Home > 106th Congressional Bills > H.R. 782 (rh) To amend the Older Americans Act of 1965 to authorize appropriations [Reported in House] ...H.R. 782 (rh) To amend the Older Americans Act of 1965 to authorize appropriations [Reported in House] ...
106th CONGRESS
2d Session
H. R. 782
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
October 25 (legislative day, September 22), 2000
Received
_______________________________________________________________________
AN ACT
To amend the Older Americans Act of 1965 to extend authorizations of
appropriations for programs under the Act, to modernize programs and
services for older individuals, 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 ``Older Americans Act Amendments of
2000''.
SEC. 2. TABLE OF CONTENTS.
The table of contents of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
TITLE I--AMENDMENT TO TITLE I OF THE OLDER AMERICANS ACT OF 1965
Sec. 101. Definitions.
TITLE II--AMENDMENTS TO TITLE II OF THE OLDER AMERICANS ACT OF 1965 AND
THE OLDER AMERICANS ACT AMENDMENTS OF 1987
Subtitle A--Amendments to Title II of the Older Americans Act of 1965
Sec. 201. Functions of assistant secretary.
Sec. 202. Federal agency consultation.
Sec. 203. Evaluation.
Sec. 204. Reports.
Sec. 205. authorization of appropriations.
Subtitle B--Amendments to the Older Americans Act Amendments of 1987
Sec. 211. White house conference.
TITLE III--AMENDMENTS TO TITLE III OF THE OLDER AMERICANS ACT OF 1965
Sec. 301. Purpose.
Sec. 302. Authorization of appropriations.
Sec. 303. Allotment; Federal share.
Sec. 304. Organization.
Sec. 305. Area plans.
Sec. 306. State plans.
Sec. 307. Planning, coordination, evaluation, and administration of
State plans.
Sec. 308. Availability of disaster relief funds to tribal
organizations.
Sec. 309. Nutrition services incentive program.
Sec. 310. Consumer contributions and waivers.
Sec. 311. Supportive services and senior centers.
Sec. 312. Nutrition services.
Sec. 313. Nutrition requirements.
Sec. 314. In-home services and additional assistance.
Sec. 315. Definition.
Sec. 316. National family caregiver support program.
TITLE IV--TRAINING, RESEARCH, AND DISCRETIONARY PROJECTS AND PROGRAMS
Sec. 401. Projects and programs
TITLE V--AMENDMENT TO TITLE V OF THE OLDER AMERICANS ACT OF 1965
Sec. 501. Amendment to title v of the older americans act of 1965.
TITLE VI--AMENDMENTS TO TITLE VI OF THE OLDER AMERICANS ACT OF 1965
Sec. 601. Eligibility.
Sec. 602. Applications.
Sec. 603. Authorization of appropriations.
Sec. 604. General provisions.
TITLE VII--AMENDMENTS TO TITLE VII OF THE OLDER AMERICANS ACT OF 1965
Sec. 701. Authorization of appropriations.
Sec. 702. Allotment.
Sec. 703. Additional State plan requirements.
Sec. 704. State long-term care ombudsman program.
Sec. 705. Prevention of elder abuse, neglect, and exploitation.
Sec. 706. Assistance programs.
Sec. 707. Native american programs.
TITLE VIII--TECHNICAL AND CONFORMING AMENDMENTS
Sec. 801. Technical and conforming amendments.
TITLE I--AMENDMENT TO TITLE I OF THE OLDER AMERICANS ACT OF 1965
SEC. 101. DEFINITIONS.
Section 102 of the Older Americans Act of 1965 (42 U.S.C. 3002) is
amended--
(1) in paragraph (3), by striking ``the Commonwealth of the
Northern Mariana Islands, and the Trust Territory of the
Pacific Islands.'' and inserting ``and the Commonwealth of the
Northern Mariana Islands.'';
(2) by striking paragraph (12) and inserting the following:
``(12) The term `disease prevention and health promotion
services' means--
``(A) health risk assessments;
``(B) routine health screening, which may include
hypertension, glaucoma, cholesterol, cancer, vision,
hearing, diabetes, bone density, and nutrition
screening;
``(C) nutritional counseling and educational
services for individuals and their primary caregivers;
``(D) health promotion programs, including but not
limited to programs relating to prevention and
reduction of effects of chronic disabling conditions
(including osteoporosis and cardiovascular disease),
alcohol and substance abuse reduction, smoking
cessation, weight loss and control, and stress
management;
``(E) programs regarding physical fitness, group
exercise, and music therapy, art therapy, and dance-
movement therapy, including programs for
multigenerational participation that are provided by--
``(i) an institution of higher education;
``(ii) a local educational agency, as
defined in section 14101 of the Elementary and
Secondary Education Act of 1965 (20 U.S.C.
8801); or
``(iii) a community-based organization;
``(F) home injury control services, including
screening of high-risk home environments and provision
of educational programs on injury prevention (including
fall and fracture prevention) in the home environment;
``(G) screening for the prevention of depression,
coordination of community mental health services,
provision of educational activities, and referral to
psychiatric and psychological services;
``(H) educational programs on the availability,
benefits, and appropriate use of preventive health
services covered under title XVIII of the Social
Security Act (42 U.S.C. 1395 et seq.);
``(I) medication management screening and education
to prevent incorrect medication and adverse drug
reactions;
``(J) information concerning diagnosis, prevention,
treatment, and rehabilitation concerning age-related
diseases and chronic disabling conditions, including
osteoporosis, cardiovascular diseases, diabetes, and
Alzheimer's disease and related disorders with
neurological and organic brain dysfunction;
``(K) gerontological counseling; and
``(L) counseling regarding social services and
followup health services based on any of the services
described in subparagraphs (A) through (K).
The term shall not include services for which payment may be
made under titles XVIII and XIX of the Social Security Act (42
U.S.C. 1395 et seq., 1396 et seq.).'';
(3) by striking paragraph (18) and redesignating paragraphs
(19), (20), (21), and (22) as paragraphs (18), (19), (20), and
(21);
(4) by striking paragraphs (19) and (20) (as redesignated)
and inserting the following:
``(19) The term `in-home services' includes--
``(A) services of homemakers and home health aides;
``(B) visiting and telephone reassurance;
``(C) chore maintenance;
``(D) in-home respite care for families, and adult
day care as a respite service for families;
``(E) minor modification of homes that is necessary
to facilitate the ability of older individuals to
remain at home and that is not available under another
program (other than a program carried out under this
Act);
``(F) personal care services; and
``(G) other in-home services as defined--
``(i) by the State agency in the State plan
submitted in accordance with section 307; and
``(ii) by the area agency on aging in the
area plan submitted in accordance with section
306.
``(20) The term `Native American' means--
``(A) an Indian as defined in paragraph (5); and
``(B) a Native Hawaiian, as defined in section
625.'';
(5) by striking paragraph (23) and redesignating paragraphs
(24) through (35) as paragraphs (22), (23), (24), (25), (26),
(27), (28), (29), (30), (31), (32), and (33);
(6) by striking paragraph (36) and redesignating the
remaining paragraphs; and
(7) by adding at the end the following:
``(42) The term `family violence' has the same meaning
given the term in the Family Violence Prevention and Services
Act (42 U.S.C. 10408).
``(43) The term `sexual assault' has the meaning given the
term in section 2003 of the Omnibus Crime Control and Safe
Streets Act of 1968 (42 U.S.C. 3796gg-2).''.
TITLE II--AMENDMENTS TO TITLE II OF THE OLDER AMERICANS ACT OF 1965 AND
THE OLDER AMERICANS ACT AMENDMENTS OF 1987
Subtitle A--Amendments to Title II of the Older Americans Act of 1965
SEC. 201. FUNCTIONS OF ASSISTANT SECRETARY.
Section 202 of the Older Americans Act of 1965 (42 U.S.C. 3012) is
amended--
(1) in subsection (a)--
(A) by striking paragraph (9) and redesignating
paragraphs (10), (11), and (12) as paragraphs (9),
(10), and (11) respectively;
(B) by striking parargraphs (13) and (14) and
redesignating the remaining paragraphs;
(C) in paragraph (15) (as redesignated), by
inserting ``and older individuals residing in rural
areas'' after ``low-income minority individuals'';
(D) in paragraph (18)(B) (as redesignated), by
striking ``1990'' and inserting ``2000'';
(E) by striking paragraph (19) (as redesignated)
and inserting the following:
``(19) conduct strict monitoring of State compliance with
the requirements in effect, under this Act to prohibit
conflicts of interest and to maintain the integrity and public
purpose of services provided and service providers, under this
Act in all contractual and commercial relationships;'';
(F) by striking paragraph (21) (as redesignated)
and inserting the following:
``(21) establish information and assistance services as
priority services for older individuals, and develop and
operate, either directly or through contracts, grants, or
cooperative agreements, a National Eldercare Locator Service,
providing information and assistance services through a
nationwide toll-free number to identify community resources for
older individuals;'';
(G) by striking paragraph (24) (as redesignated)
and inserting the following:
``(24) establish and carry out pension counseling and
information programs described in section 215;''; and
(H) by striking paragraph (27) and redesignating
the remaining paragraphs;
(I) by adding a new paragraph (27):
``(27) improve the delivery of services to older
individuals living in rural areas through--
``(A) synthesizing results of research on how best
to meet the service needs of older individuals in rural
areas;
``(B) developing a resource guide on best practices
for States, area agencies on aging, and service
providers;
``(C) providing training and technical assistance
to States to implement these best practices of service
delivery; and
``(D) submitting a report on the States'
experiences in implementing these best practices and
the effect these innovations are having on improving
service delivery in rural areas to the relevant
committees not later than 36 months after enactment.'';
(2) in subsection (d)(4), by striking ``1990'' and
inserting ``2000''; and
(3) by adding at the end the following:
``(f)(1) The Assistant Secretary, in accordance with the process
described in paragraph (2), and in collaboration with a representative
group of State agencies, tribal organizations, area agencies on aging,
and providers of services involved in the performance outcome measures
shall develop and publish by December 31, 2001, a set of performance
outcome measures for planning, managing, and evaluating activities
performed and services provided under this Act. To the maximum extent
possible, the Assistant Secretary shall use data currently collected
(as of the date of development of the measures) by State agencies, area
agencies on aging, and service providers through the National Aging
Program Information System and other applicable sources of information
in developing such measures.
``(2) The process for developing the performance outcome measures
described in paragraph (1) shall include--
``(A) a review of such measures currently in use by State
agencies and area agencies on aging (as of the date of the
review);
``(B) development of a proposed set of such measures that
provides information about the major activities performed and
services provided under this Act;
``(C) pilot testing of the proposed set of such measures,
including an identification of resource, infrastructure, and
data collection issues at the State and local levels; and
``(D) evaluation of the pilot test and recommendations for
modification of the proposed set of such measures.''.
SEC. 202. FEDERAL AGENCY CONSULTATION.
Title II of the Older Americans Act of 1965 (42 U.S.C. 3011 et
seq.) is amended--
(1) in section 203(a)(3)(A), by inserting ``and older
individuals residing in rural areas'' after ``low-income
minority older individuals'';
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