PUBLIC LAW 116–131—MAR. 25, 2020 SUPPORTING OLDER AMERICANS ACT OF 2020 VerDate Sep 11 2014 16:00 May 28, 2020 Jkt 099139 PO 00131 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL131.116 PUBL131 wwoods2 on LAPJF8D0R2PROD with PUBLAW 134 STAT. 240 PUBLIC LAW 116–131—MAR. 25, 2020 Public Law 116–131 116th Congress An Act To amend the Older Americans Act of 1965 to authorize appropriations for fiscal years 2020 through 2024, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ‘‘Supporting Older Americans Act of 2020’’. SEC. 2. TABLE OF CONTENTS. The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. Sec. 4. Definitions. TITLE I—MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION ON AGING Sec. 101. Reauthorization. Sec. 102. Person-centered, trauma-informed services. Sec. 103. Aging and Disability Resource Centers. Sec. 104. Assistive technology. Sec. 105. Vaccination. Sec. 106. Malnutrition. Sec. 107. Sexually transmitted diseases. Sec. 108. Addressing chronic pain management. Sec. 109. Screening for suicide risk. Sec. 110. Screening for fall-related traumatic brain injury; addressing public health emergencies and emerging health threats; negative health effects associ- ated with social isolation. Sec. 111. Clarification regarding board and care facilities. Sec. 112. Person-centered, trauma-informed services definition. Sec. 113. Traumatic brain injury. Sec. 114. Modernizing the review of applications and providing technical assistance for disasters. Sec. 115. Increased focus of Assistant Secretary on negative health effects associ- ated with social isolation. Sec. 116. Notification of availability of or updates to policies, practices, and proce- dures through a uniform e-format. Sec. 117. Evidence-based program adaptation. Sec. 118. Business acumen provisions and clarification regarding outside funding for area agencies on aging. Sec. 119. Demonstration on direct care workers. Sec. 120. National resource center for older individuals experiencing the long-term and adverse consequences of trauma. Sec. 121. National Resource Center for Women and Retirement. Sec. 122. Family caregivers. Sec. 123. Interagency coordination. Sec. 124. Modernizing the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities. Sec. 125. Professional standards for a nutrition official under the Assistant Sec- retary. 42 USC 3001 note. Supporting Older Americans Act of 2020. Mar. 25, 2020 [H.R. 4334] VerDate Sep 11 2014 16:00 May 28, 2020 Jkt 099139 PO 00131 Frm 00002 Fmt 6580 Sfmt 6582 E:\PUBLAW\PUBL131.116 PUBL131 wwoods2 on LAPJF8D0R2PROD with PUBLAW 134 STAT. 241 PUBLIC LAW 116–131—MAR. 25, 2020 Sec. 126. Report on social isolation. Sec. 127. Research and evaluation. TITLE II—IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING Sec. 201. Social determinants of health. Sec. 202. Younger onset Alzheimer’s disease. Sec. 203. Reauthorization. Sec. 204. Hold harmless formula. Sec. 205. Outreach efforts. Sec. 206. State Long-Term Care Ombudsman program minimum funding and maintenance of effort. Sec. 207. Coordination with resource centers. Sec. 208. Senior legal hotlines. Sec. 209. Increase in limit on use of allotted funds for State administrative costs. Sec. 210. Improvements to nutrition programs. Sec. 211. Review of reports. Sec. 212. Other practices. Sec. 213. Screening for negative health effects associated with social isolation and traumatic brain injury. Sec. 214. Supportive services and senior centers. Sec. 215. Culturally appropriate, medically tailored meals. Sec. 216. Nutrition services study. Sec. 217. National Family Caregiver Support program. Sec. 218. National Family Caregiver Support program cap. TITLE III—MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY Sec. 301. Reauthorization. Sec. 302. Public awareness of traumatic brain injury. Sec. 303. Falls prevention and chronic disease self-management education. Sec. 304. Demonstration to address negative health impacts associated with social isolation. Sec. 305. Technical assistance and innovation to improve transportation for older individuals. Sec. 306. Grant program for multigenerational collaboration. TITLE IV—SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM Sec. 401. Priority for the senior community service employment program. Sec. 402. Authorization of appropriations. TITLE V—ENHANCING GRANTS FOR NATIVE AMERICANS Sec. 501. Reauthorization. TITLE VI—MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES AND OTHER PROGRAMS Sec. 601. Reauthorization; vulnerable elder rights protection activities. Sec. 602. Volunteer State long-term care ombudsman representatives. Sec. 603. Prevention of elder abuse, neglect, and exploitation. Sec. 604. Principles for person-directed services and supports during serious illness. Sec. 605. Extension of the Supporting Grandparents Raising Grandchildren Act. Sec. 606. Best practices for home and community-based ombudsmen. Sec. 607. Senior home modification assistance initiative. TITLE VII—MISCELLANEOUS Sec. 701. Technical corrections. SEC. 3. REFERENCES. 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.). SEC. 4. DEFINITIONS. In this Act, the terms ‘‘area agency on aging’’, ‘‘Assistant Sec- retary’’, ‘‘greatest social need’’, ‘‘older individual’’, and ‘‘Secretary’’ 42 USC 3001 note. VerDate Sep 11 2014 16:00 May 28, 2020 Jkt 099139 PO 00131 Frm 00003 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL131.116 PUBL131 wwoods2 on LAPJF8D0R2PROD with PUBLAW 134 STAT. 242 PUBLIC LAW 116–131—MAR. 25, 2020 have the meanings given such terms in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002). TITLE I—MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMIN- ISTRATION ON AGING SEC. 101. REAUTHORIZATION. Section 216 (42 U.S.C. 3020f) is amended to read as follows: ‘‘SEC. 216. AUTHORIZATION OF APPROPRIATIONS. ‘‘(a) IN GENERAL.—For purposes of carrying out this Act, there are authorized to be appropriated for administration, salaries, and expenses of the Administration $43,937,410 for fiscal year 2020, $46,573,655 for fiscal year 2021, $49,368,074 for fiscal year 2022, $52,330,158 for fiscal year 2023, and $55,469,968 for fiscal year 2024. ‘‘(b) ADDITIONAL AUTHORIZATIONS.—There are authorized to be appropriated— ‘‘(1) to carry out section 202(a)(21) (relating to the National Eldercare Locator Service), $2,180,660 for fiscal year 2020, $2,311,500 for fiscal year 2021, $2,450,190 for fiscal year 2022, $2,597,201 for fiscal year 2023, and $2,753,033 for fiscal year 2024; ‘‘(2) to carry out section 215, $1,988,060 for fiscal year 2020, $2,107,344 for fiscal year 2021, $2,233,784 for fiscal year 2022, $2,367,811 for fiscal year 2023, and $2,509,880 for fiscal year 2024; ‘‘(3) to carry out section 202 (relating to Elder Rights Sup- port Activities under this title), $1,371,740 for fiscal year 2020, $1,454,044 for fiscal year 2021, $1,541,287 for fiscal year 2022, $1,633,764 for fiscal year 2023, and $1,731,790 for fiscal year 2024; and ‘‘(4) to carry out section 202(b) (relating to the Aging and Disability Resource Centers), $8,687,330 for fiscal year 2020, $9,208,570 for fiscal year 2021, $9,761,084 for fiscal year 2022, $10,346,749 for fiscal year 2023, and $10,967,554 for fiscal year 2024.’’. SEC. 102. PERSON-CENTERED, TRAUMA-INFORMED SERVICES. Section 101(2) (42 U.S.C. 3001(2)) is amended by inserting ‘‘(including access to person-centered, trauma-informed services as appropriate)’’ after ‘‘health’’. SEC. 103. AGING AND DISABILITY RESOURCE CENTERS. Section 102(4) (42 U.S.C. 3002(4)) is amended— (1) in the matter preceding subparagraph (A), by inserting ‘‘, in collaboration with (as appropriate) area agencies on aging, centers for independent living (as described in part C of chapter 1 of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.)), and other aging or disability entities’’ after ‘‘pro- vides’’; (2) in subparagraph (B)— (A) by inserting ‘‘services, supports, and’’ after ‘‘plan for long-term’’; and (B) by inserting ‘‘and choices’’ after ‘‘desires’’; and VerDate Sep 11 2014 16:00 May 28, 2020 Jkt 099139 PO 00131 Frm 00004 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL131.116 PUBL131 wwoods2 on LAPJF8D0R2PROD with PUBLAW 134 STAT. 243 PUBLIC LAW 116–131—MAR. 25, 2020 (3) in subparagraph (D), by striking ‘‘part C of title VII of the Rehabilitation Act of 1973 (29 U.S.C. 796f et seq.), and other community-based entities,’’ and inserting ‘‘part C of chapter 1 of title VII of the Rehabilitation Act of 1973, and other community-based entities, including other aging or disability entities,’’. SEC. 104. ASSISTIVE TECHNOLOGY. The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended— (1) in section 102(8) (42 U.S.C. 3002(8)), by adding at the end the following: ‘‘(C) The term ‘State assistive technology entity’ means the agency, office, or other entity designated under subsection (c)(1) of section 4 of the Assistive Technology Act of 1998 (29 U.S.C. 3003) to carry out State activities under such section.’’; (2) in section 306 (42 U.S.C. 3026)— (A) in subsection (a)(6)— (i) in subparagraph (G), by striking ‘‘; and’’ and inserting a semicolon; (ii) in subparagraph (H), by striking ‘‘appropriate;’’ and inserting ‘‘appropriate; and’’; and (iii) by adding at the end the following: ‘‘(I) to the extent feasible, coordinate with the State agency to disseminate information about the State assistive technology entity and access to assistive technology options for serving older individuals;’’; and (B) in subsection (b)(3)— (i) in subparagraph (K)— (I) by aligning the margins of the subpara- graph with the margins of subparagraph (J); and (II) by striking ‘‘; and’’ and inserting a semi- colon; (ii) by redesignating subparagraph (L) as subpara- graph (M); and (iii) by inserting after subparagraph (K) the fol- lowing: ‘‘(L) assistive technology devices and services; and’’; and (3) in section 411(a) (42 U.S.C. 3032(a))— (A) in paragraph (2), by inserting ‘‘, aligned with evi- dence-based practice,’’ after ‘‘applied social research’’; and (B) in paragraph (10), by inserting ‘‘consistent with section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d)’’ after ‘‘other technologies’’. SEC. 105. VACCINATION. Section 102(14) (42 U.S.C. 3002(14)) is amended— (1) in subparagraph (B), by inserting ‘‘immunization status,’’ after ‘‘oral health,’’; and (2) in subparagraph (D), by inserting ‘‘infectious disease, and vaccine-preventable disease, as well as’’ after ‘‘cardio- vascular disease),’’. SEC. 106. MALNUTRITION. The Older Americans Act of 1965 (42 U.S.C. 3001 et seq.) is amended— VerDate Sep 11 2014 16:00 May 28, 2020 Jkt 099139 PO 00131 Frm 00005 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL131.116 PUBL131 wwoods2 on LAPJF8D0R2PROD with PUBLAW 134 STAT. 244 PUBLIC LAW 116–131—MAR. 25, 2020 (1) in section 102(14)(B), as amended by section 105(1), by inserting ‘‘(including screening for malnutrition)’’ after ‘‘nutrition screening’’; and (2) in section 330(1), by striking ‘‘and food insecurity’’ and inserting ‘‘, food insecurity, and malnutrition’’. SEC. 107. SEXUALLY TRANSMITTED DISEASES. Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by sec- tion 105(2), is further amended by inserting ‘‘prevention of sexually transmitted diseases,’’ after ‘‘vaccine-preventable disease,’’. SEC. 108. ADDRESSING CHRONIC PAIN MANAGEMENT. Section 102(14)(D) (42 U.S.C. 3002(14)(D)), as amended by sec- tion 107, is further amended by inserting ‘‘chronic pain manage- ment,’’ after ‘‘substance abuse reduction,’’. SEC. 109. SCREENING FOR SUICIDE RISK. Section 102(14)(G) (42 U.S.C. 3002(14)(G)) is amended by inserting ‘‘and screening for suicide risk’’ after ‘‘depression’’. SEC. 110. SCREENING FOR FALL-RELATED TRAUMATIC BRAIN INJURY; ADDRESSING PUBLIC HEALTH EMERGENCIES AND EMERGING HEALTH THREATS; NEGATIVE HEALTH EFFECTS ASSOCIATED WITH SOCIAL ISOLATION. Section 102(14) (42 U.S.C. 3002(14)) is amended— (1) by redesignating subparagraphs (H) through (J), and subparagraphs (K) and (L), as subparagraphs (I) through (K), and subparagraphs (M) and (O), respectively; (2) by inserting after subparagraph (G) the following: ‘‘(H) screening for fall-related traumatic brain injury and other fall-related injuries, coordination of treatment, rehabilitation and related services, and referral services related to such injury or injuries;’’; (3) by inserting after subparagraph (K), as redesignated by paragraph (1), the following: ‘‘(L) services that are a part of responses to a public health emergency or emerging health threat;’’; and (4) in subparagraph (M), as redesignated by paragraph (1), by striking ‘‘; and’’ and inserting a semicolon; (5) by inserting after subparagraph (M), as redesignated by paragraph (1), the following: ‘‘(N) screening for the prevention of negative health effects associated with social isolation and coordination of supportive services and health care to address negative health effects associated with social isolation; and’’; and (6) in subparagraph (O), as redesignated, by striking ‘‘(A) through (K)’’ and inserting ‘‘(A) through (N)’’. SEC. 111. CLARIFICATION REGARDING BOARD AND CARE FACILITIES. Section 102(35)(C) (42 U.S.C. 3002(35)(C)) is amended by striking ‘‘for purposes of sections 307(a)(12) and 712,’’. SEC. 112. PERSON-CENTERED, TRAUMA-INFORMED SERVICES DEFINI- TION. Section 102 (42 U.S.C. 3002) is amended— (1) by redesignating paragraphs (41) through (54) as para- graphs (42) through (55), respectively; and (2) by inserting after paragraph (40) the following: VerDate Sep 11 2014 16:00 May 28, 2020 Jkt 099139 PO 00131 Frm 00006 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL131.116 PUBL131 wwoods2 on LAPJF8D0R2PROD with PUBLAW 134 STAT. 245 PUBLIC LAW 116–131—MAR. 25, 2020 ‘‘(41) The term ‘person-centered, trauma-informed’, with respect to services, means services provided through an aging program that— ‘‘(A) use a holistic approach to providing services or care; ‘‘(B) promote the dignity, strength, and empowerment of victims of trauma; and ‘‘(C) incorporate evidence-based practices based on knowledge about the role of trauma in trauma victims’ lives.’’. SEC. 113. TRAUMATIC BRAIN INJURY. Section 102 (42 U.S.C. 3002), as amended by section 112, is further amended— (1) by redesignating p [Text truncated for display. Full text available on Congress.gov.]