Collapse to view only § 3032c. Health care service demonstration projects in rural areas
- § 3032. Program authorized
- § 3032a. Career preparation for the field of aging
- § 3032b. Older individuals’ protection from violence projects
- § 3032c. Health care service demonstration projects in rural areas
- § 3032d. Repealed.
- § 3032e. Technical assistance and innovation to improve transportation for older individuals
- § 3032f. Demonstration, support, and research projects for multigenerational and civic engagement activities
- § 3032g. Native American programs
- § 3032h. Repealed.
- § 3032i. Demonstration and support projects for legal assistance for older individuals
- § 3032j. Repealed.
- § 3032k. Community innovations for aging in place
§ 3032. Program authorized
(a) In generalFor the purpose of carrying out this section, the Assistant Secretary may make grants to and enter into contracts with States, public agencies, private nonprofit agencies, institutions of higher education, and organizations, including tribal organizations, for—
(1) education and training to develop an adequately trained workforce to work with and on behalf of older individuals;
(2) applied social research, aligned with evidence-based practice, and analysis to improve access to and delivery of services for older individuals;
(3) evaluation of the performance of the programs, activities, and services provided under this section;
(4) the development of methods and practices to improve the quality and effectiveness of the programs, services, and activities provided under this section;
(5) the demonstration of new approaches to design, deliver, and coordinate programs and services for older individuals;
(6) technical assistance in planning, developing, implementing, and improving the programs, services, and activities provided under this section;
(7) coordination with the designated State agency described in section 101(a)(2)(A)(i) of the Rehabilitation Act of 1973 (29 U.S.C. 721(a)(2)(A)(i)) to provide services to older individuals who are blind as described in such Act [29 U.S.C. 701 et seq.];
(8) the training of graduate level professionals specializing in the mental health needs of older individuals;
(9) planning activities to prepare communities for the aging of the population, which activities may include—
(A) efforts to assess the aging population;
(B) activities to coordinate the activities of State and local agencies in order to meet the needs of older individuals; and
(C) training and technical assistance to support States, area agencies on aging, and organizations receiving grants under subchapter X, in engaging in community planning activities;
(10) the development, implementation, and assessment of technology-based service models and best practices, to support the use of health monitoring and assessment technologies, communication devices, assistive technologies, and other technologies consistent with section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d) that may remotely connect family and professional caregivers to frail older individuals residing in home and community-based settings or rural areas;
(11) conducting activities of national significance to promote quality and continuous improvement in the support provided to family and other informal caregivers of older individuals through activities that include program evaluation, training, technical assistance, and research, including—
(A) programs addressing unique issues faced by rural caregivers;
(B) programs focusing on the needs of older individuals with cognitive impairment such as Alzheimer’s disease and related disorders with neurological and organic brain dysfunction, and their caregivers; and
(C) programs supporting caregivers in the role they play in providing disease prevention and health promotion services;
(12) building public awareness of cognitive impairments, such as Alzheimer’s disease and related disorders with neurological and organic brain dysfunction, depression, mental disorders, and traumatic brain injury;
(13) in coordination with the Secretary of Labor, the demonstration of new strategies for the recruitment, retention, or advancement of direct care workers, and the soliciting, development, and implementation of strategies—
(A) 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; and
(B) to provide education and workforce development programs for direct care workers that include supportive services and career planning;
(14) the establishment and operation of a national resource center that shall—
(A) provide training and technical assistance to agencies in the aging network delivering services to older individuals experiencing the long-term and adverse consequences of trauma;
(B) share best practices with the aging network; and
(C) make subgrants to the agencies best positioned to advance and improve the delivery of person-centered, trauma-informed services for older individuals experiencing the long-term and adverse consequences of trauma;
(15) bringing to scale and sustaining evidence-based falls prevention programs that will reduce the number of falls, fear of falling, and fall-related injuries in older individuals, including older individuals with disabilities;
(16) bringing to scale and sustaining evidence-based chronic disease self-management programs that empower older individuals, including older individuals with disabilities, to better manage their chronic conditions;
(17) continuing support for program integrity initiatives concerning the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) that train senior volunteers to prevent and identify health care fraud and abuse;
(18) projects that address negative health effects associated with social isolation among older individuals; and
(19) any other activities that the Assistant Secretary determines will achieve the objectives of this section.
(b) Authorization of appropriationsThere are authorized to be appropriated to carry out—
(1) aging network support activities under this section, $14,514,550 for fiscal year 2020, $15,385,423 for fiscal year 2021, $16,308,548 for fiscal year 2022, $17,287,061 for fiscal year 2023, and $18,324,285 for fiscal year 2024; and
(2) elder rights support activities under this section, $15,613,440 for fiscal year 2020, $16,550,246 for fiscal year 2021, $17,543,261 for fiscal year 2022, $18,595,857 for fiscal year 2023, and $19,711,608 for fiscal year 2024.
(Pub. L. 89–73, title IV, § 411, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2257; amended Pub. L. 109–365, title IV, § 402, Oct. 17, 2006, 120 Stat. 2552; Pub. L. 114–144, § 5(a), Apr. 19, 2016, 130 Stat. 341; Pub. L. 116–131, title I, §§ 104(3), 119, 120, title III, §§ 301–304, Mar. 25, 2020, 134 Stat. 243, 247, 263.)
§ 3032a. Career preparation for the field of aging
(a) Grants
(b) Definitions
For purposes of subsection (a):
(1) Hispanic Center of Excellence in Applied Gerontology
The term “Hispanic Center of Excellence in Applied Gerontology” means an institution of higher education with a program in applied gerontology that—
(A) has a significant number of Hispanic individuals enrolled in the program, including individuals accepted for enrollment in the program;
(B) has been effective in assisting Hispanic students of the program to complete the program and receive the degree involved;
(C) has been effective in recruiting Hispanic individuals to attend the program, including providing scholarships and other financial assistance to such individuals and encouraging Hispanic students of secondary educational institutions to attend the program; and
(D) has made significant recruitment efforts to increase the number and placement of Hispanic individuals serving in faculty or administrative positions in the program.
(2) Historically Black college or university
(Pub. L. 89–73, title IV, § 412, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2258; amended Pub. L. 109–365, title IV, § 403, Oct. 17, 2006, 120 Stat. 2553.)
§ 3032b. Older individuals’ protection from violence projects
(a) Program authorized
(b) Activities
A State, an area agency on aging, a nonprofit organization, or a tribal organization that receives a grant under subsection (a) shall use such grant to—
(1) support projects in local communities, involving diverse sectors of each community, to coordinate activities concerning intervention in and prevention of elder abuse, neglect, and exploitation, including family violence and sexual assault, against older individuals;
(2) develop and implement outreach programs directed toward assisting older individuals who are victims of elder abuse, neglect, and exploitation (including family violence and sexual assault, against older individuals), including programs directed toward assisting the individuals in senior housing complexes, nursing homes, board and care facilities, and senior centers;
(3) expand access to family violence and sexual assault programs (including shelters, rape crisis centers, and support groups), including mental health services, safety planning and legal advocacy for older individuals and encourage the use of senior housing, hotels, or other suitable facilities or services when appropriate as emergency short-term shelters for older individuals who are the victims of elder abuse, including family violence and sexual assault; or
(4) promote research on legal, organizational, or training impediments to providing services to older individuals through shelters and other programs, such as impediments to provision of services in coordination with delivery of health care or services delivered under this chapter.
(c) Preference
(d) Coordination
(Pub. L. 89–73, title IV, § 413, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2259.)
§ 3032c. Health care service demonstration projects in rural areas
(a) Authority
(b) EligibilityTo be eligible to receive a grant under subsection (a), a public agency or nonprofit private organization shall submit to the Assistant Secretary an application containing such information and assurances as the Secretary may require, including—
(1) information describing the nature and extent of the applicant’s—
(A) experience in providing medical services of the type to be provided in the project for which a grant is requested; and
(B) coordination and cooperation with—
(i) institutions of higher education having graduate programs with capability in public health, mental health, the medical sciences, psychology, pharmacology, nursing, social work, health education, nutrition, or gerontology, for the purpose of designing and developing such project; and
(ii) critical access hospitals (as defined in section 1395x(mm)(1) of this title and rural health clinics (as defined in section 1395x(aa)(2) of this title);
(2) assurances that the applicant will carry out the project for which a grant is requested, through a multipurpose senior center located—
(A)
(i) in a rural area that has a population of less than 5,000; or
(ii) in a county that has fewer than seven individuals per square mile; and
(B) in a State in which—
(i) not less than 33⅓ of the population resides in rural areas; and
(ii) not less than 5 percent of the population resides in counties with fewer than seven individuals per square mile,
as defined by and determined in accordance with the most recent data available from the Bureau of the Census; and
(3) assurances that the applicant will submit to the Assistant Secretary such evaluations and reports as the Assistant Secretary may require.
(c) Reports
(Pub. L. 89–73, title IV, § 414, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2259; amended Pub. L. 109–365, title IV, § 404, Oct. 17, 2006, 120 Stat. 2553.)
§ 3032d. Repealed. Pub. L. 114–144, § 5(d), Apr. 19, 2016, 130 Stat. 342
§ 3032e. Technical assistance and innovation to improve transportation for older individuals
(a) In general
(b) Use of funds
(1) In general
(2) Specific activities
In carrying out a demonstration project or providing technical assistance under paragraph (1) the organization may carry out activities that include—
(A) developing innovative approaches for improving access by older individuals to transportation services, including volunteer driver programs, economically sustainable transportation programs, and programs that allow older individuals to transfer their automobiles to a provider of transportation services in exchange for the services;
(B) preparing information on transportation options and resources for older individuals and organizations serving such individuals, and disseminating the information by establishing and operating a toll-free telephone number, call center, website or Internet-based portal, mobile application, or other technological tools;
(C) developing models and best practices for providing comprehensive integrated transportation services for older individuals, including services administered by the Secretary of Transportation, by providing ongoing technical assistance to agencies providing services under subchapter III and by assisting in coordination of public and community transportation services;
(D)
(i) improving the aggregation, availability, and accessibility of information on options for transportation services for older individuals, including information on public transit, on-demand transportation services, volunteer-based transportation services, and other private transportation providers; and
(ii) providing older individuals with the ability to schedule trips both in advance and on demand, as appropriate;
(E) identifying opportunities to share resources and reduce costs of transportation services for older individuals;
(F) coordinating individualized trip planning responses to requests from older individuals for transportation services; and
(G) providing special services to link older individuals to transportation services not provided under subchapter III.
(c) Economically sustainable transportation
In this section, the term “economically sustainable transportation” means demand responsive transportation for older individuals—
(1) that may be provided through volunteers; and
(2) that the provider will provide without receiving Federal or other public financial assistance, after a period of not more than 5 years of providing the services under this section.
(Pub. L. 89–73, title IV, § 416, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2261; amended Pub. L. 109–365, title IV, § 405, Oct. 17, 2006, 120 Stat. 2554; Pub. L. 116–131, title III, § 305, Mar. 25, 2020, 134 Stat. 263.)
§ 3032f. Demonstration, support, and research projects for multigenerational and civic engagement activities
(a) Grants and contractsThe Assistant Secretary shall award grants to and enter into contracts with eligible organizations to carry out projects, serving individuals in younger generations and older individuals, to—
(1) provide opportunities for older individuals to participate in multigenerational activities and civic engagement activities that contribute to the health and wellness of older individuals and individuals in younger generations by promoting—
(A) meaningful roles for participants;
(B) reciprocity in relationship building;
(C) reduced social isolation and improved participant social connectedness;
(D) improved economic well-being for older individuals;
(E) increased lifelong learning; or
(F) support for caregivers of families by—
(i) providing support for older relative caregivers (as defined in section 3030s(a) of this title) raising children (such as support for kinship navigator programs); or
(ii) involving volunteers who are older individuals who provide support and information to families who have a child with a disability or chronic illness, or other families in need of such family support;
(2) coordinate multigenerational activities and civic engagement activities, including multigenerational nutrition and meal service programs;
(3) promote volunteerism, including by providing opportunities for older individuals to become a mentor to individuals in younger generations; and
(4) facilitate development of, and participation in, multigenerational activities and civic engagement activities.
(b) Grant and contract periods
(c) Use of funds
(1) In general
(2) Provision of projects through grantees
(d) PreferenceIn awarding grants and entering into contracts to carry out a project described in subsection (a), the Assistant Secretary shall give preference to—
(1) eligible organizations with a demonstrated record of carrying out, intent to carry out, or intent to partner with local organizations or multiservice organizations to carry out, multigenerational activities or civic engagement activities;
(2) eligible organizations proposing multigenerational activity projects that will serve older individuals and communities with the greatest need (with particular attention to low-income minority individuals, older individuals with limited English proficiency, older individuals residing in rural areas, and low-income minority communities);
(3) eligible organizations proposing civic engagement projects that will serve communities with the greatest need;
(4) eligible organizations with the capacity to develop meaningful roles and assignments that use the time, skills, and experience of older individuals to serve public and nonprofit organizations; and
(5) eligible organizations proposing multigenerational activity projects that utilize shared site programs, such as collocated child care and long-term care facilities.
(e) Application
(f) Eligible organizationsOrganizations eligible to receive a grant or enter into a contract under subsection (a) shall—
(1) be a State, an area agency on aging, or an organization that provides opportunities for older individuals to participate in activities described in such subsection; and
(2) have the capacity to conduct the coordination, promotion, and facilitation described in such subsection through the use of multigenerational coordinators.
(g) Evaluation
(1) In generalNot later than 3 years after March 25, 2020, the Assistant Secretary shall, through data submitted by organizations carrying out projects through grants or contracts under this section, evaluate the activities supported through such grants and contracts to determine—
(A) the effectiveness of such activities;
(B) the impact of such activities on the community being served and the organization providing the activities; and
(C) the impact of such activities on older individuals participating in such projects.
(2) Report to CongressNot later than 6 months after the Assistant Secretary completes the evaluation under paragraph (1), the Assistant Secretary shall prepare and submit to the Speaker of the House of Representatives and the President pro tempore of the Senate a report that assesses such evaluation and contains, at a minimum—
(A) the names or descriptive titles of the projects funded under subsection (a);
(B) a description of the nature and operation of such projects;
(C) the names and addresses of organizations that conducted such projects;
(D) a description of the methods and success of such projects in recruiting older individuals as employees and as volunteers to participate in the projects;
(E) a description of the success of the projects in retaining older individuals participating in such projects as employees and as volunteers;
(F) the rate of turnover of older individuals who are employees or volunteers in such projects;
(G) a strategy for disseminating the findings resulting from such projects; and
(H) any policy change recommendations relating to such projects.
(h) DefinitionsAs used in this section:
(1) Multigenerational activity
(2) Multigenerational coordinatorThe term “multigenerational coordinator” means a person who—
(A) builds the capacity of public and nonprofit organizations to develop meaningful roles and assignments, that use the time, skill, and experience of older individuals to serve those organizations; and
(B) nurtures productive, sustainable working relationships between—
(i) older individuals; and
(ii) individuals in younger generations.
(Pub. L. 89–73, title IV, § 417, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2261; amended Pub. L. 109–365, title IV, § 406, Oct. 17, 2006, 120 Stat. 2555; Pub. L. 114–144, § 5(e), Apr. 19, 2016, 130 Stat. 342; Pub. L. 116–131, title III, § 306, Mar. 25, 2020, 134 Stat. 264.)
§ 3032g. Native American programs
(a) Establishment
(1) In general
(2) Functions
(A) In general
Each Resource Center that receives funds under this section shall—
(i) gather information;
(ii) perform research;
(iii) provide for the dissemination of results of the research; and
(iv) provide technical assistance and training to entities that provide services to Native Americans who are older individuals.
(B) Areas of concern
In conducting the functions described in subparagraph (A), a Resource Center shall focus on priority areas of concern for the Resource Centers regarding Native Americans who are older individuals, which areas shall be—
(i) health (including mental health) problems;
(ii) long-term care, including in-home care;
(iii) elder abuse; and
(iv) other problems and issues that the Assistant Secretary determines are of particular importance to Native Americans who are older individuals.
(3) Preference
(4) Consultation
(5) Eligible entities
(6) Report to Congress
(b) Training grants
(Pub. L. 89–73, title IV, § 418, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2263; amended Pub. L. 109–365, title IV, § 407, Oct. 17, 2006, 120 Stat. 2557; Pub. L. 114–144, § 5(b), Apr. 19, 2016, 130 Stat. 341.)
§ 3032h. Repealed. Pub. L. 114–144, § 5(d), Apr. 19, 2016, 130 Stat. 342
§ 3032i. Demonstration and support projects for legal assistance for older individuals
(a) Program authorizedThe Assistant Secretary shall make grants and enter into contracts, in order to—
(1) provide a national legal assistance support system (operated by one or more grantees or contractors) of activities to State and area agencies on aging for providing, developing, or supporting legal assistance for older individuals, including—
(A) case consultations;
(B) training;
(C) provision of substantive legal advice and assistance; and
(D) assistance in the design, implementation, and administration of legal assistance delivery systems to local providers of legal assistance for older individuals; and
(2) support demonstration projects to expand or improve the delivery of legal assistance to older individuals with social or economic needs.
(b) Assurances
(c) Assistance
(Pub. L. 89–73, title IV, § 420, as added Pub. L. 106–501, title IV, § 401, Nov. 13, 2000, 114 Stat. 2265; amended Pub. L. 114–144, § 5(c), Apr. 19, 2016, 130 Stat. 342.)
§ 3032j. Repealed. Pub. L. 114–144, § 5(d), Apr. 19, 2016, 130 Stat. 342
§ 3032k. Community innovations for aging in place
(a) DefinitionsIn this section:
(1) Eligible entityThe term “eligible entity”—
(A) means a nonprofit health or social service organization, a community-based nonprofit organization, an area agency on aging or other local government agency, a tribal organization, or another entity that—
(i) the Assistant Secretary determines to be appropriate to carry out a project under this part; and
(ii) demonstrates a record of, and experience in, providing or administering group and individual health and social services for older individuals; and
(B) does not include an entity providing housing under the congregate housing services program carried out under section 8011 of this title or the multifamily service coordinator program carried out under section 1701q(g) of title 12.
(2) Naturally Occurring Retirement CommunityThe term “Naturally Occurring Retirement Community” means a community with a concentrated population of older individuals, which may include a residential building, a housing complex, an area (including a rural area) of single family residences, or a neighborhood composed of age-integrated housing—
(A) where—
(i) 40 percent of the heads of households are older individuals; or
(ii) a critical mass of older individuals exists, based on local factors that, taken in total, allow an organization to achieve efficiencies in the provision of health and social services to older individuals living in the community; and
(B) that is not an institutional care or assisted living setting.
(b) Grants
(1) In general
(2) Grant periods
(c) Applications
(1) In general
(2) ContentsThe application shall include—
(A) a detailed description of the entity’s experience in providing services to older individuals in age-integrated settings;
(B) a definition of the contiguous service area and a description of the project area in which the older individuals reside or carry out activities to sustain their well-being;
(C) the results of a needs assessment that identifies—
(i) existing (as of the date of the assessment) community-based health and social services available to individuals residing in the project area;
(ii) the strengths and gaps of such existing services in the project area;
(iii) the needs of older individuals who reside in the project area; and
(iv) services not being delivered that would promote aging in place and contribute to the well-being of older individuals residing in the project area;
(D) a plan for the development and implementation of an innovative model for service coordination and delivery within the project area;
(E) a description of how the plan described in subparagraph (D) will enhance existing services described in subparagraph (C)(i) and support the goal of this section to promote aging in place;
(F) a description of proposed actions by the entity to prevent the duplication of services funded under a provision of this chapter, other than this section, and a description of how the entity will cooperate, and coordinate planning and services (including any formal agreements), with agencies and organizations that provide publicly supported services for older individuals in the project area, including the State agency and area agencies on aging with planning and service areas in the project area;
(G) an assurance that the entity will seek to establish cooperative relationships with interested local entities, including private agencies and businesses that provide health and social services, housing entities, community development organizations, philanthropic organizations, foundations, and other non-Federal entities;
(H) a description of the entity’s protocol for referral of residents who may require long-term care services, including coordination with local agencies, including area agencies on aging and Aging and Disability Resource Centers that serve as single points of entry to public services;
(I) a description of how the entity will offer opportunities for older individuals to be involved in the governance, oversight, and operation of the project;
(J) an assurance that the entity will submit to the Assistant Secretary such evaluations and reports as the Assistant Secretary may require; and
(K) a plan for long-term sustainability of the project.
(d) Use of funds
(1) In generalAn eligible entity that receives a grant under subsection (b) shall use the funds made available through the grant to—
(A) ensure access by older individuals in the project area to community-based health and social services consisting of—
(i) case management, case assistance, and social work services;
(ii) health care management and health care assistance, including disease prevention and health promotion services;
(iii) education, socialization, and recreational activities; and
(iv) volunteer opportunities for project participants;
(B) conduct outreach to older individuals within the project area; and
(C) develop and implement innovative, comprehensive, and cost-effective approaches for the delivery and coordination of community-based health and social services, including those identified in subparagraph (A)(iv), which may include mental health services, for eligible older individuals.
(2) Coordination
(3) Preference
(4) Supplement not supplant
(e) Competitive grants for technical assistance
(1) GrantsThe Assistant Secretary shall (or shall make a grant, on a competitive basis, to an eligible nonprofit organization, to enable the organization to)—
(A) provide technical assistance to recipients of grants under subsection (b); and
(B) carry out other duties, as determined by the Assistant Secretary.
(2) Eligible organizationTo be eligible to receive a grant under this subsection, an organization shall be a nonprofit organization (including a partnership of nonprofit organizations), that—
(A) has experience and expertise in providing technical assistance to a range of entities serving older individuals and experience evaluating and reporting on programs; and
(B) has demonstrated knowledge of and expertise in community-based health and social services.
(3) Application
(f) ReportThe Assistant Secretary shall annually prepare and submit a report to Congress that shall include—
(1) the findings resulting from the evaluations of the model projects conducted under this section;
(2) a description of recommended best practices regarding carrying out health and social service projects for older individuals aging in place; and
(3) recommendations for legislative or administrative action, as the Assistant Secretary determines appropriate.
(Pub. L. 89–73, title IV, § 422, as added Pub. L. 109–365, title IV, § 409, Oct. 17, 2006, 120 Stat. 2559.)