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Creates a new competitive grant program under the Older Americans Act to pay long-term care facilities to run or contract for on-site child care, coordinate multigenerational activities between children and older adults, and build or expand facility space to support those activities. Grants last at least 36 months, require infection-control screening and compliance with state/local sanitation rules, and include evaluation and reporting requirements to federal oversight offices.
The bill uses federal grants to promote co-located child care in long-term care facilities to improve social and developmental outcomes and lower implementation barriers, but it increases federal spending and raises implementation, equity, and infection-control risks that must be managed.
Older adults in participating long-term care facilities will have regular, structured interaction with children, increasing social stimulation and reducing isolation that can improve well-being.
Children in integrated child care on-site at long-term care facilities will gain intergenerational exposure that supports social and emotional development.
Long-term care providers can access federal grants to build/expand space and to operate or contract for co-located child care, and multi-year (36-month minimum) grants give programs time to implement and stabilize operations.
Co-locating child care with clinical long-term care settings could increase infection and health risk for both children and older adults if rigorous infection-control measures are not maintained.
Taxpayers would face added federal spending to fund construction, grants, and program operations for multigenerational facilities.
Smaller or resource-limited long-term care providers may struggle to compete for grants, concentrating benefits among larger operators and limiting equitable access.
Introduced March 3, 2025 by Marilyn Strickland · Last progress March 3, 2025