S2120-119

Passed Senate

Older Americans Act Reauthorization Act of 2025

119th Congress Introduced Jun 18, 2025

Summary

What This Bill Does

The bill requires the Assistant Secretary for Aging to designate an officer responsible for mental health, substance use disorders, and cognitive impairment services for older individuals, and develop a long-term plan for state, requires the Assistant Secretary to publish an annual online list of national resource centers and demonstration projects with descriptions, funding amounts, statutory citations, and evaluations, and expands evaluation and survey requirements for Secretary to assess aging programs, including grants to organizations for surveys and comparisons of program effectiveness. It relies on reporting requirements, compliance mandates, definition changes, and grants. The main policy areas are Social Welfare, Healthcare, Aging Services, and Agriculture.

Who Benefits and How

Nutrition service providers could gain revenue opportunities, State and area agencies on aging could gain revenue opportunities, and Older individuals would be affected.

Who Bears the Burden and How

Administration on Aging would take on compliance duties, Government Accountability Office would take on compliance duties, and Department of Health and Human Services would take on compliance duties.

Key Provisions

  • Requires the Assistant Secretary for Aging to designate an officer responsible for mental health, substance use disorders, and cognitive impairment services for older individuals, and develop a long-term plan for state...
  • Requires the Assistant Secretary to publish an annual online list of national resource centers and demonstration projects with descriptions, funding amounts, statutory citations, and evaluations.
  • Expands evaluation and survey requirements for Secretary to assess aging programs, including grants to organizations for surveys and comparisons of program effectiveness.
  • Establishes comprehensive framework for aging service recipients to enter contracts with for-profit organizations, including cost reimbursement requirements, monitoring procedures, fair market rate protections...
  • Requires the Assistant Secretary to disseminate guidance on circumstances for reallocating funds between area agencies on aging within a state during a budget year.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires the Assistant Secretary for Aging to designate an officer responsible for mental health, substance use disorders, and cognitive impairment services for older individuals, and develop a long-term plan for state, requires the Assistant Secretary to publish an annual online list of national resource centers and demonstration projects with descriptions, funding amounts, statutory citations, and evaluations, and expands evaluation and survey requirements for Secretary to assess aging programs, including grants to organizations for surveys and comparisons of program effectiveness.

Key Policy Areas

Social Welfare, Healthcare, Aging Services, Agriculture

Primary Purpose

The bill requires the Assistant Secretary for Aging to designate an officer responsible for mental health, substance use disorders, and cognitive impairment services for older individuals, and develop a long-term plan for state, requires the Assistant Secretary to publish an annual online list of national resource centers and demonstration projects with descriptions, funding amounts, statutory citations, and evaluations, and expands evaluation and survey requirements for Secretary to assess aging programs, including grants to organizations for surveys and comparisons of program effectiveness.

Policy Domains

Social Welfare Healthcare Aging Services Agriculture

Title I - General Provisions

Identified Gains
  • Nutrition service providers
  • State and area agencies on aging
  • Older individuals
  • State agencies on aging
  • Area agencies on aging
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Older individuals: , , ,
Area agencies on aging: , ,
State agencies on aging: , ,
Nutrition service providers: , , ,
State and area agencies on aging: , , ,
Identified Costs
  • Administration on Aging
  • Government Accountability Office
  • Department of Health and Human Services
  • Secretary of Health and Human Services
  • State agencies on aging
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Administration on Aging: , , , ,
State agencies on aging: ,
Government Accountability Office: , ,
Secretary of Health and Human Services: ,
Department of Health and Human Services: , ,

Legislative Progress

Passed Senate
Introduced Committee Passed
Jul 15, 2026

Held at the desk.

Jul 15, 2026

Received in the House.

Jul 15, 2026

Message on Senate action sent to the House.

Jul 14, 2026

Passed Senate without amendment by Unanimous Consent. (consideration: CR S4077-4087; …

Jul 14, 2026

Passed/agreed to in Senate: Passed Senate without amendment by Unanimous …

Jul 14, 2026

Senate Committee on Health, Education, Labor, and Pensions discharged by …

Jun 18, 2025

Mr. Cassidy (for himself, Mr. Sanders, Mr. Scott of Florida, …

Jun 18, 2025

Read twice and referred to the Committee on Health, Education, …

Jun 18, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
22 mentions across 18 clauses
+6 positive -15 negative ?1 uncertain

Administration for Community Living, Administration on Aging, Advisory Council on grandparent caregiving

Positive-direction: Indian Tribes, Indian Tribes and Tribal organizations, Native Hawaiian organizations, Tribal organizations serving older Native Americans

Negative-direction: Administration for Community Living, Administration on Aging, Department of Health and Human Services, Federal agencies serving older individuals, Government Accountability Office, Secretary of Health and Human Services

Social Services
14 mentions across 12 clauses
+9 positive -1 negative ?4 uncertain

Aging network providers, Aging services stakeholders, Area agencies on aging

Area agencies on aging faces effects in multiple directions

State & Local Government
13 mentions across 13 clauses
+9 positive -3 negative ?1 uncertain

State Long-Term Care Ombudsman Programs, State agencies on aging, State and area agencies on aging

State agencies on aging, State and area agencies on aging face effects in multiple directions

Elderly Population
10 mentions across 10 clauses
+10 positive

Older Native Americans, Older individuals, Older individuals receiving services

Food & Beverage
5 mentions across 5 clauses
+5 positive

Congregate meal providers, Nutrition service providers

Individual Caregivers
4 mentions across 3 clauses
+4 positive

Family caregivers, Grandparents raising grandchildren, Older relative caregivers

Nursing And Residential Care Facilities
2 mentions across 2 clauses
+2 positive

Long-term care facilities, Long-term care providers

Research & Science
2 mentions across 2 clauses
+2 positive

National Academies of Sciences, Engineering, and Medicine, Public and nonprofit research organizations

42/61
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Social Welfare Healthcare Aging Services Agriculture
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_assistant_secretary"
→ Assistant Secretary for Aging
Domains
Aging Services Administration Mental Health Interagency Coordination
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_assistant_secretary"
→ Assistant Secretary for Aging
Domains
Healthcare Disease Prevention Health Promotion Technology Social Isolation
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_assistant_secretary"
→ Assistant Secretary for Aging
Domains
Nutrition Food Services Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_assistant_secretary"
→ Assistant Secretary for Aging
"the_comptroller_general"
→ Comptroller General of the United States
Domains
Caregiver Support Respite Care Direct Care Workforce
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_assistant_secretary"
→ Assistant Secretary for Aging
Domains
Employment Workforce Development
Actor Mappings
"the_secretary"
→ Secretary of Labor
"the_comptroller_general"
→ Comptroller General of the United States
Domains
Tribal Services Native American Programs
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_assistant_secretary"
→ Assistant Secretary for Aging
"the_comptroller_general"
→ Comptroller General of the United States
Domains
Elder Rights Long-Term Care Ombudsman Elder Abuse Prevention
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_assistant_secretary"
→ Assistant Secretary for Aging
Domains
Authorization Funding
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services

Note: The Secretary refers to Secretary of Health and Human Services throughout most of the bill, but in Title V (Community Service Employment Program), it refers to Secretary of Labor

Key Definitions

Terms defined in this bill

5 terms
"area agency on aging" §4

As defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002)

"medically tailored meals" §301

Meals specifically designed for individuals with medical conditions

"Assistant Secretary" §4_2

As defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) - refers to Assistant Secretary for Aging

"older individual" §4_3

As defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002)

"Secretary" §4_4

As defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) - refers to Secretary of Health and Human Services

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology