I
119THCONGRESS
1
STSESSION H. R. 1812
To amend the Older Americans Act of 1965 to establish a grant program
for multigenerational activities for long-term care facilities.
IN THE HOUSE OF REPRESENTATIVES
MARCH3, 2025
Ms. S
TRICKLAND(for herself and Mr. STEIL) introduced the following bill;
which was referred to the Committee on Education and Workforce
A BILL
To amend the Older Americans Act of 1965 to establish
a grant program for multigenerational activities for long-
term care facilities.
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 ‘‘Care Across Genera-4
tions Act’’. 5
VerDate Sep 11 2014 01:14 Mar 18, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1812.IH H1812
kjohnson on DSK7ZCZBW3PROD with $$_JOB 2
•HR 1812 IH
SEC. 2. COMPETITIVE GRANT PROGRAM FOR THE FUNDING 1
OF MULTIGENERATIONAL PROGRAMS IN 2
LONG-TERM CARE FACILITIES. 3
Part A of title IV of the Older Americans Act of 1965 4
(42 U.S.C. 3032 et seq.) is amended by adding at the end 5
the following: 6
‘‘SEC. 423. COMPETITIVE GRANT PROGRAM FOR THE FUND-7
ING OF MULTIGENERATIONAL PROGRAMS IN 8
LONG-TERM CARE FACILITIES. 9
‘‘(a) E
STABLISHMENT OF GRANTPROGRAM.—The 10
Assistant Secretary shall award grants, on a competitive 11
basis, to eligible entities to— 12
‘‘(1) operate a qualified child care facility with-13
in the long-term care facility or contract with a 14
qualified child care facility; 15
‘‘(2) coordinate multigenerational activities be-16
tween the integrated qualified child care facility and 17
long-term care facility; and 18
‘‘(3) build a new, or expand an existing, long- 19
term care facility operated by the eligible entity for 20
any of the purposes described in paragraph (1) or 21
(2). 22
‘‘(b) A
PPLICATION.—An entity seeking a grant under 23
this section shall submit an application to the Assistant 24
Secretary at such time, in such manner, and accompanied 25
by such information as the Assistant Secretary may rea-26
VerDate Sep 11 2014 01:14 Mar 18, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1812.IH H1812
kjohnson on DSK7ZCZBW3PROD with $$_JOB 3
•HR 1812 IH
sonably require; and in accordance the requirements speci-1
fied in subsection (g). 2
‘‘(c) E
VALUATION ANDREPORT.— 3
‘‘(1) E
VALUATION.—Each eligible entity receiv-4
ing a grant under this section shall evaluate— 5
‘‘(A) the effectiveness of the entity in oper-6
ating a qualified child care facility within an 7
long-term care facility as required under sub-8
section (a)(1); 9
‘‘(B) the effectiveness of the 10
multigenerational activities coordinated under 11
subsection (a)(2); and 12
‘‘(C) the impact on older individuals and 13
children of the 14 co-location and 14
multigenerational activities carried out by the 15
entity. 16
‘‘(2) R
EPORT.—Each eligible entity receiving a 17
grant under this section shall, not later than 6 18
months after the expiration of the period for which 19
the grant is in effect, submit a report to the Assist-20
ant Secretary containing the evaluation under para-21
graph (1). 22
‘‘(d) R
EPORT TO CONGRESS.—Not later than 6 23
months after the Assistant Secretary receives all reports 24
required under subsection (c)(2), the Assistant Secretary 25
VerDate Sep 11 2014 01:14 Mar 18, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1812.IH H1812
kjohnson on DSK7ZCZBW3PROD with $$_JOB 4
•HR 1812 IH
shall prepare and submit to the Committee on Education 1
and Labor of the House of Representatives and the Com-2
mittee on Health, Education, Labor, and Pensions of the 3
Senate a report that assesses the evaluations contained in 4
the reports required under subsection (c)(2). The report 5
required of the Assistant Secretary under this subsection 6
shall include, at a minimum— 7
‘‘(1) the names and addresses of all eligible en-8
tities that received grants under this section; 9
‘‘(2) a description of the methods such eligible 10
entities used in operating qualified child care facili-11
ties within long-term care facilities as required 12
under subsection (a)(1); 13
‘‘(3) a description of the methods such eligible 14
entities used in coordinating multigenerational ac-15
tivities required under subsection (a)(2); 16
‘‘(4) a strategy for disseminating the findings 17
resulting from the projects carried out through 18
grants under this section; and 19
‘‘(5) any policy change recommendations relat-20
ing to operating qualified child care facilities within 21
long-term care facilities. 22
‘‘(e) D
EFINITIONS.—As used in this section: 23
‘‘(1) E
LIGIBLE ENTITY.—The term ‘eligible en-24
tity’ means an organization operating an long-term 25
VerDate Sep 11 2014 01:14 Mar 18, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1812.IH H1812
kjohnson on DSK7ZCZBW3PROD with $$_JOB 5
•HR 1812 IH
care facility that submits an application meeting the 1
requirements under subsection (b). 2
‘‘(2) L
ONG-TERM CARE FACILITY .—The term 3
‘long-term care facility’ means— 4
‘‘(A) any skilled nursing facility, as defined 5
in section 1819(a) of the Social Security Act 6
(42 U.S.C. 1395i–3(a)); 7
‘‘(B) any nursing facility, as defined in 8
section 1919(a) of the Social Security Act (42 9
U.S.C. 1396r(a)); 10
‘‘(C) a board and care facility; and 11
‘‘(D) any other adult care home, including 12
an assisted living facility, similar to a facility or 13
institution described in subparagraphs (A) 14
through (C). 15
‘‘(3) M
ULTIGENERATIONAL ACTIVITY .—The 16
term ‘multigenerational activity’ shall have the 17
meaning given such term in section 417(h)(1). 18
‘‘(4) Q
UALIFIED CHILD CARE FACILITY .—The 19
term ‘qualified child care facility’ means a facility— 20
‘‘(A) the principal use of which is to pro-21
vide child care assistance; and 22
‘‘(B) that meets the requirements of all ap-23
plicable laws and regulations of the State or 24
local government in which the facility is located, 25
VerDate Sep 11 2014 01:14 Mar 18, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H1812.IH H1812
kjohnson on DSK7ZCZBW3PROD with $$_JOB 6
•HR 1812 IH
including with respect to the licensing of the fa-1
cility as a child care facility. 2
‘‘(f) G
RANTPERIODS.—Each grant awarded under 3
subsection (a) shall be for a period of not less than 36 4
months. 5
‘‘(g) A
DDITIONALREQUIREMENTS.—An application 6
submitted by an eligible entity pursuant to subsection (b) 7
shall include a certification that, for purposes of infection 8
control and prevention, such entity— 9
‘‘(1) conducts a screening process for all visi-10
tors of such entity; and 11
‘‘(2) is in compliance with all applicable state 12
and local sanitation and infection control require-13
ments.’’. 14
Æ
VerDate Sep 11 2014 01:14 Mar 18, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6301 E:\BILLS\H1812.IH H1812
kjohnson on DSK7ZCZBW3PROD with $$_JOB