In the Senate of the United States, March 3, 2020. Resolved, That the bill from the House of Representa- tives (H.R. 4334) entitled ‘‘An Act to amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes.’’, do pass with the following
Amendment
Strike all after the enacting clause and insert the
following
Section 1. Short Title. 1
This Act may be cited as the ‘‘Supporting Older Amer-2 icans Act of 2020’’. 3
Sec. 2. Table Of Contents. 4
The table of contents of this Act is as follows: 5 Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. Sec. 4. Definitions.
Title I—Modernizing Definitions And Programs Under The
Administration On Aging
Sec. 101. Reauthorization. Sec. 102. Person-centered, trauma-informed services. 2
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Sec. 103. Aging and Disability Resource Centers. Sec. 104. Assistive technology. Sec. 105. Vaccination. Sec. 106. Malnutrition. Sec. 107. Sexually transmitted diseases. Sec. 108. Addressing chronic pain management. Sec. 109. Screening for suicide risk. Sec. 110. Screening for fall-related traumatic brain injury; addressing public health emergencies and emerging health threats; negative health effects associated with social isolation. Sec. 111. Clarification regarding board and care facilities. Sec. 112. Person-centered, trauma-informed services definition. Sec. 113. Traumatic brain injury. Sec. 114. Modernizing the review of applications and providing technical assist- ance for disasters. Sec. 115. Increased focus of Assistant Secretary on negative health effects associ- ated with social isolation. Sec. 116. Notification of availability of or updates to policies, practices, and pro- cedures through a uniform e-format. Sec. 117. Evidence-based program adaptation. Sec. 118. Business acumen provisions and clarification regarding outside funding for area agencies on aging. Sec. 119. Demonstration on direct care workers. Sec. 120. National resource center for older individuals experiencing the long- term and adverse consequences of trauma. Sec. 121. National Resource Center for Women and Retirement. Sec. 122. Family caregivers. Sec. 123. Interagency coordination. Sec. 124. Modernizing the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities. Sec. 125. Professional standards for a nutrition official under the Assistant Sec- retary. Sec. 126. Report on social isolation. Sec. 127. Research and evaluation.
Title Ii—Improving Grants For State And Community
Programs On Aging
Sec. 201. Social determinants of health. Sec. 202. Younger onset Alzheimer’s disease. Sec. 203. Reauthorization. Sec. 204. Hold harmless formula. Sec. 205. Outreach efforts. Sec. 206. State Long-Term Care Ombudsman program minimum funding and maintenance of effort. Sec. 207. Coordination with resource centers. Sec. 208. Senior legal hotlines. Sec. 209. Increase in limit on use of allotted funds for State administrative costs. Sec. 210. Improvements to nutrition programs. Sec. 211. Review of reports. Sec. 212. Other practices. Sec. 213. Screening for negative health effects associated with social isolation and traumatic brain injury. Sec. 214. Supportive services and senior centers. Sec. 215. Culturally appropriate, medically tailored meals. 3
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Sec. 216. Nutrition services study. Sec. 217. National Family Caregiver Support program. Sec. 218. National Family Caregiver Support program cap.
Title Iii—Modernizing Activities For Health,
Independence, And Longevity
Sec. 301. Reauthorization. Sec. 302. Public awareness of traumatic brain injury. Sec. 303. Falls prevention and chronic disease self-management education. Sec. 304. Demonstration to address negative health impacts associated with social isolation. Sec. 305. Technical assistance and innovation to improve transportation for older individuals. Sec. 306. Grant program for multigenerational collaboration.
Title Iv—Senior Community Service Employment Program
Sec. 401. Priority for the senior community service employment program. Sec. 402. Authorization of appropriations.
Title V—Enhancing Grants For Native Americans
Sec. 501. Reauthorization.
Title Vi—Modernizing Allotments For Vulnerable Elder
Rights Protection Activities And Other Programs
Sec. 601. Reauthorization; vulnerable elder rights protection activities. Sec. 602. Volunteer State long-term care ombudsman representatives. Sec. 603. Prevention of elder abuse, neglect, and exploitation. Sec. 604. Principles for person-directed services and supports during serious ill- ness. Sec. 605. Extension of the Supporting Grandparents Raising Grandchildren Act. Sec. 606. Best practices for home and community-based ombudsmen. Sec. 607. Senior home modification assistance initiative.
Title Vii—Miscellaneous
Sec. 701. Technical corrections.
Sec. 3. References.
1 Except as otherwise expressly provided in this Act, 2 wherever in this Act an amendment or repeal is expressed 3 in terms of an amendment to, or a repeal of, a section or 4 other provision, the reference shall be considered to be made 5 to that section or other provision of the Older Americans 6 Act of 1965 (42 U.S.C. 3001 et seq.). 7 4
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Sec. 4. Definitions. 1
In this Act, the terms ‘‘area agency on aging’’, ‘‘Assist-2 ant Secretary’’, ‘‘greatest social need’’, ‘‘older individual’’, 3 and ‘‘Secretary’’ have the meanings given such terms in sec-4 tion 102 of the Older Americans Act of 1965 (42 U.S.C. 5 3002). 6
Title I—Modernizing Defini-7
Tions And Programs 8
Under The Administration 9
On Aging 10
Sec. 101. Reauthorization. 11
Section 216 (42 U.S.C. 3020f) is amended to read as 12 follows: 13
‘‘Sec. 216. Authorization Of Appropriations. 14
‘‘(a) IN GENERAL.—For purposes of carrying out this 15 Act, there are authorized to be appropriated for administra-16 tion, salaries, and expenses of the Administration 17 $43,937,410 for fiscal year 2020, $46,573,655 for fiscal year 18 2021, $49,368,074 for fiscal year 2022, $52,330,158 for fis-19 cal year 2023, and $55,469,968 for fiscal year 2024. 20 ‘‘(b) A DDITIONAL AUTHORIZATIONS.—There are au-21 thorized to be appropriated— 22 ‘‘(1) to carry out section 202(a)(21) (relating to 23 the National Eldercare Locator Service), $2,180,660 24 for fiscal year 2020, $2,311,500 for fiscal year 2021, 25 5
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$2,450,190 for fiscal year 2022, $2,597,201 for fiscal 1 year 2023, and $2,753,033 for fiscal year 2024; 2 ‘‘(2) to carry out section 215, $1,988,060 for fis-3 cal year 2020, $2,107,344 for fiscal year 2021, 4 $2,233,784 for fiscal year 2022, $2,367,811 for fiscal 5 year 2023, and $2,509,880 for fiscal year 2024; 6 ‘‘(3) to carry out section 202 (relating to Elder 7 Rights Support Activities under this title), $1,371,740 8 for fiscal year 2020, $1,454,044 for fiscal year 2021, 9 $1,541,287 for fiscal year 2022, $1,633,764 for fiscal 10 year 2023, and $1,731,790 for fiscal year 2024; and 11 ‘‘(4) to carry out section 202(b) (relating to the 12 Aging and Disability Resource Centers), $8,687,330 13 for fiscal year 2020, $9,208,570 for fiscal year 2021, 14 $9,761,084 for fiscal year 2022, $10,346,749 for fiscal 15 year 2023, and $10,967,554 for fiscal year 2024.’’. 16
Sec. 102. Person-Centered, Trauma-Informed Serv-17
Ices. 18
Section 101(2) (42 U.S.C. 3001(2)) is amended by in-19 serting ‘‘(including access to person-centered, trauma-in-20 formed services as appropriate)’’ after ‘‘health’’. 21
Sec. 103. Aging And Disability Resource Centers. 22
Section 102(4) (42 U.S.C. 3002(4)) is amended— 23 (1) in the matter preceding subparagraph (A), 24 by inserting ‘‘, in collaboration with (as appropriate) 25 6
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area agencies on aging, centers for independent living 1 (as described in part C of chapter 1 of title VII of the 2 Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), 3 and other aging or disability entities’’ after ‘‘pro-4 vides’’; 5 (2) in subparagraph (B)— 6 (A) by inserting ‘‘services, supports, and’’ 7 after ‘‘plan for long-term’’; and 8 (B) by inserting ‘‘and choices’’ after ‘‘de-9 sires’’; and 10 (3) in subparagraph (D), by striking ‘‘part C of 11 title VII of the Rehabilitation Act of 1973 (29 U.S.C. 12 796f et seq.), and other community-based entities,’’ 13 and inserting ‘‘part C of chapter 1 of title VII of the 14 Rehabilitation Act of 1973, and other community- 15 based entities, including other aging or disability en-16 tities,’’. 17
Sec. 104. Assistive Technology. 18
The Older Americans Act of 1965 (42 U.S.C. 3001 et 19 seq.) is amended— 20 (1) in section 102(8) (42 U.S.C. 3002(8)), by 21 adding at the end the following: 22 ‘‘(C) The term ‘State assistive technology entity’ means 23 the agency, office, or other entity designated under sub-24 section (c)(1) of section 4 of the Assistive Technology Act 25 7
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of 1998 (29 U.S.C. 3003) to carry out State activities under 1 such section.’’; 2 (2) in section 306 (42 U.S.C. 3026)— 3 (A) in subsection (a)(6)— 4 (i) in subparagraph (G), by striking ‘‘; 5 and’’ and inserting a semicolon; 6 (ii) in subparagraph (H), by striking 7 ‘‘appropriate;’’ and inserting ‘‘appropriate; 8 and’’; and 9 (iii) by adding at the end the fol-10 lowing: 11 ‘‘(I) to the extent feasible, coordinate with the 12 State agency to disseminate information about the 13 State assistive technology entity and access to assist-14 ive technology options for serving older individuals;’’; 15 and 16 (B) in subsection (b)(3)— 17 (i) in subparagraph (K)— 18 (I) by aligning the margins of the 19 subparagraph with the margins of sub-20 paragraph (J); and 21 (II) by striking ‘‘; and’’ and in-22 serting a semicolon; 23 (ii) by redesignating subparagraph (L) 24 as subparagraph (M); and 25 8
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(iii) by inserting after subparagraph 1 (K) the following: 2 ‘‘(L) assistive technology devices and services; 3 and’’; and 4 (3) in section 411(a) (42 U.S.C. 3032(a))— 5 (A) in paragraph (2), by inserting ‘‘, 6 aligned with evidence-based practice,’’ after ‘‘ap-7 plied social research’’; and 8 (B) in paragraph (10), by inserting ‘‘con-9 sistent with section 508 of the Rehabilitation Act 10 of 1973 (29 U.S.C. 794d)’’ after ‘‘other tech-11 nologies’’. 12
Sec. 105. Vaccination. 13
Section 102(14) (42 U.S.C. 3002(14)) is amended— 14 (1) in subparagraph (B), by inserting ‘‘immuni-15 zation status,’’ after ‘‘oral health,’’; and 16 (2) in subparagraph (D), by inserting ‘‘infec-17 tious disease, and vaccine-preventable disease, as well 18 as’’ after ‘‘cardiovascular disease),’’. 19
Sec. 106. Malnutrition. 20
The Older Americans Act of 1965 (42 U.S.C. 3001 et 21 seq.) is amended— 22 (1) in section 102(14)(B), as amended by section 23 105(1), by inserting ‘‘(including screening for mal-24 nutrition)’’ after ‘‘nutrition screening’’; and 25 9
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(2) in section 330(1), by striking ‘‘and food inse-1 curity’’ and inserting ‘‘, food insecurity, and mal-2 nutrition’’. 3
Sec. 107. Sexually Transmitted Diseases. 4
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as 5 amended by section 105(2), is further amended by inserting 6 ‘‘prevention of sexually transmitted diseases,’’ after ‘‘vac-7 cine-preventable disease,’’. 8
Sec. 108. Addressing Chronic Pain Management. 9
Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as 10 amended by section 107, is further amended by inserting 11 ‘‘chronic pain management,’’ after ‘‘substance abuse reduc-12 tion,’’. 13
Sec. 109. Screening For Suicide Risk. 14
Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amend-15 ed by inserting ‘‘and screening for suicide risk’’ after ‘‘de-16 pression’’. 17
Sec. 110. Screening For Fall-Related Traumatic 18
Brain Injury; Addressing Public Health 19
Emergencies And Emerging Health 20
Threats; Negative Health Effects Asso-21
Ciated With Social Isolation. 22
Section 102(14) (42 U.S.C. 3002(14)) is amended— 23 (1) by redesignating subparagraphs (H) through 24 (J), and subparagraphs (K) and (L), as subpara-25 10
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graphs (I) through (K), and subparagraphs (M) and 1 (O), respectively; 2 (2) by inserting after subparagraph (G) the fol-3 lowing: 4 ‘‘(H) screening for fall-related traumatic 5 brain injury and other fall-related injuries, co-6 ordination of treatment, rehabilitation and re-7 lated services, and referral services related to 8 such injury or injuries;’’; 9 (3) by inserting after subparagraph (K), as re-10 designated by paragraph (1), the following: 11 ‘‘(L) services that are a part of responses to 12 a public health emergency or emerging health 13 threat;’’; and 14 (4) in subparagraph (M), as redesignated by 15 paragraph (1), by striking ‘‘; and’’ and inserting a 16 semicolon; 17 (5) by inserting after subparagraph (M), as re-18 designated by paragraph (1), the following: 19 ‘‘(N) screening for the prevention of nega-20 tive health effects associated with social isolation 21 and coordination of supportive services and 22 health care to address negative health effects as-23 sociated with social isolation; and’’; and 24 11
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(6) in subparagraph (O), as redesignated, by 1 striking ‘‘(A) through (K)’’ and inserting ‘‘(A) 2 through (N)’’. 3