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I
118TH CONGRESS
1ST SESSION H. R. 3474
To amend the Food and Nutrition Act of 2008 to streamline nutrition
access for older adults and adults with disabilities, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MAY 18, 2023
Ms. BONAMICI (for herself, Ms. SALINAS, Ms. NORTON, Mr. CARSON, Mr.
KHANNA, Mr. PANETTA, Mr. GRIJALVA, Ms. SCANLON, Mr. MCGOVERN,
Ms. CLARKE of New York, Mr. MAGAZINER, Mr. NADLER, Mr. POCAN,
Ms. TOKUDA, Mr. EVANS, Mr. MOSKOWITZ, Ms. BROWNLEY, Ms. LOIS
FRANKEL of Florida, Mrs. CHERFILUS-MCCORMICK, Mrs. MCCLELLAN,
and Mrs. HAYES) introduced the following bill; which was referred to the
Committee on Agriculture
A BILL
To amend the Food and Nutrition Act of 2008 to streamline
nutrition access for older adults and adults with disabil-
ities, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Senior Hunger Preven-
4
tion Act of 2023’’.
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SEC. 2. IMPROVING EFFICACY OF THE SUPPLEMENTAL NU-
1
TRITION ASSISTANCE PROGRAM.
2
(a) CERTIFICATION PERIOD.—Section 3(f) of the
3
Food and Nutrition Act of 2008 (7 U.S.C. 2012(f)) is
4
amended in the second sentence by striking ‘‘24’’ and in-
5
serting ‘‘36’’.
6
(b) STANDARD MEDICAL EXPENSE DEDUCTION.—
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Section 5(e)(5) of the Food and Nutrition Act of 2008
8
(7 U.S.C. 2014(e)(5)) is amended—
9
(1) in the paragraph heading, by striking ‘‘EX-
10
CESS MEDICAL’’ and inserting ‘‘MEDICAL’’;
11
(2) in subparagraph (A), by striking ‘‘an excess
12
medical’’ and all that follows through the period at
13
the end and inserting ‘‘a standard medical deduction
14
or a medical expense deduction of actual costs for
15
the allowable medical expenses incurred by the elder-
16
ly or disabled member, exclusive of special diets.’’;
17
(3) in subparagraph (B)(i), by striking ‘‘ex-
18
cess’’; and
19
(4) by adding at the end the following:
20
‘‘(D) STANDARD
MEDICAL
EXPENSE
DE-
21
DUCTION AMOUNT.—
22
‘‘(i) IN
GENERAL.—Except as pro-
23
vided in clause (ii), the standard medical
24
expense deduction shall be—
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•HR 3474 IH
‘‘(I) for fiscal year 2024, $155;
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and
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‘‘(II) for each subsequent fiscal
3
year, equal to the applicable amount
4
for the immediately preceding fiscal
5
year as adjusted to reflect changes for
6
the 12-month period ending the pre-
7
ceding June 30 in the Consumer Price
8
Index for All Urban Consumers: Med-
9
ical Care published by the Bureau of
10
Labor Statistics of the Department of
11
Labor.
12
‘‘(ii) EXCEPTION.—For any fiscal
13
year, a State agency may establish a great-
14
er standard medical expense deduction
15
than described in clause (i) if the greater
16
deduction satisfies cost neutrality stand-
17
ards established by the Secretary for that
18
fiscal year.’’.
19
(c) VALUE
OF ALLOTMENT.—Section 8(a) of the
20
Food and Nutrition Act of 2008 (7 U.S.C. 2017(a)) is
21
amended in the proviso clause by striking ‘‘8 percent’’ and
22
inserting ‘‘1⁄3’’.
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SEC. 3. STREAMLINING NUTRITION ACCESS FOR OLDER
1
ADULTS AND ADULTS WITH DISABILITIES.
2
(a) DEFINITION OF ELDERLY AND DISABLED.—Sec-
3
tion 3(j)(2)(B) of the Food and Nutrition Act of 2008
4
(7 U.S.C. 2012(j)(2)(B)) is amended by inserting ‘‘(which
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includes medical assistance provided to an individual de-
6
scribed in section 1902(e)(14)(D)(i)(III) of the Social Se-
7
curity Act (42 U.S.C. 1396a(e)(14)(D)(i)(III)))’’ after
8
‘‘(42 U.S.C. 1396 et seq.)’’.
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(b)
ELDERLY
SIMPLIFIED
APPLICATION
PRO-
10
GRAM.—The Food and Nutrition Act of 2008 (7 U.S.C.
11
2011 et seq.) is amended by adding at the end the fol-
12
lowing:
13
‘‘SEC. 31. ELDERLY SIMPLIFIED APPLICATION PROGRAM.
14
‘‘(a) IN GENERAL.—Not later than 180 days after
15
the date of enactment of this section, the Secretary shall
16
establish a program, to be known as the ‘elderly simplified
17
application program’ (referred to in this section as
18
‘ESAP’), under which a State, in carrying out the supple-
19
mental nutrition assistance program, may elect to imple-
20
ment a streamlined application and certification process
21
for households in which all adult members—
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‘‘(1) are elderly or disabled members; and
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‘‘(2) have no earned income.
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‘‘(b) CERTIFICATION PERIOD.—The certification pe-
25
riod for participants in ESAP shall be 36 months.
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‘‘(c) INCOME AND OTHER DATA VERIFICATION.—
1
‘‘(1) IN
GENERAL.—A State agency deter-
2
mining the eligibility for an applicant household
3
under
ESAP
shall,
notwithstanding
section
4
11(e)(3)—
5
‘‘(A) to the maximum extent practicable,
6
use data matching for income verification and
7
household size; and
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‘‘(B)(i) allow self-declaration by the appli-
9
cant of the information required under section
10
273.2(f) of title 7, Code of Federal Regulations
11
(or successor regulations); but
12
‘‘(ii) verify, prior to certification of the
13
household, factors of eligibility provided by the
14
applicant that the State agency determines are
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questionable.
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‘‘(2) ACCOUNTABILITY
AND
FRAUD
PREVEN-
17
TION.—In carrying out paragraph (1), a State agen-
18
cy shall establish accountability and fraud protection
19
measures to deter fraud and ensure the integrity of
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ESAP and the supplemental nutrition assistance
21
program.
22
‘‘(d)
INTERVIEWS.—Notwithstanding
section
23
11(e)(6)(A), for recertification of a household under
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ESAP, the State agency shall not require an interview un-
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•HR 3474 IH
less requested by the household, which may be conducted
1
virtually.
2
‘‘(e) GUIDANCE.—Prior to the establishment of
3
ESAP under subsection (a), the Administrator of the
4
Food and Nutrition Service shall develop guidance for
5
States, including by consulting with States, to carry out
6
ESAP, which shall include—
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‘‘(1) general implementation guidelines;
8
‘‘(2) reporting requirements;
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‘‘(3) quality control requirements; and
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‘‘(4) best practices.’’.
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(c) COMBINED APPLICATION PROGRAM.—The Food
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and Nutrition Act of 2008 (7 U.S.C. 2011 et seq.) (as
13
amended by subsection (b)) is amended by adding at the
14
end the following:
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‘‘SEC. 32. COMBINED APPLICATION PROGRAM.
16
‘‘(a) IN GENERAL.—Not later than 180 days after
17
the date of enactment of this section, the Secretary, in
18
coordination with the Commissioner of Social Security,
19
shall establish a program, to be known as the ‘combined
20
application program’ (referred to in this section as ‘CAP’),
21
under which a State, in carrying out the supplemental nu-
22
trition assistance program, may elect to implement a
23
streamlined application process for households in which all
24
adult members are applicants for or recipients of benefits
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•HR 3474 IH
under title II of the Social Security Act (42 U.S.C. 401
1
et seq.) on the basis of a disability or supplemental secu-
2
rity income under title XVI of that Act (42 U.S.C. 1381
3
et seq.).
4
‘‘(b) PURPOSES.—The purposes of CAP are—
5
‘‘(1) to reduce the need for households de-
6
scribed in subsection (a) to have in-person interviews
7
with State offices administering the supplemental
8
nutrition assistance program; and
9
‘‘(2) to increase participation in the supple-
10
mental nutrition assistance program by simplifying
11
the application process for that program through in-
12
creased automation and simplified calculation of
13
benefits.
14
‘‘(c) CAP MODELS.—The Secretary, in coordination
15
with the Commissioner of the Social Security Administra-
16
tion, shall offer, at a minimum, each of the following mod-
17
els for States to implement CAP:
18
‘‘(1) STANDARD MODEL.—
19
‘‘(A) IN
GENERAL.—Under the standard
20
model, the Commissioner of the Social Security
21
Administration and the State agency admin-
22
istering the supplemental nutrition assistance
23
program shall coordinate—
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•HR 3474 IH
‘‘(i) to develop a simplified joint appli-
1
cation process for the supplemental nutri-
2
tion assistance program that uses stand-
3
ardized benefit amounts or standardized
4
shelter expenses, in accordance with this
5
paragraph; and
6
‘‘(ii) to conduct outreach to adult
7
members receiving supplemental security
8
income under title XVI of the Social Secu-
9
rity Act (42 U.S.C. 1381 et seq.) that are
10
not receiving benefits under the supple-
11
mental nutrition assistance program.
12
‘‘(B)
STANDARDIZED
BENEFIT
13
AMOUNTS.—
14
‘‘(i) IN GENERAL.—Under the stand-
15
ardized model described in subparagraph
16
(A), applicants shall receive a standardized
17
or automated benefit level under the sup-
18
plemental nutrition assistance program
19
based on their shelter expenses and other
20
income.
21
‘‘(ii) MINIMUM
STANDARDIZED
BEN-
22
EFIT LEVELS.—At a minimum, there shall
23
be 2 standardized benefit levels under
24
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•HR 3474 IH
clause (i), including, as determined by the
1
State—
2
‘‘(I) a level for participants with
3
low shelter expenses; and
4
‘‘(II) a level for participants with
5
high shelter expenses.
6
‘‘(iii)
COMPARABLE
AMOUNT.—A
7
State shall ensure that the amount pro-
8
vided under a standardized benefit level
9
under clause (i) is comparable to an
10
amount that a participant would otherwise
11
receive under the supplemental nutrition
12
assistance program.
13
‘‘(iv) REFERRAL.—A State shall refer
14
a household described in subsection (a) to
15
the supplemental nutrition assistance pro-
16
gram instead of enrolling that household in
17
CAP if the standardized amount that the
18
household would receive under CAP would
19
be significantly less than the amount of
20
benefits that the household would receive
21
under the supplemental nutrition assist-
22
ance program.
23
‘‘(C)
STANDARDIZED
SHELTER
EX-
24
PENSES.—In computing an excess shelter ex-
25
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•HR 3474 IH
pense deduction under section 5(e)(6), a State
1
agency may use a standard utility allowance in
2
accordance with regulations promulgated by the
3
Secretary.
4
‘‘(2) MODIFIED MODEL.—Under the modified
5
model, a State agency administering the supple-
6
mental nutrition assistance program shall—
7
‘‘(A) conduct outreach to prospective par-
8
ticipants in the supplemental nutrition assist-
9
ance program using information from the Social
10
Security Administration to identify households
11
described in subsection (a) that are not partici-
12
pants in the supplemental nutrition assistance
13
program; and
14
‘‘(B) send to those households simplified
15
application forms for the supplemental nutrition
16
assistance program.’’.
17
SEC. 4. ENROLLMENT AND OUTREACH PILOT PROGRAM
18
FOR OLDER ADULTS, KINSHIP FAMILIES, AND
19
ADULTS WITH DISABILITIES.
20
The Food and Nutrition Act of 2008 (7 U.S.C. 2011
21
et seq.) (as amended by section 3(c)) is amended by add-
22
ing at the end the following:
23
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‘‘SEC. 33. ENROLLMENT AND OUTREACH PILOT PROGRAM
1
FOR OLDER ADULTS, KINSHIP FAMILIES, AND
2
ADULTS WITH DISABILITIES.
3
‘‘(a) DEFINITIONS.—In this section:
4
‘‘(1) DISABILITY.—The term ‘disability’ has the
5
meaning given the term in section 3 of the Ameri-
6
cans with Disabilities Act of 1990 (42 U.S.C.
7
12102).
8
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en-
9
tity’ means—
10
‘‘(A) a State or local government agency;
11
‘‘(B) an Indian tribe or tribal organization;
12
‘‘(C) a nonprofit organization, including a
13
public or nonprofit provider of services;
14
‘‘(D) a community-based organization; and
15
‘‘(E) an educational provider.
16
‘‘(3) KINSHIP FAMILY.—The term ‘kinship fam-
17
ily’ means a family in which a child resides with and
18
is being raised by a grandparent, another extended
19
family member, or an adult with whom the child has
20
a close family-like relationship, such as a godparent
21
or a close family friend.
22
‘‘(4) OLDER
ADULT.—The term ‘older adult’
23
has the meaning given the term ‘older individual’ in
24
section 102 of the Older Americans Act of 1965 (42
25
U.S.C. 3002).
26
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‘‘(5) PILOT
PROGRAM.—The term ‘pilot pro-
1
gram’ means the pilot program established under
2
subsection (b).
3
‘‘(b) ESTABLISHMENT.—Not later than 180 days
4
after the date of enactment of this section, the Secretary
5
shall establish a pilot program, to be known as the ‘Enroll-
6
ment and Outreach Pilot Program for Older Adults, Kin-
7
ship Families, and Adults with Disabilities’, under which
8
the Secretary shall award grants to eligible entities—
9
‘‘(1) to raise awareness among older adults,
10
kinship families, and adults with disabilities of the
11
availability, eligibility requirements, application pro-
12
cedures, and benefits of the supplemental nutrition
13
assistance program; and
14
‘‘(2) to support older adults, kinship families,
15
and adults with disabilities in enrolling in that pro-
16
gram.
17
‘‘(c) PRIORITY.—In awarding grants under the pilot
18
program, the Secretary shall give priority to—
19
‘‘(1) eligible entities that—
20
‘‘(A) provide services to older adults or
21
adults with disabilities;
22
‘‘(B) provide services to kinship families,
23
including kinship navigator programs;
24
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