUNTEERS UNDER THE STATE

LONG-TERM CARE OMBUDSMAN PROGRAM.

Section 712 (42 U.S.C. 3058g) is amended—

(1) in subsection (h)(5)—

(A) in the matter preceding subparagraph (A)—

(i) by striking “the representatives” and inserting

“each type of representative”; and

(ii) by inserting “types of” before “unpaid

volunteers”;

(B) in subparagraph (A), by inserting “for each such type

of representative” before the semicolon at the end;

end;

(D) in subparagraph (C), by adding “and” at the end; and

(E) by adding at the end the following:

“(D) with respect to representatives of the Office who are

unpaid volunteers, take into consideration the degree to

which each such type of unpaid volunteer performs activities

requiring specialized training, with a goal of reducing

unnecessary training requirements for prospective unpaid

volunteers;”; and

(2) by adding at the end the following:

“(k) Training Requirements for Unpaid Volunteers.—

“(1) In general.—In providing the model standards

described in subsection (h)(5), the Director of the Office of

Long-Term Care Ombudsman Programs shall review and, as

necessary, 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 Office, including

each type of unpaid volunteer.

“(2) Considerations.—In carrying out paragraph (1), 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 training, with a goal of reducing

unnecessary training requirements for unpaid volunteers.”.

SEC. 704. REPORTING ON STATE LONG-TERM CARE OMBUDSMAN

PROGRAMS.

Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f et

seq.) is amended by adding at the end the following:

“SEC. 714. REPORTS TO CONGRESS.

“Each year, the Assistant Secretary shall submit to the

Committee on Health, Education, Labor, and Pensions and the

Special Committee on Aging of the Senate and the Committee on

Education and Workforce of the House of Representatives, and

make publicly available, a report that—

“(1) aggregates all reports submitted under section 712(h)

for such year; and

“(2) provides a summary of the findings of such

reports.”.

SEC. 705. STUDY ON STATE LONG-TERM CARE OMBUDSMAN PROGRAMS.

(a) In General.—The Assistant Secretary shall seek to

enter into a contract with the National Academies of

Sciences, Engineering, and Medicine (referred to in this

section as the “National Academies”) to conduct a study on

the State Long-Term Care Ombudsman programs carried out under

the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.),

including an assessment of the effectiveness of such programs

and any related challenges and recommendations. The study

shall include an assessment of the current (as of the date on

which the contract is entered into) recommended staff-to-bed

ratio for such programs, as appropriate.

(b) Report.—Not later than 18 months after the date on

which a contract is entered into under subsection (a), the

National Academies shall publicly issue a report on the

findings of the study under this section.

TITLE VIII—AUTHORIZATIONS OF APPROPRIATIONS

SEC. 801. ADMINISTRATION ON AGING.

Section 216 (42 U.S.C. 3020f) is amended—

(1) in subsection (a), by striking “$43,937,410” and all

that follows through “fiscal year 2024” and inserting

“$55,469,968 for fiscal year 2026, $58,034,197 for fiscal

year 2027, $60,716,964 for fiscal year 2028, $63,523,747 for

fiscal year 2029, and $66,460,281 for fiscal year 2030”; and

(2) in subsection (b)—

(A) in paragraph (1), by striking “$2,180,660” and all

that follows through “fiscal year 2024” and inserting

“$2,753,033 for fiscal year 2026, $2,880,298 for fiscal year

2027, $3,013,447 for fiscal year 2028, $3,152,751 for fiscal

year 2029, and $3,298,494 for fiscal year 2030”;

(B) in paragraph (2), by striking “$1,988,060” and all

that follows through “fiscal year 2024” and inserting

“$2,509,880 for fiscal year 2026, $2,625,905 for fiscal year

2027, $2,747,294 for fiscal year 2028, $2,874,294 for fiscal

year 2029, and $3,007,165 for fiscal year 2030”;

that follows through “fiscal year 2024” and inserting

“$1,731,790 for fiscal year 2026, $1,811,846 for fiscal year

2027, $1,895,603 for fiscal year 2028, $1,983,232 for fiscal

year 2029, and $2,074,911 for fiscal year 2030”; and

(D) in paragraph (4), by striking “$8,687,330” and all

that follows through “fiscal year 2024” and inserting

“$10,967,554 for fiscal year 2026, $11,474,555 for fiscal

year 2027, $12,004,993 for fiscal year 2028, $12,559,952 for

fiscal year 2029, and $13,140,565 for fiscal year 2030”.

SEC. 802. GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING.

(a) In General.—Section 303 (42 U.S.C. 3023) is amended—

(1) in subsection (a)(1), by striking “$412,029,180” and

all that follows through “fiscal year 2024” and inserting

“$520,177,347 for fiscal year 2026, $544,223,762 for fiscal

year 2027, $569,381,780 for fiscal year 2028, $595,702,785

for fiscal year 2029, and $623,240,541 for fiscal year

2030”;

(2) in subsection (b)—

(A) in paragraph (1), by striking “$530,015,940” and all

that follows through “fiscal year 2024” and inserting

“$669,132,913 for fiscal year 2026, $700,065,148 for fiscal

year 2027, $732,427,298 for fiscal year 2028, $766,285,465

for fiscal year 2029, and $801,708,804 for fiscal year

2030”; and

(B) in paragraph (2), by striking “$268,935,940” and all

that follows through “fiscal year 2024” and inserting

“$339,525,428 for fiscal year 2026, $355,220,786 for fiscal

year 2027, $371,641,698 for fiscal year 2028, $388,821,705

for fiscal year 2029, and $406,795,899 for fiscal year

2030”;

(3) in subsection (d), by striking “$26,587,360” and all

that follows through “fiscal year 2024” and inserting

“$33,565,929 for fiscal year 2026, $35,117,593 for fiscal

year 2027, $36,740,986 for fiscal year 2028, $38,439,424 for

fiscal year 2029, and $40,216,376 for fiscal year 2030”; and

(4) in subsection (e), by striking “$193,869,020” and all

that follows through “fiscal year 2024” and inserting

“$244,755,171 for fiscal year 2026, $256,069,552 for fiscal

year 2027, $267,906,966 for fiscal year 2028, $280,291,593

for fiscal year 2029, and $293,248,728 for fiscal year

2030”.

(b) Nutrition Services Incentive Program.—Section 311(e)

(42 U.S.C. 3030a(e)) is amended by striking “$171,273,830”

and all that follows through “fiscal year 2024” and

inserting “$216,229,264 for fiscal year 2026, $226,224,968

for fiscal year 2027, $236,682,747 for fiscal year 2028,

$247,623,961 for fiscal year 2029, and $259,070,958 for

fiscal year 2030”.

SEC. 803. ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY.

Section 411(b) (42 U.S.C. 3032(b)) is amended—

(1) in paragraph (1), by striking “$14,514,550” and all

that follows through “fiscal year 2024” and inserting

“$18,324,285 for fiscal year 2026, $19,171,368 for fiscal

year 2027, $20,057,609 for fiscal year 2028, $20,984,819 for

fiscal year 2029, and $21,954,892 for fiscal year 2030”; and

(2) in paragraph (2), by striking “$15,613,440” and all

that follows through “fiscal year 2024” and inserting

“$19,711,608

for fiscal year 2026, $20,622,823 for fiscal year 2027,

$21,576,161 for fiscal year 2028, $22,573,570 for fiscal year

2029, and $23,617,086 for fiscal year 2030”.

SEC. 804. COMMUNITY SERVICE SENIOR OPPORTUNITIES ACT.

Section 517(a) (42 U.S.C. 3056o(a)) is amended by striking

“$428,000,000” and all that follows through “fiscal year

2024” and inserting “$540,340,139 for fiscal year 2026,

$565,318,627 for fiscal year 2027, $591,451,804 for fiscal

year 2028, $618,793,048 for fiscal year 2029, and

$647,398,205 for fiscal year 2030”.

SEC. 805. GRANTS FOR NATIVE AMERICANS.

Section 643 (42 U.S.C. 3057n) is amended—

(1) in paragraph (1), by striking “$37,102,560” and all

that follows through “fiscal year 2024” and inserting

“$47,028,435 for fiscal year 2026, $49,202,434 for fiscal

year 2027, $51,476,932 for fiscal year 2028, $53,856,574 for

fiscal year 2029, and $56,346,220 for fiscal year 2030”; and

(2) in paragraph (2), by striking “$10,759,920” and all

that follows through “fiscal year 2024” and inserting

“$13,584,151 for fiscal year 2026, $14,212,110 for fiscal

year 2027, $14,869,098 for fiscal year 2028, $15,556,457 for

fiscal year 2029, and $16,275,591 for fiscal year 2030”.

SEC. 806. ALLOTMENTS FOR ELDER RIGHTS PROTECTION ACTIVITIES.

Section 702 (42 U.S.C. 3058a) is amended—

(1) in subsection (a), by striking “$18,066,950” and all

that follows through “fiscal year 2024” and inserting

“$22,809,108 for fiscal year 2026, $23,863,512 for fiscal

year 2027, $24,966,659 for fiscal year 2028, $26,120,801 for

fiscal year 2029, and $27,328,297 for fiscal year 2030”; and

(2) in subsection (b), by striking “$5,107,110” and all

that follows through “fiscal year 2024” and inserting

“$6,447,609 for fiscal year 2026, $6,745,665 for fiscal year

2027, $7,057,499 for fiscal year 2028, $7,383,748 for fiscal

year 2029, and $7,725,079 for fiscal year 2030”.

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There being no objection, the committee was discharged, and the

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