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Creates a new pilot program under the Older Americans Act to award grants to qualified entities (such as area agencies on aging, senior centers, colleges, and Tribal organizations) to run one-stop hubs that deliver evidence-informed health services and supports for family caregivers of people with Alzheimer’s disease and related brain disorders. Grantees may provide screenings, care consultations, support groups, referrals, and other supports; the program requires data collection and reporting on health and payment indicators and is administered by the Assistant Secretary in consultation with HUD and the Department of Commerce.
Insert a new section 415 into Title IV of the Older Americans Act of 1965 after section 414 (42 U.S.C. 3032c), establishing a pilot program for family caregivers of individuals with Alzheimer’s disease or a related disorder with neurological and organic brain dysfunction.
Define 'family caregiver for an individual with Alzheimer's disease or a related disorder with neurological and organic brain dysfunction' as an adult family member or other individual who is an informal provider of in-home and community care to such an individual; excludes caregivers whose primary relationship is based on a financial or professional agreement.
Define 'qualified entity' to mean an area agency on aging, a multipurpose senior center, an institution of higher education, or a tribal organization.
Require the Assistant Secretary, in consultation with the Secretary of Housing and Urban Development and the Assistant Secretary of Commerce for Economic Development, to establish and carry out the pilot program to help family caregivers access health services and supports to improve health outcomes for caregivers and the individuals they care for.
Authorize the Assistant Secretary to make grants to qualified entities that meet application requirements to run projects offering evidence-informed or evidence-based health services and supports to caregivers and the individuals they care for at the same time and same location.
Primary beneficiaries are family caregivers of people with Alzheimer’s disease and related brain disorders, who would gain easier access to coordinated health screenings, education, counseling, and referral services in a single location. Care recipients (older adults with Alzheimer’s or related brain disorders) may see improved monitoring and coordination of care, which could reduce unmet health needs and avoidable health crises. Eligible local entities (area agencies on aging, senior centers, colleges, Tribal organizations, nonprofits) may gain new funding opportunities to expand services but will also incur administrative responsibilities to implement projects, comply with evidence‑based practice requirements, and collect and report data. Federal agencies (Administration for Community Living/Assistant Secretary) will take on program oversight and interagency coordination with HUD and Commerce. Short-term impacts include expanded local service offerings and increased data collection burden for grantees; medium- to long-term impacts may include measurable caregiver health and financial indicators, lessons about payment models, and evidence to support scaling or modifying programs. Because the provision establishes a pilot without specifying appropriations, actual reach depends on future funding decisions; grantees may also face costs to meet reporting and evaluation requirements that would need to be covered by grant awards or other sources.
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Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Introduced November 20, 2025 by Edward John Markey · Last progress November 20, 2025
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Introduced in Senate