S2120-119

1. Short title This Act may be cited as the Older Americans Act Reauthorization Act of 2025.

2. Table of contents The table of contents for this Act is as follows:

3. References Except as otherwise expressly provided in this Act, wherever in this Act an amendment or repeal is expressed in terms of an amendment to, or a repeal of, a section or other provision, the reference shall be considered to be made to that section or other provision of the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.).

4. Definitions In this Act, the terms area agency on aging, Assistant Secretary, older individual, and Secretary have the meanings given such terms in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002).

101. Declaration of objectives Section 101 (42 U.S.C. 3001) is amended— in the matter preceding paragraph (1), by striking of the following objectives: and inserting of the objectives of—; in each of paragraphs (1) through (10), by amending the first word so that it begins with a lowercase letter; in each of paragraphs (1) through (8), by striking the period at the end and inserting a semicolon; in each of paragraphs (9) and (10), by striking the period at the end and inserting ; and; in paragraph (2), by inserting to improve health outcomes and reduce health care expenditures after economic status; by redesignating paragraphs (1) through (10) as subparagraphs (A) through (J), respectively, and adjusting the margins accordingly; in the matter preceding subparagraph (A) (as so redesignated), by striking our democratic society, the older people and inserting the following: “our democratic society— the older people by adding at the end the following: the families of older individuals and community-based organizations, including faith-based organizations, also play a vital role in supporting and honoring older individuals and their happiness, dignity, and independence. (1) the older people ; and (2) the families of older individuals and community-based organizations, including faith-based organizations, also play a vital role in supporting and honoring older individuals and their happiness, dignity, and independence. .

102. Addressing mental health and substance use disorders and cognitive impairments of older individuals Section 201(f) (42 U.S.C. 3011(f)) is amended to read as follows: The Assistant Secretary may designate an officer or employee who shall be responsible for the administration of services for mental health and substance use disorders and cognitive impairments authorized under this Act and serve as an effective and visible advocate for the related needs of older individuals within the Department of Health and Human Services, including by ensuring that relevant information disseminated and research conducted or supported by the Department takes into consideration such services. It shall be the duty of the Assistant Secretary, acting through the individual designated under paragraph (1), and in consultation with the heads of relevant agencies within the Department of Health and Human Services, including the Substance Abuse and Mental Health Services Administration, to develop objectives, priorities, and a long-term plan for supporting State and local efforts under this Act involving education about, and prevention, detection, and treatment of, mental health and substance use disorders and cognitive impairments, including age-related dementia, depression, and Alzheimer’s disease and related neurological disorders with neurological and organic brain dysfunction. Not later than 2 years after the date of enactment of the Older Americans Act Reauthorization Act of 2025, the Assistant Secretary shall report to the Committee on Health, Education, Labor, and Pensions of the Senate, the Special Committee on Aging of the Senate, and the Committee on Education and Workforce of the House of Representatives on the activities of the officer or employee designated under paragraph (1) in carrying out the requirements under this subsection, including any activities to identify and reduce duplication and gaps across the Department in such information disseminated and research conducted or supported by the Department. (f) (1) The Assistant Secretary may designate an officer or employee who shall be responsible for the administration of services for mental health and substance use disorders and cognitive impairments authorized under this Act and serve as an effective and visible advocate for the related needs of older individuals within the Department of Health and Human Services, including by ensuring that relevant information disseminated and research conducted or supported by the Department takes into consideration such services. (2) It shall be the duty of the Assistant Secretary, acting through the individual designated under paragraph (1), and in consultation with the heads of relevant agencies within the Department of Health and Human Services, including the Substance Abuse and Mental Health Services Administration, to develop objectives, priorities, and a long-term plan for supporting State and local efforts under this Act involving education about, and prevention, detection, and treatment of, mental health and substance use disorders and cognitive impairments, including age-related dementia, depression, and Alzheimer’s disease and related neurological disorders with neurological and organic brain dysfunction. (3) Not later than 2 years after the date of enactment of the Older Americans Act Reauthorization Act of 2025, the Assistant Secretary shall report to the Committee on Health, Education, Labor, and Pensions of the Senate, the Special Committee on Aging of the Senate, and the Committee on Education and Workforce of the House of Representatives on the activities of the officer or employee designated under paragraph (1) in carrying out the requirements under this subsection, including any activities to identify and reduce duplication and gaps across the Department in such information disseminated and research conducted or supported by the Department. .

103. List of national resource centers Section 202 (42 U.S.C. 3012) is amended— in subsection (d)(4), by striking Resource Center on Elder Abuse and inserting Center; and by striking subsection (h) and inserting the following: The Assistant Secretary shall publish online in a publicly accessible format, on an annual basis, a list of national resource centers and demonstration projects authorized under, or administratively established through funds provided under, this Act. The Assistant Secretary shall ensure that the list published pursuant to paragraph (1)— includes— a description of each such center and demonstration project, including the projected goals and activities of each such center and demonstration project; a citation to the statutory authorization of each such center and demonstration project, or a citation to the statutory authority that the Assistant Secretary relies upon to administratively establish each such center and demonstration project; the award amount for each such center and demonstration project; and a summary of any evaluations required under this Act for each such center, including a description of any measures of effectiveness; and is directly provided to State agencies, area agencies on aging, and the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives. (h) (1) The Assistant Secretary shall publish online in a publicly accessible format, on an annual basis, a list of national resource centers and demonstration projects authorized under, or administratively established through funds provided under, this Act. (2) The Assistant Secretary shall ensure that the list published pursuant to paragraph (1)— (A) includes— (i) a description of each such center and demonstration project, including the projected goals and activities of each such center and demonstration project; (ii) a citation to the statutory authorization of each such center and demonstration project, or a citation to the statutory authority that the Assistant Secretary relies upon to administratively establish each such center and demonstration project; (iii) the award amount for each such center and demonstration project; and (iv) a summary of any evaluations required under this Act for each such center, including a description of any measures of effectiveness; and (B) is directly provided to State agencies, area agencies on aging, and the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives. .

104. Awareness of relevant Federal programs Title II (42 U.S.C. 3011 et seq.) is amended by inserting after section 203A (42 U.S.C. 3013a) the following: In carrying out section 203(a)(1), the Assistant Secretary shall coordinate with the heads of relevant Federal departments and agencies to ensure that the aging network and individuals served under this Act are aware of, and, subject to applicable eligibility criteria, have access to, Federal programs that may advance the objectives of this Act, including programs described in section 203(b) and other programs to meet housing, health care, and other supportive service needs to help such individuals age in place. 203B. Awareness of relevant Federal programs In carrying out section 203(a)(1), the Assistant Secretary shall coordinate with the heads of relevant Federal departments and agencies to ensure that the aging network and individuals served under this Act are aware of, and, subject to applicable eligibility criteria, have access to, Federal programs that may advance the objectives of this Act, including programs described in section 203(b) and other programs to meet housing, health care, and other supportive service needs to help such individuals age in place. .

203B. Awareness of relevant Federal programs In carrying out section 203(a)(1), the Assistant Secretary shall coordinate with the heads of relevant Federal departments and agencies to ensure that the aging network and individuals served under this Act are aware of, and, subject to applicable eligibility criteria, have access to, Federal programs that may advance the objectives of this Act, including programs described in section 203(b) and other programs to meet housing, health care, and other supportive service needs to help such individuals age in place.

105. Evaluations and surveys Section 206 (42 U.S.C. 3017) is amended— by striking subsection (d) and inserting the following: In carrying out evaluations under this section, the Secretary shall— award grants to, or enter into contracts with, public or nonprofit private organizations or academic or research institutions to survey State agencies, area agencies on aging, and other program and project participants about the strengths and weaknesses of the programs and projects; and conduct, where appropriate, evaluations that compare the effectiveness of related programs in achieving common objectives. The surveys and evaluations under paragraph (1) shall include information on programs, services, use and sources of funding (including any transfer of funding between area agencies on aging), identified unmet need for services and related indicators, and any other challenges faced by State agencies and area agencies on aging in carrying out the activities of this Act. The Secretary shall, in carrying out the evaluations under paragraph (1), consult with organizations concerned with older individuals, including organizations that represent minority individuals, older individuals residing in rural areas, and older individuals with disabilities. in subsection (g), by striking him and inserting the Secretary. (d) (1) In carrying out evaluations under this section, the Secretary shall— (A) award grants to, or enter into contracts with, public or nonprofit private organizations or academic or research institutions to survey State agencies, area agencies on aging, and other program and project participants about the strengths and weaknesses of the programs and projects; and (B) conduct, where appropriate, evaluations that compare the effectiveness of related programs in achieving common objectives. (2) The surveys and evaluations under paragraph (1) shall include information on programs, services, use and sources of funding (including any transfer of funding between area agencies on aging), identified unmet need for services and related indicators, and any other challenges faced by State agencies and area agencies on aging in carrying out the activities of this Act. (3) The Secretary shall, in carrying out the evaluations under paragraph (1), consult with organizations concerned with older individuals, including organizations that represent minority individuals, older individuals residing in rural areas, and older individuals with disabilities. ; and

106. Contracting Section 212 (42 U.S.C. 3020c) is amended— in the section heading, by striking and grant authority; by striking subsection (a) and inserting the following: Subject to subsection (b), this Act shall not be construed to prevent a recipient of a grant or a contract under this Act (other than title V) from entering into a contract, commercial relationship, or other business arrangement (referred to in this section as an agreement) with a profitmaking organization for the recipient to provide services to individuals or entities not otherwise receiving services under this Act, provided that— in the case funds provided under this Act are used in developing or carrying out the agreement— such agreement guarantees that the cost is reimbursed to the recipient; if such agreement provides for the provision of 1 or more services, of the type provided under this Act by or on behalf of such recipient, to an individual or entity seeking to receive such services— the individuals and entities may only purchase such services at their fair market rate; all costs incurred by the recipient in providing such services (and not otherwise reimbursed under subparagraph (A)), are reimbursed to such recipient; and except in the case of an agreement with a health plan or health care provider, the recipient reports the rates for providing such services under such agreement in accordance with subsection (c) and the rates are consistent with the prevailing market rate for provision of such services in the relevant geographic area as determined by the State agency or area agency on aging (as applicable); and any amount of payment to the recipient under the agreement that exceeds reimbursement under this subsection of the recipient's costs is used to provide, or support the provision of, services under this Act; and subject to subsection (e), in the case no funds provided under this Act are used in developing or carrying out the agreement— not later than 45 days after the agreement first goes into effect, and annually thereafter until the termination of such agreement, the recipient of a grant or contract under this Act shall, in writing— notify the State agency of— the existence of the agreement; and the services provided and populations served under the agreement; and provide assurances to the State agency that— nothing in the agreement— undermines— the duties of the recipient under this Act; or the provision of services in accordance with this Act; or violates any other terms and conditions of an award received by the recipient under this Act; and any potential real or perceived conflict of interest with respect to the agreement has been prevented, mitigated, or otherwise addressed, including providing a description of any such conflicts of interest and a description of the actions taken to mitigate such conflicts of interest; and not later than 45 days after the population or services under the agreement substantially change due to an amendment to the agreement, the recipient shall, in writing— notify the State agency of such change; and provide the assurances described in subparagraph (A)(ii) with respect to such change. by striking subsection (b) and inserting the following: An agreement— described in subsection (a)(1) may not— be made without the prior approval of the State agency (or, in the case of a grantee under title VI, without the prior recommendation of the Director of the Office for American Indian, Alaskan Native, and Native Hawaiian Aging and the prior approval of the Assistant Secretary), after timely submission of all relevant documents related to the agreement including information on all costs incurred; or directly or indirectly provide for, or have the effect of, paying, reimbursing, subsidizing, or otherwise compensating an individual or entity in an amount that exceeds the fair market value of the services subject to such agreement; and described in subsection (a) may not— result in the displacement of services otherwise available to an older individual with greatest social need, an older individual with greatest economic need, or an older individual who is at risk for institutional placement; or in any other way compromise, undermine, or be inconsistent with the objective of serving the needs of older individuals, as determined by the Assistant Secretary. by striking subsection (c) and inserting the following: To ensure that any agreement described in subsection (a)(1) complies with the requirements of this section and other applicable provisions of this Act, the Assistant Secretary shall develop and implement uniform monitoring procedures and reporting requirements consistent with the provisions of subparagraphs (A) through (E) of section 306(a)(13) in consultation with the State agencies and area agencies on aging. The Assistant Secretary shall conduct a review on the impact of such agreements on the provision of services under this Act, including the number of agreements per State, summaries of such agreements, and the impact of such agreements on access to services consistent with the goals of this Act. The Assistant Secretary shall annually prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate, the Special Committee on Aging of the Senate, and the Committee on Education and Workforce of the House of Representatives the findings of such review. by striking subsection (e) and inserting the following: In the case of an agreement described in subsection (a)(2), if the State agency has a reasonable belief that an agreement may violate the assurances provided under subsection (a)(2)(A)(ii), the State agency may request additional information from the recipient of funds under this Act that is a party to such agreement, which may include a request for a copy of such agreement. Such recipient shall make a good faith effort to address such request for additional information, except that such recipient shall not provide agreements or other data that are restricted under the terms of a non-disclosure agreement signed by such recipient. If such recipient declines to provide a copy of an agreement to a State agency, such recipient shall provide a justification to the State agency within 30 days of receiving such request. A State agency shall keep confidential, as required by applicable Federal and State law, all information received under this subsection that is— a trade secret; commercial or financial information; and information obtained from an individual that is privileged and confidential. In this section: The term cost means an expense, including an administrative expense, incurred by a recipient in developing or carrying out an agreement described in subsection (a), whether the recipient contributed funds, staff time, or other plant, equipment, or services to meet the expense. The term recipient means an area agency on aging in a State with multiple planning and service areas. Section 306 (42 U.S.C. 3026) is amended— in subsection (a)(13)— in subparagraph (B)(i), by striking any service to older individuals and inserting any service under this Act to older individuals or caregivers; and in subparagraph (E), by inserting or caregivers under this Act after older individuals; and in subsection (g), by inserting , except as provided under section 212(a)(2), after Nothing in this Act. (a) In general Subject to subsection (b), this Act shall not be construed to prevent a recipient of a grant or a contract under this Act (other than title V) from entering into a contract, commercial relationship, or other business arrangement (referred to in this section as an agreement) with a profitmaking organization for the recipient to provide services to individuals or entities not otherwise receiving services under this Act, provided that— (1) in the case funds provided under this Act are used in developing or carrying out the agreement— (A) such agreement guarantees that the cost is reimbursed to the recipient; (B) if such agreement provides for the provision of 1 or more services, of the type provided under this Act by or on behalf of such recipient, to an individual or entity seeking to receive such services— (i) the individuals and entities may only purchase such services at their fair market rate; (ii) all costs incurred by the recipient in providing such services (and not otherwise reimbursed under subparagraph (A)), are reimbursed to such recipient; and (iii) except in the case of an agreement with a health plan or health care provider, the recipient reports the rates for providing such services under such agreement in accordance with subsection (c) and the rates are consistent with the prevailing market rate for provision of such services in the relevant geographic area as determined by the State agency or area agency on aging (as applicable); and (C) any amount of payment to the recipient under the agreement that exceeds reimbursement under this subsection of the recipient's costs is used to provide, or support the provision of, services under this Act; and (2) subject to subsection (e), in the case no funds provided under this Act are used in developing or carrying out the agreement— (A) not later than 45 days after the agreement first goes into effect, and annually thereafter until the termination of such agreement, the recipient of a grant or contract under this Act shall, in writing— (i) notify the State agency of— (I) the existence of the agreement; and (II) the services provided and populations served under the agreement; and (ii) provide assurances to the State agency that— (I) nothing in the agreement— (aa) undermines— (AA) the duties of the recipient under this Act; or (BB) the provision of services in accordance with this Act; or (bb) violates any other terms and conditions of an award received by the recipient under this Act; and (II) any potential real or perceived conflict of interest with respect to the agreement has been prevented, mitigated, or otherwise addressed, including providing a description of any such conflicts of interest and a description of the actions taken to mitigate such conflicts of interest; and (B) not later than 45 days after the population or services under the agreement substantially change due to an amendment to the agreement, the recipient shall, in writing— (i) notify the State agency of such change; and (ii) provide the assurances described in subparagraph (A)(ii) with respect to such change. ; (b) Ensuring appropriate use of funds An agreement— (1) described in subsection (a)(1) may not— (A) be made without the prior approval of the State agency (or, in the case of a grantee under title VI, without the prior recommendation of the Director of the Office for American Indian, Alaskan Native, and Native Hawaiian Aging and the prior approval of the Assistant Secretary), after timely submission of all relevant documents related to the agreement including information on all costs incurred; or (B) directly or indirectly provide for, or have the effect of, paying, reimbursing, subsidizing, or otherwise compensating an individual or entity in an amount that exceeds the fair market value of the services subject to such agreement; and (2) described in subsection (a) may not— (A) result in the displacement of services otherwise available to an older individual with greatest social need, an older individual with greatest economic need, or an older individual who is at risk for institutional placement; or (B) in any other way compromise, undermine, or be inconsistent with the objective of serving the needs of older individuals, as determined by the Assistant Secretary. ; (c) Monitoring and reporting To ensure that any agreement described in subsection (a)(1) complies with the requirements of this section and other applicable provisions of this Act, the Assistant Secretary shall develop and implement uniform monitoring procedures and reporting requirements consistent with the provisions of subparagraphs (A) through (E) of section 306(a)(13) in consultation with the State agencies and area agencies on aging. The Assistant Secretary shall conduct a review on the impact of such agreements on the provision of services under this Act, including the number of agreements per State, summaries of such agreements, and the impact of such agreements on access to services consistent with the goals of this Act. The Assistant Secretary shall annually prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate, the Special Committee on Aging of the Senate, and the Committee on Education and Workforce of the House of Representatives the findings of such review. ; and (e) Requesting additional information for certain non-OAA agreements (1) In general In the case of an agreement described in subsection (a)(2), if the State agency has a reasonable belief that an agreement may violate the assurances provided under subsection (a)(2)(A)(ii), the State agency may request additional information from the recipient of funds under this Act that is a party to such agreement, which may include a request for a copy of such agreement. Such recipient shall make a good faith effort to address such request for additional information, except that such recipient shall not provide agreements or other data that are restricted under the terms of a non-disclosure agreement signed by such recipient. If such recipient declines to provide a copy of an agreement to a State agency, such recipient shall provide a justification to the State agency within 30 days of receiving such request. (2) Confidentiality A State agency shall keep confidential, as required by applicable Federal and State law, all information received under this subsection that is— (A) a trade secret; (B) commercial or financial information; and (C) information obtained from an individual that is privileged and confidential. (f) Definitions In this section: (1) Cost The term cost means an expense, including an administrative expense, incurred by a recipient in developing or carrying out an agreement described in subsection (a), whether the recipient contributed funds, staff time, or other plant, equipment, or services to meet the expense. (2) Recipient The term recipient means an area agency on aging in a State with multiple planning and service areas. .

107. Guidance on reallocation of funding between area agencies on aging Not later than 1 year after the date of enactment of this Act, the Assistant Secretary shall disseminate one-time guidance to State agencies (as defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) and area agencies on aging on circumstances under which funds appropriated pursuant to part B and subparts 1 and 2 of part C of title III of the Older Americans Act (42 U.S.C. 3030d et seq., 42 U.S.C. 3030e et seq., 42 U.S.C. 3030f et seq.) may be appropriate to reallocate between area agencies on aging within a single State, with the approval of the State agency and the concurrence of any involved area agencies on aging, within a budget year. In disseminating the guidance under subsection (a), the Assistant Secretary may consider circumstances that affect the expenditure of the funds described in such subsection.

108. Right to first refusal Section 305(b)(5)(B) (42 U.S.C. 3025(b)(5)(B)) is amended to read as follows: Whenever a State agency designates a new area agency on aging after the date of enactment of the Older Americans Act Reauthorization Act of 2025, the State agency shall give the right to first refusal to a unit of general purpose local government if— such unit can meet the requirements of subsection (c); such unit has demonstrated experience administering services for older individuals; or the State agency determines that there is not another entity eligible under subsection (c)(1) within the planning and service area with such demonstrated experience; and the boundaries of such unit and the boundaries of the planning and service area are reasonably contiguous. (B) Whenever a State agency designates a new area agency on aging after the date of enactment of the Older Americans Act Reauthorization Act of 2025, the State agency shall give the right to first refusal to a unit of general purpose local government if— (i) such unit can meet the requirements of subsection (c); (ii) (I) such unit has demonstrated experience administering services for older individuals; or (II) the State agency determines that there is not another entity eligible under subsection (c)(1) within the planning and service area with such demonstrated experience; and (iii) the boundaries of such unit and the boundaries of the planning and service area are reasonably contiguous. .

109. Area agency on aging capabilities Section 305(c) (42 U.S.C. 3025(c)) is amended— by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively, and moving such subparagraphs 2 ems to the right; by striking shall be and inserting the following: “shall— be— in subparagraph (E), as so redesignated— by striking (b)(5) and inserting (b)(5)(A); and by inserting and after the semicolon; and by striking and shall provide assurance, and all that follows through the area plan. and inserting the following: provide assurance, determined adequate by the State agency, that the area agency on aging will have the ability, and maintain the capabilities necessary, to develop an area plan as required under section 306(a), and carry out, directly or through contractual or other arrangements, and oversee activities in accordance with— the plan within the planning and service area; any other relevant requirements of this Act; other applicable Federal and State laws; and other terms and conditions of awards received under this Act. Section 306(f)(1) (42 U.S.C. 3026(f)(1)) is amended— by inserting the assurances required under section 305(c)(2), after of this section,; and by striking the period at the end and inserting , and if the State agency determines, in the discretion of the State agency, that an area agency on aging failed in 2 successive years to comply with the requirements under this title, then the State agency may require the area agency on aging to submit a plan for a 1-year period that meets such requirements, for subsequent years until the State agency determines that the area agency on aging is in compliance with such requirements.. (1) be— ; (2) provide assurance, determined adequate by the State agency, that the area agency on aging will have the ability, and maintain the capabilities necessary, to develop an area plan as required under section 306(a), and carry out, directly or through contractual or other arrangements, and oversee activities in accordance with— (A) the plan within the planning and service area; (B) any other relevant requirements of this Act; (C) other applicable Federal and State laws; and (D) other terms and conditions of awards received under this Act. In designating an area agency on aging within the planning and service area or within any unit of general purpose local government designated as a planning and service area, the State shall give preference to an established office on aging, unless the State agency finds that no such office within the planning and service area will have the capacity to carry out the area plan. .

110. Supporting older individuals with disabilities through improved coordination Section 306(a)(5) (42 U.S.C. 3026(a)(5)) is amended by striking with agencies that develop or provide services for individuals with disabilities and inserting with entities that develop or provide services for individuals with disabilities, which may include centers for independent living, relevant service providers, and other community-based organizations, as appropriate. The Administrator of the Administration for Community Living of the Department of Health and Human Services (referred to in this section as the Administrator) shall identify— opportunities to improve coordination between the aging and disability networks, which may include the formation of partnerships to serve individuals eligible for programs under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.); lessons learned from disability networks, including centers for independent living, State developmental disabilities councils, university centers for excellence in developmental disabilities education, research, and service, and State protection and advocacy agencies that could improve operations and service delivery within the aging network; and any technical assistance needs related to subparagraphs (A) and (B). Not later than 2 years after the date of enactment of this Act, the Administrator shall issue guidance to State agencies and area agencies on aging on strategies to leverage disability networks, including centers for independent living, State developmental disabilities councils, university centers for excellence in developmental disabilities, education, research, and service, and State protection and advocacy agencies, as appropriate, to strengthen the provision of services under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.). The Administrator shall coordinate across the Administration for Community Living to address any technical assistance needs identified under paragraph (1)(C) in a manner that does not unnecessarily duplicate other technical assistance activities carried out prior to the date of enactment of this Act. Section 102 (42 U.S.C. 3002) is amended— in paragraph (4), by striking (as defined in section 3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102)); in paragraph (13), by striking The term and all that follows through adjustment. and inserting The term disability has the meaning given such term in section 3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102).; and in paragraph (49)(B), by striking of the major life activities specified in subparagraphs (A) through (G) of paragraph (8) and inserting major life activities specified in section 3(2) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102(2))..

111. Business acumen, fiscal training, and technical assistance Section 307(a) (42 U.S.C. 3027(a)) is amended by adding at the end the following: The plan shall provide assurances that the State agency, to the extent feasible and when applicable and appropriate, provides technical assistance for area agencies on aging related to the development of business acumen, sound fiscal practices, capacity building, organizational development, innovation, and other methods of growing and sustaining the capacity of the aging network to carry out activities funded under this Act to serve older individuals and caregivers most effectively. (31) The plan shall provide assurances that the State agency, to the extent feasible and when applicable and appropriate, provides technical assistance for area agencies on aging related to the development of business acumen, sound fiscal practices, capacity building, organizational development, innovation, and other methods of growing and sustaining the capacity of the aging network to carry out activities funded under this Act to serve older individuals and caregivers most effectively. .

112. Enhancing access to assistive technology Section 307(a) (42 U.S.C. 3027(a)), as amended by section 111 of this Act, is further amended by adding at the end the following: The plan shall provide assurances that the State will coordinate services, to the extent feasible, with lead agencies designated to carry out State assistive technology programs under the Assistive Technology Act of 1998 (29 U.S.C. 3001 et seq.) and with area agencies on aging to assist eligible older individuals, including older individuals with disabilities, in accessing and acquiring assistive technology. (32) The plan shall provide assurances that the State will coordinate services, to the extent feasible, with lead agencies designated to carry out State assistive technology programs under the Assistive Technology Act of 1998 (29 U.S.C. 3001 et seq.) and with area agencies on aging to assist eligible older individuals, including older individuals with disabilities, in accessing and acquiring assistive technology. .

113. White House Conference on Aging The Older Americans Act Amendments of 1987 (42 U.S.C. 3001 note; Public Law 100–175) is amended by striking title II and inserting the following: Not earlier than January 21, 2025 and not later than December 31, 2025, the President shall convene the White House Conference on Aging in order to fulfill the purpose set forth in subsection (c) and to make fundamental policy recommendations regarding programs that are important to older individuals and to the families and communities of such individuals. The Conference described in subsection (a) shall be planned and conducted under the direction of the Secretary, in cooperation with the Assistant Secretary for Aging, the Director of the National Institute on Aging, the Administrator of the Centers for Medicare & Medicaid Services, the Social Security Administrator, and the heads of such other Federal agencies serving older individuals as are appropriate. Planning and conducting the Conference includes the assignment of personnel. The purpose of the Conference described in subsection (a) shall be to gather individuals representing the spectrum of thought and experience in the field of aging to— evaluate the manner in which the objectives of the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be met by using the resources and talents of older individuals, of families and communities of such individuals, and of individuals from the public and private sectors; evaluate the manner in which Federal policies, programs, and activities meet and respond to the needs of older individuals, including an examination of innovative and fiscally responsible strategies relating to retirement security, caregiving, nutrition and supportive services, health care, elder justice, and long-term services and supports; be informed by the work and recommendations of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, evaluate the recommendations of the Committee, and, as appropriate, suggest implementation strategies for such recommendations; and develop recommendations to guide the President, Congress, and Federal agencies in improving Federal programs that serve older individuals, which may relate to the prevention and mitigation of disease, injury, abuse, social isolation, loneliness, and economic insecurity, including food insecurity, and promotion of healthy aging in place. In order to carry out the purposes of this section, the Conference shall bring together— representatives of Federal, State, Tribal, and local governments; professionals and volunteers who are working in the field of aging; and representatives of the general public, particularly older individuals. The delegates shall be selected without regard to political affiliation or past partisan activity and shall, to the best of the appointing authority's ability, be representative of the spectrum of thought in the field of aging. Delegates shall include older individuals, individuals who are professionals in the field of aging, individuals who are community leaders, minority individuals, individuals from rural areas, low-income individuals, and representatives of Federal, State, Tribal, and local governments. In administering this section, the Secretary shall— consult with relevant State, Tribal, and local officials, stakeholders, and subject matter experts in planning the Conference; request the cooperation and assistance of the heads of such other Federal departments and agencies, including such officials of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, as may be appropriate in the carrying out of this section; make available for public comment a proposed agenda for the Conference, which will reflect to the greatest extent possible the major issues facing older individuals, consistent with the provisions of section 201(c); prepare and make available such background materials for the use of delegates to the Conference as the Secretary deems necessary; and engage such additional personnel as may be necessary to carry out the provisions of this section without regard to provisions of title 5, United States Code, governing appointments in the competitive service, and without regard to chapter 51 and subchapter III of chapter 53 of such title, relating to classification and General Schedule pay rates. The Secretary shall, in carrying out the Secretary's responsibilities and functions under this section, and as part of the White House Conference on Aging, ensure that— the agenda prepared under subsection (a)(3) for the Conference is published in the Federal Register not later than 30 days after such agenda is approved by the Secretary; the personnel engaged under subsection (a)(5) shall be fairly balanced in terms of points of views represented and shall be appointed without regard to political affiliation or previous partisan activities; the recommendations of the Conference are not inappropriately influenced by any appointing authority or by any special interest, but will instead be the result of the independent judgment of the Conference; and current and adequate statistical data, including decennial census data, and other information on the well-being of older individuals in the United States, are readily available, in advance of the Conference, to the delegates of the Conference, together with such information as may be necessary to evaluate Federal programs and policies relating to aging. In carrying out this subparagraph, the Secretary is authorized to make grants to, and enter into cooperative agreements with, public agencies and nonprofit private organizations. The Secretary may accept, on behalf of the United States, gifts (in cash or in kind, including voluntary and uncompensated services) that shall be available to carry out this title. Gifts of cash shall be available in addition to amounts appropriated to carry out this title. Gifts may be earmarked by the donor for a specific purpose. The Secretary shall maintain records regarding— the sources, amounts, and uses of gifts accepted under subsection (c); and the identity of each person receiving assistance to carry out this title, and the amount of such assistance received by each such person. Not later than 100 days after the date on which the Conference adjourns, the Secretary shall publish and deliver to the States a preliminary report on the Conference. Comments on the preliminary report of the Conference shall be accepted by the Secretary. Not later than 180 days after the date on which the Conference adjourns, the Secretary shall publish and transmit to the President and to Congress recommendations resulting from the Conference and suggestions for any administrative action and legislation necessary to implement the recommendations contained within the report. In this title: The term Conference means the White House Conference on Aging. The term Secretary means the Secretary of Health and Human Services. The term State means any of the several States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, American Samoa, the Virgin Islands of the United States, the Trust Territory of the Pacific Islands, or the Commonwealth of the Northern Mariana Islands. II White House Conference on Aging 201. Authorization of the Conference (a) Authority To call conference Not earlier than January 21, 2025 and not later than December 31, 2025, the President shall convene the White House Conference on Aging in order to fulfill the purpose set forth in subsection (c) and to make fundamental policy recommendations regarding programs that are important to older individuals and to the families and communities of such individuals. (b) Planning and direction The Conference described in subsection (a) shall be planned and conducted under the direction of the Secretary, in cooperation with the Assistant Secretary for Aging, the Director of the National Institute on Aging, the Administrator of the Centers for Medicare & Medicaid Services, the Social Security Administrator, and the heads of such other Federal agencies serving older individuals as are appropriate. Planning and conducting the Conference includes the assignment of personnel. (c) Purpose The purpose of the Conference described in subsection (a) shall be to gather individuals representing the spectrum of thought and experience in the field of aging to— (1) evaluate the manner in which the objectives of the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be met by using the resources and talents of older individuals, of families and communities of such individuals, and of individuals from the public and private sectors; (2) evaluate the manner in which Federal policies, programs, and activities meet and respond to the needs of older individuals, including an examination of innovative and fiscally responsible strategies relating to retirement security, caregiving, nutrition and supportive services, health care, elder justice, and long-term services and supports; (3) be informed by the work and recommendations of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, evaluate the recommendations of the Committee, and, as appropriate, suggest implementation strategies for such recommendations; and (4) develop recommendations to guide the President, Congress, and Federal agencies in improving Federal programs that serve older individuals, which may relate to the prevention and mitigation of disease, injury, abuse, social isolation, loneliness, and economic insecurity, including food insecurity, and promotion of healthy aging in place. (d) Conference participants and delegates (1) Participants In order to carry out the purposes of this section, the Conference shall bring together— (A) representatives of Federal, State, Tribal, and local governments; (B) professionals and volunteers who are working in the field of aging; and (C) representatives of the general public, particularly older individuals. (2) Selection of delegates The delegates shall be selected without regard to political affiliation or past partisan activity and shall, to the best of the appointing authority's ability, be representative of the spectrum of thought in the field of aging. Delegates shall include older individuals, individuals who are professionals in the field of aging, individuals who are community leaders, minority individuals, individuals from rural areas, low-income individuals, and representatives of Federal, State, Tribal, and local governments. 202. Conference administration (a) Administration In administering this section, the Secretary shall— (1) consult with relevant State, Tribal, and local officials, stakeholders, and subject matter experts in planning the Conference; (2) request the cooperation and assistance of the heads of such other Federal departments and agencies, including such officials of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, as may be appropriate in the carrying out of this section; (3) make available for public comment a proposed agenda for the Conference, which will reflect to the greatest extent possible the major issues facing older individuals, consistent with the provisions of section 201(c); (4) prepare and make available such background materials for the use of delegates to the Conference as the Secretary deems necessary; and (5) engage such additional personnel as may be necessary to carry out the provisions of this section without regard to provisions of title 5, United States Code, governing appointments in the competitive service, and without regard to chapter 51 and subchapter III of chapter 53 of such title, relating to classification and General Schedule pay rates. (b) Duties The Secretary shall, in carrying out the Secretary's responsibilities and functions under this section, and as part of the White House Conference on Aging, ensure that— (1) the agenda prepared under subsection (a)(3) for the Conference is published in the Federal Register not later than 30 days after such agenda is approved by the Secretary; (2) the personnel engaged under subsection (a)(5) shall be fairly balanced in terms of points of views represented and shall be appointed without regard to political affiliation or previous partisan activities; (3) the recommendations of the Conference are not inappropriately influenced by any appointing authority or by any special interest, but will instead be the result of the independent judgment of the Conference; and (4) current and adequate statistical data, including decennial census data, and other information on the well-being of older individuals in the United States, are readily available, in advance of the Conference, to the delegates of the Conference, together with such information as may be necessary to evaluate Federal programs and policies relating to aging. In carrying out this subparagraph, the Secretary is authorized to make grants to, and enter into cooperative agreements with, public agencies and nonprofit private organizations. (c) Gifts The Secretary may accept, on behalf of the United States, gifts (in cash or in kind, including voluntary and uncompensated services) that shall be available to carry out this title. Gifts of cash shall be available in addition to amounts appropriated to carry out this title. Gifts may be earmarked by the donor for a specific purpose. (d) Records The Secretary shall maintain records regarding— (1) the sources, amounts, and uses of gifts accepted under subsection (c); and (2) the identity of each person receiving assistance to carry out this title, and the amount of such assistance received by each such person. 203. Report of the Conference (a) Preliminary report Not later than 100 days after the date on which the Conference adjourns, the Secretary shall publish and deliver to the States a preliminary report on the Conference. Comments on the preliminary report of the Conference shall be accepted by the Secretary. (b) Final report Not later than 180 days after the date on which the Conference adjourns, the Secretary shall publish and transmit to the President and to Congress recommendations resulting from the Conference and suggestions for any administrative action and legislation necessary to implement the recommendations contained within the report. 204. Definitions In this title: (1) Conference The term Conference means the White House Conference on Aging. (2) Secretary The term Secretary means the Secretary of Health and Human Services. (3) State The term State means any of the several States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, American Samoa, the Virgin Islands of the United States, the Trust Territory of the Pacific Islands, or the Commonwealth of the Northern Mariana Islands. .

201. Authorization of the Conference Not earlier than January 21, 2025 and not later than December 31, 2025, the President shall convene the White House Conference on Aging in order to fulfill the purpose set forth in subsection (c) and to make fundamental policy recommendations regarding programs that are important to older individuals and to the families and communities of such individuals. The Conference described in subsection (a) shall be planned and conducted under the direction of the Secretary, in cooperation with the Assistant Secretary for Aging, the Director of the National Institute on Aging, the Administrator of the Centers for Medicare & Medicaid Services, the Social Security Administrator, and the heads of such other Federal agencies serving older individuals as are appropriate. Planning and conducting the Conference includes the assignment of personnel. The purpose of the Conference described in subsection (a) shall be to gather individuals representing the spectrum of thought and experience in the field of aging to— evaluate the manner in which the objectives of the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) can be met by using the resources and talents of older individuals, of families and communities of such individuals, and of individuals from the public and private sectors; evaluate the manner in which Federal policies, programs, and activities meet and respond to the needs of older individuals, including an examination of innovative and fiscally responsible strategies relating to retirement security, caregiving, nutrition and supportive services, health care, elder justice, and long-term services and supports; be informed by the work and recommendations of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, evaluate the recommendations of the Committee, and, as appropriate, suggest implementation strategies for such recommendations; and develop recommendations to guide the President, Congress, and Federal agencies in improving Federal programs that serve older individuals, which may relate to the prevention and mitigation of disease, injury, abuse, social isolation, loneliness, and economic insecurity, including food insecurity, and promotion of healthy aging in place. In order to carry out the purposes of this section, the Conference shall bring together— representatives of Federal, State, Tribal, and local governments; professionals and volunteers who are working in the field of aging; and representatives of the general public, particularly older individuals. The delegates shall be selected without regard to political affiliation or past partisan activity and shall, to the best of the appointing authority's ability, be representative of the spectrum of thought in the field of aging. Delegates shall include older individuals, individuals who are professionals in the field of aging, individuals who are community leaders, minority individuals, individuals from rural areas, low-income individuals, and representatives of Federal, State, Tribal, and local governments.

202. Conference administration In administering this section, the Secretary shall— consult with relevant State, Tribal, and local officials, stakeholders, and subject matter experts in planning the Conference; request the cooperation and assistance of the heads of such other Federal departments and agencies, including such officials of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities, as may be appropriate in the carrying out of this section; make available for public comment a proposed agenda for the Conference, which will reflect to the greatest extent possible the major issues facing older individuals, consistent with the provisions of section 201(c); prepare and make available such background materials for the use of delegates to the Conference as the Secretary deems necessary; and engage such additional personnel as may be necessary to carry out the provisions of this section without regard to provisions of title 5, United States Code, governing appointments in the competitive service, and without regard to chapter 51 and subchapter III of chapter 53 of such title, relating to classification and General Schedule pay rates. The Secretary shall, in carrying out the Secretary's responsibilities and functions under this section, and as part of the White House Conference on Aging, ensure that— the agenda prepared under subsection (a)(3) for the Conference is published in the Federal Register not later than 30 days after such agenda is approved by the Secretary; the personnel engaged under subsection (a)(5) shall be fairly balanced in terms of points of views represented and shall be appointed without regard to political affiliation or previous partisan activities; the recommendations of the Conference are not inappropriately influenced by any appointing authority or by any special interest, but will instead be the result of the independent judgment of the Conference; and current and adequate statistical data, including decennial census data, and other information on the well-being of older individuals in the United States, are readily available, in advance of the Conference, to the delegates of the Conference, together with such information as may be necessary to evaluate Federal programs and policies relating to aging. In carrying out this subparagraph, the Secretary is authorized to make grants to, and enter into cooperative agreements with, public agencies and nonprofit private organizations. The Secretary may accept, on behalf of the United States, gifts (in cash or in kind, including voluntary and uncompensated services) that shall be available to carry out this title. Gifts of cash shall be available in addition to amounts appropriated to carry out this title. Gifts may be earmarked by the donor for a specific purpose. The Secretary shall maintain records regarding— the sources, amounts, and uses of gifts accepted under subsection (c); and the identity of each person receiving assistance to carry out this title, and the amount of such assistance received by each such person.

203. Report of the Conference Not later than 100 days after the date on which the Conference adjourns, the Secretary shall publish and deliver to the States a preliminary report on the Conference. Comments on the preliminary report of the Conference shall be accepted by the Secretary. Not later than 180 days after the date on which the Conference adjourns, the Secretary shall publish and transmit to the President and to Congress recommendations resulting from the Conference and suggestions for any administrative action and legislation necessary to implement the recommendations contained within the report.

204. Definitions In this title: The term Conference means the White House Conference on Aging. The term Secretary means the Secretary of Health and Human Services. The term State means any of the several States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, American Samoa, the Virgin Islands of the United States, the Trust Territory of the Pacific Islands, or the Commonwealth of the Northern Mariana Islands.

114. Technical amendments The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended— in section 201(d)(3)(J) (42 U.S.C. 3011(d)(3)(J)), by striking Speaker of the House of Representatives and the President pro tempore of the Senate and inserting Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives; in section 202(b)(8)(E) (42 U.S.C. 3012(b)(8)(E)), by striking preventative health benefits under the provisions of, and amendments made by, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and inserting preventive health benefits under such program; in section 203(c)(7) (42 U.S.C. 3013(c)(7))— in the matter preceding subparagraph (A), by striking the Committee on Education and Labor of the House of Representatives and inserting the Committee on Education and Workforce of the House of Representatives; and in subparagraph (C), by striking chairman and inserting chairperson; in section 339 (42 U.S.C. 3030g–21), by striking this chapter each place it appears and inserting this part; and in section 432(b)(1) (42 U.S.C. 3033a(b)(1)), by striking Speaker of the House of Representatives and the President pro tempore of the Senate and inserting Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives.

201. Disease prevention and health promotion services Section 102(14) (42 U.S.C. 3002(14)) is amended— in subparagraph (B), by inserting heart rate, respiratory function, after hearing,; in subparagraph (K), by inserting providing before information; by redesignating subparagraphs (L), (M), (N), and (O), as subparagraphs (M), (N), (O), and (P), respectively; by inserting after subparagraph (K) the following: providing information concerning testing, diagnosis, and treatment of infectious diseases, taking into consideration infectious diseases for which older individuals are at increased risk of infection or serious health outcomes; in subparagraph (P), as so redesignated, by striking subparagraphs (A) through (N) and inserting subparagraphs (A) through (O). (L) providing information concerning testing, diagnosis, and treatment of infectious diseases, taking into consideration infectious diseases for which older individuals are at increased risk of infection or serious health outcomes; ; and

202. Improving health outcomes Section 201 (42 U.S.C. 3011) is amended— in subsection (c)(3)(B), by striking in behalf and inserting on behalf; and in subsection (g)— in paragraph (3)(A)(ii), by inserting reduction of health care expenditures, after quality of life,; and in paragraph (7), by inserting and recommendations relating to further research, evaluation, and demonstration projects conducted under this section after title IV. Section 411(a)(15) (42 U.S.C. 3032(a)(15)) is amended to read as follows: bringing to scale and sustaining evidence-based falls prevention programs to reduce the number of falls, fear of falling, and fall-related injuries affecting older individuals, including older individuals with disabilities, which shall— provide training and technical assistance to the aging network; and share best practices with the aging network, including the Aging and Disability Resource Centers; Section 203(c) (42 U.S.C. 3013(c)) is amended— in paragraph (6)(B)— in clause (ii), by striking and after the semicolon; in clause (iii), by inserting and after the semicolon; and by adding at the end the following: strategies to address social isolation, including by promoting strong and stable connections across different generations in a family and in the community; in paragraph (7), as amended by section 114(3)— in subparagraph (B), by striking and at the end; by redesignating subparagraph (C) as subparagraph (D); and by inserting after subparagraph (B) the following: contains an assessment of the effectiveness of relevant Federal efforts and programs, including implementation of best practices described in paragraph (6)(B); and (15) bringing to scale and sustaining evidence-based falls prevention programs to reduce the number of falls, fear of falling, and fall-related injuries affecting older individuals, including older individuals with disabilities, which shall— (A) provide training and technical assistance to the aging network; and (B) share best practices with the aging network, including the Aging and Disability Resource Centers; . (iv) strategies to address social isolation, including by promoting strong and stable connections across different generations in a family and in the community; ; and (C) contains an assessment of the effectiveness of relevant Federal efforts and programs, including implementation of best practices described in paragraph (6)(B); and .

203. Technical assistance on evidence-based programs The Assistant Secretary, at the request of a State agency (as defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) or area agencies on aging, may provide technical assistance on the requirements of evidence-based programs under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.). The Assistant Secretary may consider whether there are evidence-informed practices, based on the best available science, that may improve health outcomes.

204. Enhancing multipurpose senior centers Section 202(a)(30) (42 U.S.C. 3012(a)(30)) is amended by inserting , access to services provided at multipurpose senior centers, and (where appropriate) the establishment and maintenance of multipurpose senior centers before the semicolon at the end. Section 306(a)(2)(A) (42 U.S.C. 3026(a)(2)(A)) is amended by inserting , including those services provided at multipurpose senior centers, where appropriate before the semicolon at the end. Section 307(a)(2)(A) (42 U.S.C. 3027(a)(2)(A)) is amended by inserting and, to the extent feasible, make such evaluation public before the semicolon at the end.

205. Addressing home modifications Section 361(c) (42 U.S.C. 3030m(c)) is amended by striking buildings and all that follows and inserting buildings and residences where older individuals congregate or live. Section 321(a)(4) (42 U.S.C. 3030d(a)(4)) is amended by striking subparagraph (A) and inserting (A) to assist older individuals in obtaining and maintaining adequate housing, including residential repair and renovation projects, and (if assistance for weatherization projects does not unnecessarily duplicate other Federal assistance available) weatherization projects, designed to enable older individuals to maintain their homes in conformity with minimum housing and (as applicable and appropriate) other relevant standards, in order to support such older individuals in aging in place and maintaining their health;.

206. National resource center for engaging older adults Section 411(a)(18) (42 U.S.C. 3032(a)(18)) is amended by inserting , such as providing appropriate training, resources, and best practices to the aging network after older individuals.

207. Multigenerational and civic engagement activities Section 417 (42 U.S.C. 3032f) is amended— in subsection (a)— in the matter preceding paragraph (1), by striking projects, and all that follows through to— and inserting the following: projects to serve individuals in younger generations and older individuals by developing, carrying out, and promoting participation in multigenerational activities to—; in paragraph (2), by adding and at the end; in paragraph (3), by striking opportunities for older individuals to become a mentor to individuals in younger generations; and and inserting “opportunities— for older individuals to become mentors to individuals in younger generations; and at facilities that serve older individuals or individuals in younger generations, at which multigenerational activities might occur. by striking paragraph (4); in subsection (c)(2), by striking (4) and inserting (3); in subsection (d)— by striking paragraph (1); and by redesignating paragraphs (2) through (5) as paragraphs (1) through (4), respectively; in subsection (g)— in paragraph (1), in the matter preceding subparagraph (A), by striking of enactment of the Supporting Older Americans Act of 2020, and inserting on which the first grant is awarded under this section following the date of enactment of the Older Americans Act Reauthorization Act of 2025,; and in paragraph (2), in the matter preceding subparagraph (A), by striking the Speaker of the House of Representatives and the President pro tempore of the Senate and inserting the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives; and in subsection (h)(1), by striking or a family support program. and inserting or a family support program, or a program at a multipurpose senior center, long-term care facility, or any other residential facility for older individuals.. (A) for older individuals to become mentors to individuals in younger generations; and (B) at facilities that serve older individuals or individuals in younger generations, at which multigenerational activities might occur. ; and

208. Report relating to health outcomes for older individuals living with or near family members The Secretary shall prepare a report that assesses— the health outcomes for older individuals who live with, on the same property as, or otherwise in the community in close geographic proximity, relative to the area, to family members; and the degree to which programs under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) promote living in the settings described in paragraph (1), as appropriate. The report described under subsection (a) shall include— an assessment of physical and mental health outcomes of older individuals who live in the settings described in subsection (a)(1) in comparison to physical and mental health outcomes of older individuals who do not live in such settings; an assessment of the extent to which living in such settings mitigates social isolation and loneliness in older individuals; and a description of the different types of such settings and whether, and to what extent, findings under paragraphs (1) and (2) vary across such different types. Not later than 2 years after the date of enactment of this Act, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives the report required by subsection (a).

209. Improving broadband coordination and reducing social isolation The Assistant Secretary shall, as appropriate, coordinate with the Assistant Secretary of Commerce for Communications and Information of the National Telecommunications and Information Administration to ensure that the aging network (as defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002)) and other relevant stakeholders are aware of, and, subject to applicable eligibility criteria, have access to, Federal programs relating to digital literacy and the adoption of broadband that may support healthy aging and aging in place for older individuals. Not later than 90 days after the date of enactment of this Act, the Assistant Secretary shall prepare, and submit to the Committee on Health, Education, Labor, and Pensions, the Special Committee on Aging, and the Committee on Commerce, Science, and Transportation of the Senate and the Committee on Education and Workforce of the House of Representatives, a report regarding any coordination efforts carried out pursuant to subsection (a).

301. Medically tailored meals Section 102(14) (42 U.S.C. 3002(14)) is amended— in subparagraph (C), by inserting , which may include counseling related to the provision of medically tailored meals, after counseling; and in subparagraph (D), by inserting (including from medically tailored meals) after improved nutrition. Section 205(a)(2)(A) (42 U.S.C. 3016(a)(2)(A)) is amended— in clause (vi), by inserting , including through the use of innovative approaches after systems; and in clause (viii), by inserting and innovative interventions after including strategies. Section 214(2)(C) (42 U.S.C. 3020e(2)(C)) is amended by inserting , including interventions, after other activities. Section 330(3) (42 U.S.C. 3030d–21(3)) is amended by inserting , tailored to their individual medical and nutritional needs to the extent feasible, after services.

302. Grab-and-go meals Section 308(b)(4) (42 U.S.C. 3028(b)(4)) is amended by adding at the end the following: A State may elect in its plan under section 307 to allow use of not more than 25 percent of the funds received by such State under subpart 1 of part C, calculated after any transfers under subparagraphs (A) and (B) are completed, to make meals available at congregate meal sites or other community locations for consumption by older individuals outside such sites and locations, such as carry-out or similar meals. A State electing to allow use of funds under the preceding sentence shall— ensure that such allowable use complements the delivery of services through the congregate meals program under section 331; and notify the Assistant Secretary of such election, including a description of the amount and percentage of funds received by such State under subpart 1 of part C to be used for such purposes. (E) A State may elect in its plan under section 307 to allow use of not more than 25 percent of the funds received by such State under subpart 1 of part C, calculated after any transfers under subparagraphs (A) and (B) are completed, to make meals available at congregate meal sites or other community locations for consumption by older individuals outside such sites and locations, such as carry-out or similar meals. A State electing to allow use of funds under the preceding sentence shall— (i) ensure that such allowable use complements the delivery of services through the congregate meals program under section 331; and (ii) notify the Assistant Secretary of such election, including a description of the amount and percentage of funds received by such State under subpart 1 of part C to be used for such purposes. .

303. GAO study on Nutrition Services Incentive Program The Comptroller General of the United States shall conduct a study to evaluate the Nutrition Services Incentive Program under section 311 (42 U.S.C. 3030a) (referred to in this section as the Program). The study under this section— shall— include an assessment of how States and Tribal organizations use funding provided under the Program, including the degree to which States and Tribal organizations use such funding to procure food products from local or regional producers for meals supported under the Program; and identify any challenges or barriers to increasing the use of local and regional producers under the Program; and may make recommendations related to improving the effectiveness of the Program, including with respect to the use of local and regional producers. Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives a report on the results of the study under this section.

304. Innovations in nutrition programs and services Subpart 3 of part C of title III (42 U.S.C. 3030g–21 et seq.) is amended by adding at the end the following: From funds available under paragraph (5), the Assistant Secretary shall make grants, on a competitive basis, to eligible entities, to achieve the purposes of section 330(1) by developing, testing, implementing, and evaluating innovative local or regional approaches to improve the quality, effectiveness, efficiency, and outcomes of nutrition projects and services described in sections 311, 331, and 336. In order to be eligible for a grant under paragraph (1), an entity shall— be— a State agency, an area agency on aging, an Indian Tribe, a Tribal organization, or another public or nonprofit private entity, including a nutrition service provider, a multipurpose senior center, a health care entity, or an institution of higher education; or a partnership between any entities described in clause (i); and submit an application at such time and in such manner as the Assistant Secretary may require, including— a description of an innovative approach referred to in paragraph (1) that the entity proposes to implement under the grant; a plan for evaluating the effectiveness, including cost-effectiveness, of the innovative approach proposed; and a plan for the publication of the results of such evaluation. In selecting eligible entities for grants under this subsection, the Assistant Secretary shall give priority to eligible entities proposing to carry out a grant in 1 or more rural areas. Not later than 1 year after the date of enactment of the Older Americans Act Reauthorization Act of 2025, and annually thereafter, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act. From the total of the amounts made available for a fiscal year under paragraphs (1) and (2) of section 303(b) and in section 311(e), the Assistant Secretary shall reserve an amount equal to not more than 1 percent to carry out activities described in paragraph (1) of this subsection. Subject to paragraph (6), in carrying out nutrition projects established under this Act, a State agency or title VI grantee may implement innovative approaches, including any applicable approaches implemented previously by the Assistant Secretary or pursuant to subsection (a), that are demonstrated to be effective, to achieve the purposes described in section 330(1) by improving— the quality, composition, preparation, modality, delivery, or location of meals provided to older individuals under this Act; or the efficiency and effectiveness of distributing, delivering, or otherwise making meals available to older individuals under this Act. At the request of a State agency implementing an approach under paragraph (1), the Assistant Secretary may waive any requirements of subpart 1 or 2 with respect to such State agency if such requirements impede the ability of such State agency to successfully implement such an approach. The Secretary shall provide maximum flexibility to a title VI grantee implementing an approach under paragraph (1) in the same manner as the Secretary provides maximum flexibility in accordance with section 614(c)(3). The authority to carry out activities described in paragraph (1) shall expire on October 1, 2030. Not later than September 30, 2029, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out by State agencies or title VI grantees under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act. If the amount appropriated to carry out section 311 for a fiscal year exceeds the amount appropriated to carry out section 311 for the prior fiscal year or fiscal year 2024, whichever is greater, a State agency and title VI grantee in receipt of an allotment under section 311(b) may elect to use the difference between the allotment received for the fiscal year and the allotment received for the prior fiscal year or fiscal year 2024, whichever is greater, for activities described in paragraph (1). Nothing in this subsection shall be construed as limiting or prohibiting the requirements described in section 339 from applying to nutrition projects utilizing an innovative approach under this subsection. 340. Innovations in nutrition programs and services (a) Demonstration To reduce hunger, food insecurity, and malnutrition (1) In general From funds available under paragraph (5), the Assistant Secretary shall make grants, on a competitive basis, to eligible entities, to achieve the purposes of section 330(1) by developing, testing, implementing, and evaluating innovative local or regional approaches to improve the quality, effectiveness, efficiency, and outcomes of nutrition projects and services described in sections 311, 331, and 336. (2) Eligibility In order to be eligible for a grant under paragraph (1), an entity shall— (A) be— (i) a State agency, an area agency on aging, an Indian Tribe, a Tribal organization, or another public or nonprofit private entity, including a nutrition service provider, a multipurpose senior center, a health care entity, or an institution of higher education; or (ii) a partnership between any entities described in clause (i); and (B) submit an application at such time and in such manner as the Assistant Secretary may require, including— (i) a description of an innovative approach referred to in paragraph (1) that the entity proposes to implement under the grant; (ii) a plan for evaluating the effectiveness, including cost-effectiveness, of the innovative approach proposed; and (iii) a plan for the publication of the results of such evaluation. (3) Priority In selecting eligible entities for grants under this subsection, the Assistant Secretary shall give priority to eligible entities proposing to carry out a grant in 1 or more rural areas. (4) Report Not later than 1 year after the date of enactment of the Older Americans Act Reauthorization Act of 2025, and annually thereafter, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act. (5) Reservation From the total of the amounts made available for a fiscal year under paragraphs (1) and (2) of section 303(b) and in section 311(e), the Assistant Secretary shall reserve an amount equal to not more than 1 percent to carry out activities described in paragraph (1) of this subsection. (b) Innovative approaches To reduce hunger, food insecurity, and malnutrition (1) In general Subject to paragraph (6), in carrying out nutrition projects established under this Act, a State agency or title VI grantee may implement innovative approaches, including any applicable approaches implemented previously by the Assistant Secretary or pursuant to subsection (a), that are demonstrated to be effective, to achieve the purposes described in section 330(1) by improving— (A) the quality, composition, preparation, modality, delivery, or location of meals provided to older individuals under this Act; or (B) the efficiency and effectiveness of distributing, delivering, or otherwise making meals available to older individuals under this Act. (2) Waiver At the request of a State agency implementing an approach under paragraph (1), the Assistant Secretary may waive any requirements of subpart 1 or 2 with respect to such State agency if such requirements impede the ability of such State agency to successfully implement such an approach. (3) Flexibility The Secretary shall provide maximum flexibility to a title VI grantee implementing an approach under paragraph (1) in the same manner as the Secretary provides maximum flexibility in accordance with section 614(c)(3). (4) Sunset The authority to carry out activities described in paragraph (1) shall expire on October 1, 2030. (5) Report Not later than September 30, 2029, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out by State agencies or title VI grantees under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act. (6) Use of allotment If the amount appropriated to carry out section 311 for a fiscal year exceeds the amount appropriated to carry out section 311 for the prior fiscal year or fiscal year 2024, whichever is greater, a State agency and title VI grantee in receipt of an allotment under section 311(b) may elect to use the difference between the allotment received for the fiscal year and the allotment received for the prior fiscal year or fiscal year 2024, whichever is greater, for activities described in paragraph (1). (7) Rule of construction Nothing in this subsection shall be construed as limiting or prohibiting the requirements described in section 339 from applying to nutrition projects utilizing an innovative approach under this subsection. .

340. Innovations in nutrition programs and services From funds available under paragraph (5), the Assistant Secretary shall make grants, on a competitive basis, to eligible entities, to achieve the purposes of section 330(1) by developing, testing, implementing, and evaluating innovative local or regional approaches to improve the quality, effectiveness, efficiency, and outcomes of nutrition projects and services described in sections 311, 331, and 336. In order to be eligible for a grant under paragraph (1), an entity shall— be— a State agency, an area agency on aging, an Indian Tribe, a Tribal organization, or another public or nonprofit private entity, including a nutrition service provider, a multipurpose senior center, a health care entity, or an institution of higher education; or a partnership between any entities described in clause (i); and submit an application at such time and in such manner as the Assistant Secretary may require, including— a description of an innovative approach referred to in paragraph (1) that the entity proposes to implement under the grant; a plan for evaluating the effectiveness, including cost-effectiveness, of the innovative approach proposed; and a plan for the publication of the results of such evaluation. In selecting eligible entities for grants under this subsection, the Assistant Secretary shall give priority to eligible entities proposing to carry out a grant in 1 or more rural areas. Not later than 1 year after the date of enactment of the Older Americans Act Reauthorization Act of 2025, and annually thereafter, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act. From the total of the amounts made available for a fiscal year under paragraphs (1) and (2) of section 303(b) and in section 311(e), the Assistant Secretary shall reserve an amount equal to not more than 1 percent to carry out activities described in paragraph (1) of this subsection. Subject to paragraph (6), in carrying out nutrition projects established under this Act, a State agency or title VI grantee may implement innovative approaches, including any applicable approaches implemented previously by the Assistant Secretary or pursuant to subsection (a), that are demonstrated to be effective, to achieve the purposes described in section 330(1) by improving— the quality, composition, preparation, modality, delivery, or location of meals provided to older individuals under this Act; or the efficiency and effectiveness of distributing, delivering, or otherwise making meals available to older individuals under this Act. At the request of a State agency implementing an approach under paragraph (1), the Assistant Secretary may waive any requirements of subpart 1 or 2 with respect to such State agency if such requirements impede the ability of such State agency to successfully implement such an approach. The Secretary shall provide maximum flexibility to a title VI grantee implementing an approach under paragraph (1) in the same manner as the Secretary provides maximum flexibility in accordance with section 614(c)(3). The authority to carry out activities described in paragraph (1) shall expire on October 1, 2030. Not later than September 30, 2029, the Assistant Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives describing any activities carried out by State agencies or title VI grantees under paragraph (1), an assessment of the outcomes of such activities using rigorous methodologies, and recommendations for inclusion of any successful innovative approaches within nutrition programs established under this Act. If the amount appropriated to carry out section 311 for a fiscal year exceeds the amount appropriated to carry out section 311 for the prior fiscal year or fiscal year 2024, whichever is greater, a State agency and title VI grantee in receipt of an allotment under section 311(b) may elect to use the difference between the allotment received for the fiscal year and the allotment received for the prior fiscal year or fiscal year 2024, whichever is greater, for activities described in paragraph (1). Nothing in this subsection shall be construed as limiting or prohibiting the requirements described in section 339 from applying to nutrition projects utilizing an innovative approach under this subsection.

401. Improving the National Family Caregiver Support Program Section 305(a)(3)(E) (42 U.S.C. 3025(a)(3)(E)) is amended— in clause (i), by striking and at the end; in clause (ii), by striking the period at the end and inserting ; and; and by adding at the end the following: available supports for family caregivers and older relative caregivers (as defined in section 372(a)). Section 306(a)(7)(D) (42 U.S.C. 3026(a)(7)(D)) is amended— in clause (i), by striking and at the end; in clause (ii), by adding and after the semicolon; and by adding at the end the following: available supports for family caregivers and older relative caregivers (as defined in section 372(a)); Section 372(a) (42 U.S.C. 3030s(a)) is amended— in paragraph (1)— in the first sentence, by striking The term and inserting the following: The term in subparagraph (A) (as so designated), in the second sentence— by striking the period at the end and inserting ; and; by striking Such assessment shall be administered through and inserting the following: A caregiver assessment under subparagraph (A) shall— be administered through by adding at the end the following: take into account— linguistic and cultural differences; the ease for the caregiver to access information, supports, or services, and the timeliness of access to such information, supports, or services; barriers to accessing information, supports, or services; the availability of information, supports, or services in accessible formats; and the quality of information, supports, or services received, and the degree to which it is helpful to the caregiver. by striking paragraph (2) and inserting the following: The term child or youth means an individual who is not more than— 18 years of age; or 22 years of age, in the case of an individual who is enrolled in any form of schooling (including on a part-time basis), including— in high school or secondary school (as such terms are defined in section 8101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801)); or in an institution of higher education (as defined in section 102 of the Higher Education Act of 1965 (20 U.S.C. 1002)). in paragraph (4)(B)— in clause (i), by inserting adult after or other; and by amending clause (iii) to read as follows: has a legal relationship to the child or youth, such as legal custody, adoption, or guardianship, or is raising the child or youth informally; and in the case of a child or youth described in paragraph (2)(B) who is 18 years of age or older, had established such a legal relationship, or began raising such child or youth informally, prior to the child or youth reaching the age of 18; and Part E of title III (42 U.S.C. 3030s et seq.) is amended— by inserting or youth after child each place it appears (other than in sections 372(a)(2) (as amended by paragraph (1)(B)) and 372(a)(4)(B)(iii) (as amended by paragraph (1)(C)(ii))); and in section 373(c)(2)(B) (42 U.S.C. 3030s–1(c)(2)(B)), by inserting or youth after children. Section 373 (42 U.S.C. 3030s–1) is amended— in subsection (b)(3)— by inserting which may include trauma-informed services, peer supports, after individual counseling,; and by inserting elder abuse prevention, after nutrition,; in subsection (c)— in the subsection heading, by striking priority and inserting priority; consideration; and by adding at the end the following: In providing services under this part, the State shall consider— that older relative caregivers caring for multiple children or youth may need greater resources and supports; and the circumstances and unique needs of different types of caregivers, including the needs of children or youth and their older relative caregivers whose families have been affected by substance use disorder, including opioid use disorder. in subsection (e)— in the matter preceding paragraph (1), by striking Not later than and all that follows through the Assistant Secretary shall and inserting The Assistant Secretary shall, on a regular basis; in paragraph (1)— in subparagraph (B), by striking and at the end; by redesignating subparagraph (C) as subparagraph (D); and by inserting after subparagraph (B) the following: the use of caregiver assessments; and in paragraph (2), by striking make available and inserting prepare, publish, and disseminate; in subsection (i)— in paragraph (1), by inserting , which may include the improvement of the quality and consistency of caregiver assessments and access to other information, supports, or services after section 631; and in paragraph (2), by inserting (including outcome measures) after program evaluation; and in subsection (j)— in the matter preceding paragraph (1), by striking Not later than and all that follows through shall provide technical assistance and inserting Beginning not later than 1 year after the date of enactment of the Older Americans Act Reauthorization Act of 2025, the Assistant Secretary, in consultation with stakeholders with appropriate expertise and, as appropriate, informed by the most recent strategy developed under the RAISE Family Caregivers Act (42 U.S.C. 3030s note) and the most recent report developed under the Supporting Grandparents Raising Grandchildren Act (Public Law 115–196; 132 Stat. 1511), shall provide ongoing technical assistance; in paragraph (2), by striking and at the end; by redesignating paragraph (3) as paragraph (4); and by inserting after paragraph (2) the following: the quality and consistency of caregiver assessments used across States; and (iii) available supports for family caregivers and older relative caregivers (as defined in section 372(a)). . (iii) available supports for family caregivers and older relative caregivers (as defined in section 372(a)); . (A) In general The term ; and (B) Administration of assessments A caregiver assessment under subparagraph (A) shall— (i) be administered through ; and (ii) take into account— (I) linguistic and cultural differences; (II) the ease for the caregiver to access information, supports, or services, and the timeliness of access to such information, supports, or services; (III) barriers to accessing information, supports, or services; (IV) the availability of information, supports, or services in accessible formats; and (V) the quality of information, supports, or services received, and the degree to which it is helpful to the caregiver. ; (2) Child or youth The term child or youth means an individual who is not more than— (A) 18 years of age; or (B) 22 years of age, in the case of an individual who is enrolled in any form of schooling (including on a part-time basis), including— (i) in high school or secondary school (as such terms are defined in section 8101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801)); or (ii) in an institution of higher education (as defined in section 102 of the Higher Education Act of 1965 (20 U.S.C. 1002)). ; and (iii) (I) has a legal relationship to the child or youth, such as legal custody, adoption, or guardianship, or is raising the child or youth informally; and (II) in the case of a child or youth described in paragraph (2)(B) who is 18 years of age or older, had established such a legal relationship, or began raising such child or youth informally, prior to the child or youth reaching the age of 18; and . (3) Consideration In providing services under this part, the State shall consider— (A) that older relative caregivers caring for multiple children or youth may need greater resources and supports; and (B) the circumstances and unique needs of different types of caregivers, including the needs of children or youth and their older relative caregivers whose families have been affected by substance use disorder, including opioid use disorder. ; (C) the use of caregiver assessments; and ; and (3) the quality and consistency of caregiver assessments used across States; and .

402. Emphasizing respite care Section 321(a)(19) (42 U.S.C. 3030d(a)(19)) is amended to read as follows: services, which may include respite care through various models, designed to support family members and other persons providing voluntary care to older individuals that need long-term care services, which may include older individuals with cognitive impairments such as Alzheimer’s disease and related disorders with neurological and organic brain dysfunction; (19) services, which may include respite care through various models, designed to support family members and other persons providing voluntary care to older individuals that need long-term care services, which may include older individuals with cognitive impairments such as Alzheimer’s disease and related disorders with neurological and organic brain dysfunction; .

403. Clarifying supportive services Section 321(a)(18) (42 U.S.C. 3030d(a)(18)) is amended by striking mentally impaired older individuals and inserting older individuals with cognitive, physical, or mental impairments.

404. Direct care workforce resource center Section 411(a)(13) (42 U.S.C. 3032(a)(13)) is amended— in subparagraph (B), by adding and at the end; by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and adjusting the margins accordingly; in the matter preceding clause (i) (as so redesignated)— by inserting and, as appropriate, the heads of other relevant Federal departments and agencies after Labor; and by striking workers, and the soliciting, and inserting the following: “workers, including— the soliciting, by adding at the end the following: the establishment and operation of a national resource center that supports the growth and professionalization of the direct care workforce necessary to meet the needs of older individuals and individuals with disabilities, and, in a manner that does not unnecessarily duplicate the activities of other resource centers supported by the Assistant Secretary, that addresses training and other educational needs of family caregivers, which activities of the center may include— the provision of training and technical assistance, including through the development and dissemination of educational materials, to States, long-term services and supports providers, direct care workers, and family caregivers; and promoting existing, and supporting the demonstration of new, strategies for the recruitment, retention, career development, or advancement of direct care workers to reduce barriers to entry for a diverse and high-quality direct care workforce, including providing wages, benefits, and advancement opportunities needed to attract or retain direct care workers; (A) the soliciting, ; and (B) the establishment and operation of a national resource center that supports the growth and professionalization of the direct care workforce necessary to meet the needs of older individuals and individuals with disabilities, and, in a manner that does not unnecessarily duplicate the activities of other resource centers supported by the Assistant Secretary, that addresses training and other educational needs of family caregivers, which activities of the center may include— (i) the provision of training and technical assistance, including through the development and dissemination of educational materials, to States, long-term services and supports providers, direct care workers, and family caregivers; and (ii) promoting existing, and supporting the demonstration of new, strategies for the recruitment, retention, career development, or advancement of direct care workers to reduce barriers to entry for a diverse and high-quality direct care workforce, including providing wages, benefits, and advancement opportunities needed to attract or retain direct care workers; .

405. Supporting Grandparents Raising Grandchildren Act The Supporting Grandparents Raising Grandchildren Act (Public Law 115–196; 132 Stat. 1511) is amended by striking section 2. The Supporting Grandparents Raising Grandchildren Act is amended by redesignating section 4 as section 2 and moving the section so as to follow section 1. Section 3 of the Supporting Grandparents Raising Grandchildren Act is amended— in subsection (b)— in paragraph (1)— by redesignating subparagraphs (G) through (I) as subparagraphs (H) through (J); by inserting after subparagraph (F) the following: The Assistant Secretary for Health. in subparagraph (I), as so redesignated, by striking of children; and in subparagraph (J), as so redesignated, by striking relatives and inserting relative caregivers; and by adding at the end the following: Not more than 10 members of the Advisory Council may be individuals who are not Federal officers or employees. in subsection (c)— in paragraph (1)— in subparagraph (A)— in the matter preceding clause (i), by striking relatives and inserting relative caregivers; and in clause (i)— by striking the health, and inserting the near- and long-term health, including mental health,; and by striking care; and and inserting care, including any needs related to the circumstances that caused such children to be raised by a grandparent or older relative caregiver; and; and in subparagraph (B)— by striking (B) and all that follows through In and inserting the following: In by striking needs of those affected by the opioid crisis and inserting needs and challenges of individuals affected by substance use disorder, including opioid use disorder, or, as applicable and appropriate, needs and challenges of individuals related to other circumstances, which may include public health emergencies; in paragraph (2)— in subparagraph (A), in the matter preceding clause (i), by striking enactment of this Act and inserting enactment of the Older Americans Act Reauthorization Act of 2025; and in subparagraph (B)— in clause (i)— by striking relatives and inserting relative caregivers; and by striking needs of children and all that follows through epidemic; and inserting needs of children and their older relative caregivers who have been affected by substance use disorder, including opioid use disorder;; in clause (ii), by striking and at the end; by redesignating clause (iii) as clause (iv); and by inserting after clause (ii) the following: a description of any activities of the Department of Health and Human Services to evaluate the effectiveness of supportive services in addressing the needs of children and their older relative caregivers, including those who have been affected by substance use disorder, including opioid use disorder, and any related findings; and in paragraph (3)— in the matter preceding subparagraph (A)— by striking (3) and all that follows through Not and inserting the following: Not by striking 2 years and inserting 180 days; and by inserting after submitted, the following: and every 2 years thereafter until the Advisory Council terminates under subsection (f),; and in paragraph (4) by striking relatives each place it appears and inserting relative caregivers; in subsection (d), by striking the Federal Advisory Committee Act (5 U.S.C. App.). and inserting chapter 10 of title 5, United States Code.; and in subsection (f), by striking terminate and all that follows through Act. and inserting terminate on September 30, 2030.. (G) The Assistant Secretary for Health. ; (3) Limitation on non-Federal members Not more than 10 members of the Advisory Council may be individuals who are not Federal officers or employees. ; (B) Considerations In ; and (iii) a description of any activities of the Department of Health and Human Services to evaluate the effectiveness of supportive services in addressing the needs of children and their older relative caregivers, including those who have been affected by substance use disorder, including opioid use disorder, and any related findings; and ; (3) Follow-up reports Not ;

406. RAISE Family Caregivers Act Section 3 of the RAISE Family Caregivers Act (42 U.S.C. 3030s note) is amended— in subsection (c)— in the matter preceding paragraph (1), by inserting (or the Secretary's designee) after The Secretary; and in paragraph (1), by inserting and made publicly available by the Secretary, after caregiver programs,; and in subsection (d)(2), by inserting in after caregiver programs. Section 4(e) of that Act (42 U.S.C. 3030s note) is amended by striking The Federal Advisory Committee Act (5 U.S.C. App.) and inserting Chapter 10 of title 5, United States Code,. Section 6 of that Act (42 U.S.C. 3030s note) is amended by striking terminate and all that follows through Act. and inserting terminate on September 30, 2030..

501. Improving the Community Service Employment Program Section 502(b)(1) (42 U.S.C. 3056(b)(1)) is amended— in subparagraph (C)(ii), by striking section 513(a)(2)(E) and inserting section 513(a)(2)(F); and in subparagraph (E), by inserting older individuals, after youth,. Section 513 (42 U.S.C. 3056k) is amended— in subsection (a)(2)— in subparagraph (D)(iii), by inserting , including toward the long-term performance goals determined by the Department of Labor under the Government Performance and Results Act of 1993 (Public Law 103–62; 107 Stat. 285) and the amendments made by such Act, after core measures; by redesignating subparagraph (E) as subparagraph (F); and by inserting after subparagraph (D) the following: Not later than 2 years after the date of enactment of the Older Americans Act Reauthorization Act of 2025, and every 2 years thereafter during the period of the program described in section 502(a)(1), the Secretary shall prepare, make publicly available, and submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives a report regarding the methodology used to arrive at the expected levels of performance described in subparagraph (B) for each grantee, including the particular statistical model used and other factors taken into account, as described in subparagraph (D). in subsection (b)(1)(C), by striking fourth quarter after exit from the project and inserting second quarter after exit from the project and remain in unsubsidized employment during the fourth quarter after exit from the project; in subsection (c) and paragraphs (1)(A), (2)(A), and (3)(A) of subsection (d), by striking subsection (a)(2)(E) and inserting subsection (a)(2)(F); and in subsection (d)— in paragraph (2)(B)(iii), by adding at the end the following: For grants awarded on or after the date that is 2 years after the date of enactment of the Older Americans Act Reauthorization Act of 2025, any grantee who has failed to meet the expected levels of performance for the 2 consecutive years prior to the subsequent grant competition under section 514 shall not be allowed to compete in the subsequent grant competition under section 514 following the second consecutive year of failure but may compete in the next such grant competition after that subsequent competition.; and in paragraph (3)(B)(iii), by adding at the end the following: For grants awarded on or after the date that is 2 years after the date of enactment of the Older Americans Act Reauthorization Act of 2025, if the Secretary determines that the State fails to meet the expected levels of performance described in subparagraph (A) for 2 consecutive program years, the Secretary shall provide for the conduct by the State of a competition to award the funds allotted to the State under section 506(e) for the first full program year following the Secretary’s determination.. Section 518(a)(1)(A) (42 U.S.C. 3056p(a)(1)(A)) is amended to read as follows: social, health, welfare, and educational services (including literacy tutoring and services provided by the aging network), legal and other counseling services and assistance (including tax counseling and assistance and financial counseling), and library, recreational, and other similar services; Section 518(b)(2)(F) (42 U.S.C. 3056p(b)(2)(F)) is amended to read as follows: has failed to find employment after receiving any combination of training services or the following career services provided under title I of the Workforce Innovation and Opportunity Act (29 U.S.C. 3111 et seq.)— initial or comprehensive skills assessment; labor exchange services; provision of workforce and labor market information or job search assistance; development of an individual employment plan; group or individual counseling; career planning; internship, work experience, workforce preparation activities, or prevocational services; English language acquisition and integrated education and training; or followup services; (E) Biennial report Not later than 2 years after the date of enactment of the Older Americans Act Reauthorization Act of 2025, and every 2 years thereafter during the period of the program described in section 502(a)(1), the Secretary shall prepare, make publicly available, and submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives a report regarding the methodology used to arrive at the expected levels of performance described in subparagraph (B) for each grantee, including the particular statistical model used and other factors taken into account, as described in subparagraph (D). ; (A) social, health, welfare, and educational services (including literacy tutoring and services provided by the aging network), legal and other counseling services and assistance (including tax counseling and assistance and financial counseling), and library, recreational, and other similar services; . (F) has failed to find employment after receiving any combination of training services or the following career services provided under title I of the Workforce Innovation and Opportunity Act (29 U.S.C. 3111 et seq.)— (i) initial or comprehensive skills assessment; (ii) labor exchange services; (iii) provision of workforce and labor market information or job search assistance; (iv) development of an individual employment plan; (v) group or individual counseling; (vi) career planning; (vii) internship, work experience, workforce preparation activities, or prevocational services; (viii) English language acquisition and integrated education and training; or (ix) followup services; .

502. GAO report on alignment within the Community Service Employment Program Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall complete a review in which the Comptroller General— evaluates— the distinct differences and similarities between the older American community service employment program as authorized under title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et seq.) and the programs carried out under title I of the Workforce Innovation and Opportunity Act (29 U.S.C. 3111 et seq.); and how the programs described in subparagraph (A) serve older individuals in seeking and obtaining community service employment; analyzes the expected levels of performance described in section 513(a) of the Older Americans Act of 1965 (42 U.S.C. 3056k(a)), the efficacy and impacts of the indicators of performance described in section 513(b) of the Older Americans Act of 1965 (42 U.S.C. 3056k(b)), and corrective measures described in section 513(d) of the Older Americans Act of 1965 (42 U.S.C. 3056k(d)) for the older American community service employment program, compared with the expected levels of performance, efficacy and impacts of the indicators of performance, and corrective measures described in section 116 of the Workforce Innovation and Opportunity Act (29 U.S.C. 3141) for programs authorized under title I of such Act, including the efficacy of the indicators of performance described in section 513(b) of the Older Americans Act of 1965 (42 U.S.C. 3056k(b)) for individuals described in subsection (a)(3)(B)(ii) or subsection (b) of section 518 of the Older Americans Act of 1965 (42 U.S.C. 3056p); develops recommendations for any alternative measures that may better measure the efficacy of the older American community service employment program as authorized under title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et seq.) for individuals described in subsection (a)(3)(B)(ii) or subsection (b) of section 518 of the Older Americans Act of 1965 (42 U.S.C. 3056p) to achieve the objectives described in section 101 of the Older Americans Act of 1965 (42 U.S.C. 3001); and evaluates how the Department of Labor coordinates delivery of services with State and national grantees under title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et seq.) and with States and local workforce development areas under title I of the Workforce Innovation and Opportunity Act (29 U.S.C. 3111 et seq.) to serve older individuals. Not later than 180 days after the review required under this section is completed, the Comptroller General shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives a report on the results of such review.

601. Older Americans Tribal Advisory Committee Section 201(c) (42 U.S.C. 3011(c)) is amended by adding at the end the following: In addition to other methods of government-to-government consultation between the Administration and Indian Tribes and conferring with organizations representing Native Hawaiians, the Assistant Secretary shall establish an advisory committee, to be known as the Older Americans Tribal Advisory Committee (referred to in this paragraph as the Committee) to provide advice and guidance to the Assistant Secretary on matters relating to the needs of older individuals who are Native Americans and implementation of related programs and activities under this Act. The Committee shall be composed of 11 voting, non-Federal members, including— geographically diverse individuals with expertise on the range of issues affecting Indian Tribes, organizations representing Native Hawaiians, and older individuals who are Native Americans; not less than 1 member who is an Alaska Native; and not less than 1 member who is a Native Hawaiian. The Committee shall include non-voting, ex officio representatives of relevant Federal departments and agencies, including— the Administration; the Indian Health Service; the Centers for Medicare & Medicaid Services; the Department of the Interior; the Department of Labor; and any other agency or office with subject matter expertise that the Assistant Secretary determines appropriate. The Committee shall meet in person not less frequently than twice each year. The Committee shall coordinate, as appropriate, with the Secretary’s Tribal Advisory Committee of the Department of Health and Human Services. Not less frequently than once each year, the Committee shall submit to the Assistant Secretary and make publicly available a report that describes— the activities of the Committee during the previous year; and recommendations for administrative action, including the identification of any statutory barriers to carrying out such recommendations, for the following year. Not later than 60 days after the date on which the Assistant Secretary receives a report under clause (i), the Assistant Secretary shall submit to the Committee a written response to such report. Chapter 10 of title 5, United States Code, shall not apply to the Committee. In establishing, developing procedures for, and operating the Committee, the Assistant Secretary shall— consult with Indian Tribes and confer with organizations representing Native Hawaiians; and take into consideration best practices of other Tribal advisory committees operated by the Department of Health and Human Services before the date of enactment of the Older Americans Act Reauthorization Act of 2025. (4) (A) In addition to other methods of government-to-government consultation between the Administration and Indian Tribes and conferring with organizations representing Native Hawaiians, the Assistant Secretary shall establish an advisory committee, to be known as the Older Americans Tribal Advisory Committee (referred to in this paragraph as the Committee) to provide advice and guidance to the Assistant Secretary on matters relating to the needs of older individuals who are Native Americans and implementation of related programs and activities under this Act. (B) The Committee shall be composed of 11 voting, non-Federal members, including— (i) geographically diverse individuals with expertise on the range of issues affecting Indian Tribes, organizations representing Native Hawaiians, and older individuals who are Native Americans; (ii) not less than 1 member who is an Alaska Native; and (iii) not less than 1 member who is a Native Hawaiian. (C) The Committee shall include non-voting, ex officio representatives of relevant Federal departments and agencies, including— (i) the Administration; (ii) the Indian Health Service; (iii) the Centers for Medicare & Medicaid Services; (iv) the Department of the Interior; (v) the Department of Labor; and (vi) any other agency or office with subject matter expertise that the Assistant Secretary determines appropriate. (D) The Committee shall meet in person not less frequently than twice each year. (E) The Committee shall coordinate, as appropriate, with the Secretary’s Tribal Advisory Committee of the Department of Health and Human Services. (F) (i) Not less frequently than once each year, the Committee shall submit to the Assistant Secretary and make publicly available a report that describes— (I) the activities of the Committee during the previous year; and (II) recommendations for administrative action, including the identification of any statutory barriers to carrying out such recommendations, for the following year. (ii) Not later than 60 days after the date on which the Assistant Secretary receives a report under clause (i), the Assistant Secretary shall submit to the Committee a written response to such report. (G) Chapter 10 of title 5, United States Code, shall not apply to the Committee. (H) In establishing, developing procedures for, and operating the Committee, the Assistant Secretary shall— (i) consult with Indian Tribes and confer with organizations representing Native Hawaiians; and (ii) take into consideration best practices of other Tribal advisory committees operated by the Department of Health and Human Services before the date of enactment of the Older Americans Act Reauthorization Act of 2025. .

602. Supportive services; set aside Section 636 (42 U.S.C. 3057k–21) is amended— in subsection (a), by striking may and inserting shall, as practicable,; and in subsection (b)(2), by striking in-home assistance and inserting in-home services. Section 644 (42 U.S.C. 3057o) is amended— by striking Of and inserting the following: Of by adding at the end the following: Not later than 1 year after the date of enactment of the Older Americans Act Reauthorization Act of 2025, the Assistant Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives, a report on the use of funds under part D. Such report shall include— the total amount of funds made available under subsection (a) to carry out part D for each fiscal year; a list of award recipients under part D; and a summary of supportive services for healthy aging and independence provided under part D. (a) In general Of ; and (b) Report Not later than 1 year after the date of enactment of the Older Americans Act Reauthorization Act of 2025, the Assistant Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives, a report on the use of funds under part D. Such report shall include— (1) the total amount of funds made available under subsection (a) to carry out part D for each fiscal year; (2) a list of award recipients under part D; and (3) a summary of supportive services for healthy aging and independence provided under part D. .

603. GAO report on Tribal services Not later than 18 months after the date of enactment of this Act, the Comptroller General of the United States shall submit to Congress a report that— evaluates and identifies barriers to Indian Tribes (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304)) and organizations serving Native Hawaiians accessing programs under title VI of the Older Americans Act of 1965 (42 U.S.C. 3057 et seq.), and coordination of such programs under such title VI with programs funded under titles III and IV of such Act (42 U.S.C. 3021 et seq., 42 U.S.C. 3031 et seq.), including by— estimating the number of Native Americans unserved by programs under such title VI; identifying States and area agencies on aging making grants to Indian Tribes under such title III; and providing estimates of funding necessary to support programs under such title VI for all Tribal organizations (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304)) and organizations serving Native Hawaiians that are not eligible under such title VI (as in effect on the date of enactment of this Act); and details how grantees under title V of the Older Americans Act of 1965 (42 U.S.C. 3056 et seq.) are serving older individuals who are Native Americans with funds received under such title V, including by evaluating how the Secretary of Labor coordinates with State and national grantees under such title V to serve older individuals who are Native Americans.

604. Technical amendments The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended— in section 102 (42 U.S.C. 3002)— in paragraph (27), by striking the term Indian tribe means any tribe and inserting the term Indian Tribe means any Tribe; and in paragraph (56), by striking the term tribal organization means and inserting the term Tribal organization means; in section 418(a)(2)(6) (42 U.S.C. 3032g(a)(2)(6)), by striking Speaker of the House of Representatives and the President pro tempore of the Senate and inserting Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Education and Workforce of the House of Representatives; in section 612(c) (42 U.S.C. 3057c(c))— by striking terms Indian tribe and tribal organization have and inserting terms Indian Tribe and Tribal organization have; and by striking (25 U.S.C. 450b) and inserting (25 U.S.C. 5304); and by striking tribe, tribes, and tribal each place such terms appear and inserting Tribe, Tribes, and Tribal, respectively.

701. Director of the Office of Long-Term Care Ombudsman Programs Section 201(d)(2)(A) (42 U.S.C. 3011(d)(2)(A)) is amended, in the second sentence, by inserting serve on a full-time basis and after shall.

702. Legal assistance training resources relating to elder abuse prevention Section 201(e)(2)(A) (42 U.S.C. 3011(e)(2)(A)) is amended by striking clause (v) and inserting the following: establishing an information clearinghouse to collect, maintain, and disseminate information concerning best practices and resources for training, technical assistance, and other activities, which may include training resources for paralegals or law students who are under the direct supervision of an attorney, to assist State Long-Term Care Ombudsman programs, adult protective services programs, and other legal services relating to defense of guardianship, promotion of self-determination, and the matters described in clause (ii)(I), and to assist States and communities to carry out evidence-based programs to prevent and address elder abuse, neglect, and exploitation; (v) establishing an information clearinghouse to collect, maintain, and disseminate information concerning best practices and resources for training, technical assistance, and other activities, which may include training resources for paralegals or law students who are under the direct supervision of an attorney, to assist State Long-Term Care Ombudsman programs, adult protective services programs, and other legal services relating to defense of guardianship, promotion of self-determination, and the matters described in clause (ii)(I), and to assist States and communities to carry out evidence-based programs to prevent and address elder abuse, neglect, and exploitation; .

703. Improving training of volunteers under the State Long-Term Care Ombudsman Program Section 712 (42 U.S.C. 3058g) is amended— in subsection (h)(5)— in the matter preceding subparagraph (A)— by striking the representatives and inserting each type of representative; and by inserting types of before unpaid volunteers; in subparagraph (A), by inserting for each such type of representative before the semicolon at the end; in subparagraph (B)(iii), by striking and at the end; in subparagraph (C), by adding and at the end; and by adding at the end the following: with respect to representatives of the Office who are unpaid volunteers, take into consideration the degree to which each such type of unpaid volunteer performs activities requiring specialized training, with a goal of reducing unnecessary training requirements for prospective unpaid volunteers; by adding at the end the following: In providing the model standards described in subsection (h)(5), the Director of the Office of Long-Term Care Ombudsman Programs shall review and, as necessary, update such model standards on a regular basis to tailor such model standards to the individualized training needs of each type of representative of the Office, including each type of unpaid volunteer. In carrying out paragraph (1), the Director of the Office of Long-Term Care Ombudsman Programs shall take into consideration the degree to which each type of representative of the Office performs activities that require specialized training, with a goal of reducing unnecessary training requirements for unpaid volunteers. (D) with respect to representatives of the Office who are unpaid volunteers, take into consideration the degree to which each such type of unpaid volunteer performs activities requiring specialized training, with a goal of reducing unnecessary training requirements for prospective unpaid volunteers; ; and (k) Training requirements for unpaid volunteers (1) In general In providing the model standards described in subsection (h)(5), the Director of the Office of Long-Term Care Ombudsman Programs shall review and, as necessary, update such model standards on a regular basis to tailor such model standards to the individualized training needs of each type of representative of the Office, including each type of unpaid volunteer. (2) Considerations In carrying out paragraph (1), the Director of the Office of Long-Term Care Ombudsman Programs shall take into consideration the degree to which each type of representative of the Office performs activities that require specialized training, with a goal of reducing unnecessary training requirements for unpaid volunteers. .

704. Reporting on State Long-Term Care Ombudsman Programs Chapter 2 of subtitle A of title VII (42 U.S.C. 3058f et seq.) is amended by adding at the end the following: Each year, the Assistant Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives, and make publicly available, a report that— aggregates all reports submitted under section 712(h) for such year; and provides a summary of the findings of such reports. 714. Reports to Congress Each year, the Assistant Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives, and make publicly available, a report that— (1) aggregates all reports submitted under section 712(h) for such year; and (2) provides a summary of the findings of such reports. .

714. Reports to Congress Each year, the Assistant Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Special Committee on Aging of the Senate and the Committee on Education and Workforce of the House of Representatives, and make publicly available, a report that— aggregates all reports submitted under section 712(h) for such year; and provides a summary of the findings of such reports.

705. Study on State Long-Term Care Ombudsman Programs The Assistant Secretary shall seek to enter into a contract with the National Academies of Sciences, Engineering, and Medicine (referred to in this section as the National Academies) to conduct a study on the State Long-Term Care Ombudsman programs carried out under the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.), including an assessment of the effectiveness of such programs and any related challenges and recommendations. The study shall include an assessment of the current (as of the date on which the contract is entered into) recommended staff-to-bed ratio for such programs, as appropriate. Not later than 18 months after the date on which a contract is entered into under subsection (a), the National Academies shall publicly issue a report on the findings of the study under this section.