| 1 | 1 | | II |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION S. 870 |
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| 5 | 5 | | To amend the Older Americans Act of 1965 to enhance the longevity, dignity, |
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| 6 | 6 | | empowerment, and respect of older individuals who are Native Americans, |
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| 7 | 7 | | and for other purposes. |
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| 8 | 8 | | IN THE SENATE OF THE UNITED STATES |
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| 9 | 9 | | MARCH5, 2025 |
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| 10 | 10 | | Ms. M |
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| 11 | 11 | | URKOWSKIintroduced the following bill; which was read twice and |
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| 12 | 12 | | referred to the Committee on Health, Education, Labor, and Pensions |
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| 13 | 13 | | A BILL |
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| 14 | 14 | | To amend the Older Americans Act of 1965 to enhance |
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| 15 | 15 | | the longevity, dignity, empowerment, and respect of older |
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| 16 | 16 | | individuals who are Native Americans, and for other |
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| 17 | 17 | | purposes. |
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| 18 | 18 | | Be it enacted by the Senate and House of Representa-1 |
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| 19 | 19 | | tives of the United States of America in Congress assembled, 2 |
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| 20 | 20 | | SECTION 1. SHORT TITLE. 3 |
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| 21 | 21 | | This Act may be cited as the ‘‘Enhancing Native El-4 |
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| 22 | 22 | | ders’ Longevity, Dignity, Empowerment, and Respect 5 |
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| 23 | 23 | | Act’’ or the ‘‘Native ELDER Act’’. 6 |
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| 26 | 26 | | •S 870 IS |
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| 27 | 27 | | SEC. 2. OLDER AMERICANS TRIBAL ADVISORY COMMITTEE. 1 |
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| 28 | 28 | | Section 201(c) of the Older Americans Act of 1965 2 |
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| 29 | 29 | | (42 U.S.C. 3011(c)) is amended by adding at the end the 3 |
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| 30 | 30 | | following: 4 |
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| 31 | 31 | | ‘‘(4)(A) In this paragraph: 5 |
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| 32 | 32 | | ‘‘(i) The term ‘Native Hawaiian’ has the mean-6 |
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| 33 | 33 | | ing given such term in section 625. 7 |
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| 34 | 34 | | ‘‘(ii) The term ‘relevant committees of Con-8 |
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| 35 | 35 | | gress’ means— 9 |
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| 36 | 36 | | ‘‘(I) the Committee on Health, Education, 10 |
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| 37 | 37 | | Labor, and Pensions of the Senate; 11 |
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| 38 | 38 | | ‘‘(II) the Committee on Education and 12 |
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| 39 | 39 | | Workforce of the House of Representatives; 13 |
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| 40 | 40 | | ‘‘(III) the Committee on Indian Affairs of 14 |
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| 41 | 41 | | the Senate; and 15 |
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| 42 | 42 | | ‘‘(IV) the Subcommittee on Indian and In-16 |
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| 43 | 43 | | sular Affairs of the Committee on Natural Re-17 |
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| 44 | 44 | | sources of the House of Representatives. 18 |
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| 45 | 45 | | ‘‘(B)(i) From amounts appropriated pursuant to sec-19 |
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| 46 | 46 | | tion 216(a), the Assistant Secretary shall establish, within 20 |
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| 47 | 47 | | the Office for American Indian, Alaskan Native, and Na-21 |
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| 48 | 48 | | tive Hawaiian Programs, an advisory committee, to be 22 |
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| 49 | 49 | | known as the ‘Older Americans Tribal Advisory Com-23 |
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| 50 | 50 | | mittee’ (referred to in this paragraph as the ‘Committee’) 24 |
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| 51 | 51 | | to provide advice and guidance to the Assistant Secretary 25 |
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| 52 | 52 | | on matters relating to Native Americans under this Act. 26 |
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| 55 | 55 | | •S 870 IS |
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| 56 | 56 | | ‘‘(ii) The Committee shall facilitate, but not supplant, 1 |
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| 57 | 57 | | government-to-government consultation between the Ad-2 |
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| 58 | 58 | | ministration and Indian tribes and confer with organiza-3 |
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| 59 | 59 | | tions representing Native Hawaiians. 4 |
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| 60 | 60 | | ‘‘(C)(i) The Committee shall be composed of 11 mem-5 |
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| 61 | 61 | | bers, of whom— 6 |
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| 62 | 62 | | ‘‘(I) 3 shall be appointed by the Assistant Sec-7 |
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| 63 | 63 | | retary; 8 |
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| 64 | 64 | | ‘‘(II) 1 shall be appointed by the chairperson of 9 |
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| 65 | 65 | | the Committee on Indian Affairs of the Senate; 10 |
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| 66 | 66 | | ‘‘(III) 1 shall be appointed by the ranking 11 |
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| 67 | 67 | | member of the Committee on Indian Affairs of the 12 |
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| 68 | 68 | | Senate; 13 |
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| 69 | 69 | | ‘‘(IV) 1 shall be appointed by the chairperson 14 |
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| 70 | 70 | | of the Committee on Health, Education, Labor, and 15 |
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| 71 | 71 | | Pensions of the Senate; 16 |
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| 72 | 72 | | ‘‘(V) 1 shall be appointed by the ranking mem-17 |
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| 73 | 73 | | ber of the Committee on Health, Education, Labor, 18 |
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| 74 | 74 | | and Pensions of the Senate; 19 |
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| 75 | 75 | | ‘‘(VI) 1 shall be appointed by the chairperson 20 |
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| 76 | 76 | | of the Committee on Education and Workforce of 21 |
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| 77 | 77 | | the House of Representatives; 22 |
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| 78 | 78 | | ‘‘(VII) 1 shall be appointed by the ranking 23 |
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| 79 | 79 | | member of the Committee on Education and Work-24 |
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| 80 | 80 | | force of the House of Representatives; 25 |
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| 83 | 83 | | •S 870 IS |
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| 84 | 84 | | ‘‘(VIII) 1 shall be appointed by the chairperson 1 |
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| 85 | 85 | | of the Subcommittee on Indian and Insular Affairs 2 |
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| 86 | 86 | | of the Committee on Natural Resources of the 3 |
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| 87 | 87 | | House of Representatives; and 4 |
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| 88 | 88 | | ‘‘(IX) 1 shall be appointed by the ranking mem-5 |
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| 89 | 89 | | ber of the Subcommittee on Indian and Insular Af-6 |
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| 90 | 90 | | fairs of the Committee on Natural Resources of the 7 |
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| 91 | 91 | | House of Representatives. 8 |
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| 92 | 92 | | ‘‘(ii) Nominations for members of the Committee 9 |
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| 93 | 93 | | shall be from any of the following: 10 |
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| 94 | 94 | | ‘‘(I) Indian tribes. 11 |
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| 95 | 95 | | ‘‘(II) Tribal organizations. 12 |
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| 96 | 96 | | ‘‘(III) Organizations representing Native Ha-13 |
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| 97 | 97 | | waiians. 14 |
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| 98 | 98 | | ‘‘(iii) To the maximum extent feasible, the Assistant 15 |
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| 99 | 99 | | Secretary shall work with the individuals making appoint-16 |
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| 100 | 100 | | ments under clause (i) to ensure— 17 |
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| 101 | 101 | | ‘‘(I) that the members of the Committee rep-18 |
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| 102 | 102 | | resent a diverse set of expertise on issues relating to 19 |
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| 103 | 103 | | geographic regions, Indian tribes, organizations rep-20 |
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| 104 | 104 | | resenting Native Hawaiians, and the health and 21 |
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| 105 | 105 | | well-being of Native Americans; 22 |
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| 106 | 106 | | ‘‘(II) that not less than one member is an Alas-23 |
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| 107 | 107 | | kan Native; and 24 |
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| 110 | 110 | | •S 870 IS |
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| 111 | 111 | | ‘‘(III) that not less than one member is a Na-1 |
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| 112 | 112 | | tive Hawaiian. 2 |
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| 113 | 113 | | ‘‘(iv) No member of the Committee shall be an officer 3 |
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| 114 | 114 | | or employee of the Federal Government. 4 |
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| 115 | 115 | | ‘‘(v)(I) Each member of the Committee— 5 |
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| 116 | 116 | | ‘‘(aa) subject to subclause (II), shall be ap-6 |
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| 117 | 117 | | pointed to a 3-year term; and 7 |
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| 118 | 118 | | ‘‘(bb) may be reappointed to not more than 3 8 |
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| 119 | 119 | | consecutive terms. 9 |
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| 120 | 120 | | ‘‘(II) The first 3 appointments by the Assistant Sec-10 |
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| 121 | 121 | | retary under clause (i)(I) shall be for a 2-year term. 11 |
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| 122 | 122 | | ‘‘(III) Any vacancy in the Committee shall be filled 12 |
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| 123 | 123 | | in the same manner as the original appointment not more 13 |
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| 124 | 124 | | than 90 days after the date on which the position becomes 14 |
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| 125 | 125 | | vacant. 15 |
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| 126 | 126 | | ‘‘(D)(i) The Committee shall meet in person not less 16 |
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| 127 | 127 | | than twice each year. 17 |
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| 128 | 128 | | ‘‘(ii) Not fewer than 1 representative from the Office 18 |
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| 129 | 129 | | for American Indian, Alaskan Native, and Native Hawai-19 |
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| 130 | 130 | | ian Programs shall be present at each meeting of the Com-20 |
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| 131 | 131 | | mittee. 21 |
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| 132 | 132 | | ‘‘(iii) Any representatives from the Office for Amer-22 |
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| 133 | 133 | | ican Indian, Alaskan Native, and Native Hawaiian Pro-23 |
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| 134 | 134 | | grams shall be nonvoting representatives at meetings of 24 |
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| 135 | 135 | | the Committee. 25 |
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| 138 | 138 | | •S 870 IS |
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| 139 | 139 | | ‘‘(E) The Committee shall— 1 |
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| 140 | 140 | | ‘‘(i) identify evolving issues of relevance to Na-2 |
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| 141 | 141 | | tive Americans relating to programs of the Adminis-3 |
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| 142 | 142 | | tration under this Act; 4 |
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| 143 | 143 | | ‘‘(ii) communicate to the Assistant Secretary 5 |
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| 144 | 144 | | the issues identified under clause (i); 6 |
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| 145 | 145 | | ‘‘(iii) submit to the Assistant Secretary rec-7 |
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| 146 | 146 | | ommendations for, and solutions to— 8 |
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| 147 | 147 | | ‘‘(I) the issues identified under clause (i); 9 |
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| 148 | 148 | | ‘‘(II) issues relating to this Act involving 10 |
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| 149 | 149 | | Native Americans raised at the Tribal, regional, 11 |
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| 150 | 150 | | or national level; and 12 |
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| 151 | 151 | | ‘‘(III) issues relating to any Tribal con-13 |
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| 152 | 152 | | sultation carried out by the Administration 14 |
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| 153 | 153 | | under this Act; 15 |
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| 154 | 154 | | ‘‘(iv) discuss issues and proposals for changes 16 |
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| 155 | 155 | | to the regulations, policies, and procedures of the 17 |
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| 156 | 156 | | Administration under this Act that impact Native 18 |
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| 157 | 157 | | Americans; 19 |
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| 158 | 158 | | ‘‘(v) identify priorities and provide advice on 20 |
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| 159 | 159 | | appropriate strategies for Tribal consultation on 21 |
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| 160 | 160 | | issues under this Act at the Tribal, regional, or na-22 |
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| 161 | 161 | | tional level regarding the Administration; 23 |
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| 162 | 162 | | ‘‘(vi) ensure that pertinent issues of the Admin-24 |
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| 163 | 163 | | istration under this Act are brought to the attention 25 |
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| 166 | 166 | | •S 870 IS |
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| 167 | 167 | | of an Indian tribe and organization representing Na-1 |
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| 168 | 168 | | tive Hawaiians in a timely manner so that timely 2 |
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| 169 | 169 | | feedback from an Indian tribe and organization rep-3 |
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| 170 | 170 | | resenting Native Hawaiians can be obtained; 4 |
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| 171 | 171 | | ‘‘(vii) identify and propose solutions to any 5 |
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| 172 | 172 | | interdepartmental barrier between the Administra-6 |
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| 173 | 173 | | tion and other Federal agencies; and 7 |
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| 174 | 174 | | ‘‘(viii) coordinate with the Secretary of Labor, 8 |
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| 175 | 175 | | the Administrator of the Centers for Medicare & 9 |
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| 176 | 176 | | Medicaid Services, and the Director of the Indian 10 |
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| 177 | 177 | | Health Service on relevant issues. 11 |
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| 178 | 178 | | ‘‘(F)(i) Not less frequently than once each year, the 12 |
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| 179 | 179 | | Committee shall submit to the Assistant Secretary and the 13 |
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| 180 | 180 | | relevant committees of Congress a report that describes— 14 |
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| 181 | 181 | | ‘‘(I) the activities of the Committee during the 15 |
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| 182 | 182 | | previous year; and 16 |
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| 183 | 183 | | ‘‘(II) recommendations for legislative or admin-17 |
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| 184 | 184 | | istrative action for the following year. 18 |
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| 185 | 185 | | ‘‘(ii) Not more than 45 days after the date on which 19 |
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| 186 | 186 | | the Assistant Secretary receives a report under clause (i), 20 |
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| 187 | 187 | | the Assistant Secretary shall submit a written response 21 |
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| 188 | 188 | | to that report to— 22 |
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| 189 | 189 | | ‘‘(I) the Committee; and 23 |
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| 190 | 190 | | ‘‘(II) the relevant committees of Congress. 24 |
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| 193 | 193 | | •S 870 IS |
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| 194 | 194 | | ‘‘(G) Members of the Committee shall be com-1 |
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| 195 | 195 | | pensated at a rate equal to the daily equivalent of the an-2 |
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| 196 | 196 | | nual rate of basic pay prescribed for level IV of the Execu-3 |
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| 197 | 197 | | tive Schedule under section 5315 of title 5, United States 4 |
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| 198 | 198 | | Code, for each day (including travel time) during which 5 |
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| 199 | 199 | | the member is engaged in the performance of the duties 6 |
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| 200 | 200 | | of the Committee. 7 |
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| 201 | 201 | | ‘‘(H) Chapter 10 of title 5, United States Code, shall 8 |
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| 202 | 202 | | not apply to the Committee.’’. 9 |
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| 203 | 203 | | SEC. 3. SUPPORTING SERVICES FOR HEALTHY AGING AND 10 |
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| 204 | 204 | | INDEPENDENCE. 11 |
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| 205 | 205 | | Section 636(b)(2) of the Older Americans Act of 12 |
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| 206 | 206 | | 1965 (42 U.S.C. 3057k–21(b)(2)) is amended by striking 13 |
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| 207 | 207 | | ‘‘in-home assistance’’ and inserting ‘‘in-home assistance 14 |
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| 208 | 208 | | (including for the modification of homes that is necessary 15 |
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| 209 | 209 | | to facilitate the ability of older individuals to remain at 16 |
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| 210 | 210 | | home)’’. 17 |
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| 211 | 211 | | SEC. 4. FUNDING SET ASIDE. 18 |
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| 212 | 212 | | Section 644 of the Older Americans Act of 1965 (42 19 |
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| 213 | 213 | | U.S.C. 3057o) is amended— 20 |
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| 214 | 214 | | (1) by striking ‘‘not more than’’; and 21 |
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| 215 | 215 | | (2) in paragraphs (1) and (2), by striking 22 |
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| 216 | 216 | | ‘‘2019’’ and inserting ‘‘2025’’. 23 |
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| 219 | 219 | | •S 870 IS |
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| 220 | 220 | | SEC. 5. TECHNICAL ASSISTANCE AND TRAINING PRO-1 |
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| 221 | 221 | | GRAMS. 2 |
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| 222 | 222 | | Section 201(c)(3)(H) of the Older Americans Act of 3 |
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| 223 | 223 | | 1965 (42 U.S.C. 3011(c)(3)(H)) is amended to read as 4 |
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| 224 | 224 | | follows: 5 |
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| 225 | 225 | | ‘‘(H) develop and provide technical assistance 6 |
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| 226 | 226 | | and training programs to grantees under title VI, 7 |
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| 227 | 227 | | which technical assistance and training programs— 8 |
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| 228 | 228 | | ‘‘(i) shall ensure adequate organizational 9 |
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| 229 | 229 | | capacity to deliver the services under such title; 10 |
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| 230 | 230 | | and 11 |
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| 231 | 231 | | ‘‘(ii) may include topics such as program 12 |
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| 232 | 232 | | management, data development and use, basic 13 |
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| 233 | 233 | | business skills, grant development, program and 14 |
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| 234 | 234 | | service innovations, and staff training and cer-15 |
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| 235 | 235 | | tification;’’. 16 |
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| 236 | 236 | | SEC. 6. REPORTS. 17 |
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| 237 | 237 | | (a) A |
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| 238 | 238 | | SSISTANTSECRETARY FORAGING.— 18 |
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| 239 | 239 | | (1) I |
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| 240 | 240 | | N GENERAL.—Not later than 180 days 19 |
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| 241 | 241 | | after the date of enactment of this Act, the Assist-20 |
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| 242 | 242 | | ant Secretary for Aging shall submit to the commit-21 |
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| 243 | 243 | | tees described in paragraph (2), and make publicly 22 |
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| 244 | 244 | | available, a report that— 23 |
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| 245 | 245 | | (A) evaluates the feasibility of modeling 24 |
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| 246 | 246 | | the Native American Caregiver Support Pro-25 |
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| 247 | 247 | | gram under part C of title VI of the Older 26 |
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| 250 | 250 | | •S 870 IS |
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| 251 | 251 | | Americans Act of 1965 (42 U.S.C. 3057k–11 et 1 |
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| 252 | 252 | | seq.) on the program of comprehensive assist-2 |
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| 253 | 253 | | ance for family caregivers of eligible veterans 3 |
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| 254 | 254 | | under section 1720G(a) of title 38, United 4 |
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| 255 | 255 | | States Code; 5 |
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| 256 | 256 | | (B) evaluates the level of need for in-home 6 |
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| 257 | 257 | | services that include accessible home modifica-7 |
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| 258 | 258 | | tions for older individuals who are Native 8 |
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| 259 | 259 | | Americans, including the need for provisions 9 |
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| 260 | 260 | | under the Older Americans Act of 1965 to 10 |
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| 261 | 261 | | prioritize accessible home modifications as in- 11 |
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| 262 | 262 | | home services for such older individuals; and 12 |
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| 263 | 263 | | (C) evaluates and identifies barriers to In-13 |
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| 264 | 264 | | dian tribes accessing programs under title VI of 14 |
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| 265 | 265 | | the Older Americans Act of 1965, and coordina-15 |
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| 266 | 266 | | tion between programs funded under title III of 16 |
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| 267 | 267 | | such Act and programs funded under title VI of 17 |
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| 268 | 268 | | such Act, including by— 18 |
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| 269 | 269 | | (i) assessing the impacts of popu-19 |
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| 270 | 270 | | lation-based formulas and tribal service 20 |
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| 271 | 271 | | population requirements on program par-21 |
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| 272 | 272 | | ticipation; 22 |
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| 273 | 273 | | (ii) identifying the number of Indians 23 |
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| 274 | 274 | | unserved by programs under such title VI; 24 |
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| 277 | 277 | | •S 870 IS |
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| 278 | 278 | | (iii) identifying the States making 1 |
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| 279 | 279 | | grants to Indian tribes under title III of 2 |
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| 280 | 280 | | such Act; and 3 |
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| 281 | 281 | | (iv) providing estimates of funding 4 |
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| 282 | 282 | | necessary to support programs under title 5 |
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| 283 | 283 | | VI of such Act for all tribal organizations 6 |
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| 284 | 284 | | not eligible under such title as in effect on 7 |
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| 285 | 285 | | the date of enactment of this Act. 8 |
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| 286 | 286 | | (2) C |
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| 287 | 287 | | OMMITTEES OF CONGRESS .—The commit-9 |
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| 288 | 288 | | tees described in this paragraph are— 10 |
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| 289 | 289 | | (A) the Committee on Health, Education, 11 |
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| 290 | 290 | | Labor, and Pensions of the Senate; 12 |
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| 291 | 291 | | (B) the Committee on Education and 13 |
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| 292 | 292 | | Workforce of the House of Representatives; 14 |
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| 293 | 293 | | (C) the Committee on Indian Affairs of the 15 |
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| 294 | 294 | | Senate; and 16 |
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| 295 | 295 | | (D) the Subcommittee on Indian and Insu-17 |
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| 296 | 296 | | lar Affairs of the Committee on Natural Re-18 |
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| 297 | 297 | | sources of the House of Representatives. 19 |
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| 298 | 298 | | (b) S |
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| 299 | 299 | | ECRETARY OFLABOR.—Not later than 180 days 20 |
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| 300 | 300 | | after the date of enactment of this Act, the Secretary of 21 |
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| 301 | 301 | | Labor shall submit a report to Congress on how recipients 22 |
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| 302 | 302 | | of funding under title V of the Older Americans Act of 23 |
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| 305 | 305 | | •S 870 IS |
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| 306 | 306 | | 1965 (42 U.S.C. 3056 et seq.) are serving older individ-1 |
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| 307 | 307 | | uals who are Native Americans with such funding. 2 |
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| 308 | 308 | | Æ |
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