Sponsors (3)
Official title: Amend the Older Americans Act of 1965 to develop and expand integrated caregiver support services for family caregivers, and for other purposes.
Introduced November 20, 2025 by Edward John Markey · Last progress November 20, 2025
The bill expands funded respite and quality care—benefiting caregivers, children, and tribal communities—but does so at additional federal cost and with risks of service gaps and added burdens on small providers.
Family caregivers (including parents, those caring for seniors, and people supporting relatives with disabilities) will gain increased access to federally funded integrated respite and supportive services, reducing caregiver burden and freeing time for work or rest.
Children and other care recipients will have greater access to licensed, quality‑tier child care and health services through grant‑funded providers, improving safety and continuity of care.
Tribal communities and their residents will have improved access to culturally appropriate respite and supportive services because tribal organizations and area agencies on aging are eligible grantees.
Taxpayers may face higher federal spending (or funds diverted from other programs) because expanding these services requires additional federal funding.
Parents, families, and seniors in some areas may still lack respite services because the competitive grant structure could leave high-need communities without awards.
Small providers and family child care homes may face new administrative and licensing burdens to meet grant application and quality requirements, potentially reducing provider participation.
Based on analysis of 2 sections of legislative text.
Creates a competitive Older Americans Act grant program to fund integrated respite care and caregiver support services with accessibility requirements.
Creates a new competitive grant program under the Older Americans Act to fund development or expansion of integrated caregiver support services that deliver respite care together with supportive services. Eligible grantees include state and local agencies, area agencies on aging, nonprofits, senior centers, institutions of higher education, and Tribal organizations; grants may be provided directly or via contracts with health care or child care providers and must offer accessible services (assistive tech, translation/ASL, multiple formats).