Medicare
Medicaid
Health information and medical records
HR 4334 - 116Became Public Law No: 116-131.
Sectors are deterministic matches from official Congress.gov data and cached bill text. They are source-derived signals, not conclusions about intent or economic effect.
Evidence matches count official fields, normalized subjects, cached text snippets, or extracted entities that matched the sector rules.
Impact is a bill-level rollup used for sorting and filtering. It is not an economic impact estimate.
Confidence is the strongest individual match score behind that sector.
Evidence snippets show why a sector matched and can repeat when Congress.gov repeats the same phrase across official fields.
Medicare
Medicaid
Health information and medical records
Adult education and literacy
Education and Workforce Committee Standing House
Fraud offenses and financial crimes
Financial literacy
State and local government operations
Employment and training programs
Department of Homeland Security
Official Congressional Budget Office cost estimate links associated with this bill through Congress.gov records.
CBO estimates are official source documents with their own assumptions, scope, and publication dates. They can score a bill, a version of a bill, or a broader legislative package.
LawLinter stores the source link from Congress.gov and does not replace the CBO document. Use these cards as pointers for source review, not as independent fiscal advice.
CBO context shows source-attributed Congressional Budget Office cost estimates linked from official Congress.gov bill records. It is research context only; read the official CBO source document for assumptions, scope, and dates.
Related FEC/OpenFEC campaign-finance records for lawmakers and candidates tied to this bill through source-attributed legislative relationships. These are not donations to the bill itself.
Amounts shown here are campaign-finance totals for sponsor or cosponsor-linked candidates and their committees in the displayed FEC cycle.
They are not donations to this bill, spending on this bill, or proof that money influenced or caused sponsorship, cosponsorship, votes, or legislative outcomes.
If multiple linked lawmakers have FEC records, this section can show multiple candidate cards and separate sponsor/cosponsor rollups.
Campaign-finance context uses source-attributed FEC/OpenFEC records that are related or relevant to the displayed bill, lawmaker, candidate, committee, or legislative relationship through deterministic links. It is research context only, not proof of influence, causation, endorsement, or that money caused a sponsorship, vote, or legislative outcome.
Related LDA.gov filings where public lobbying activity descriptions reference this bill. These records are source-attributed research context, not evidence of influence or causation.
LDA filings are public lobbying disclosure records. LawLinter links them here only when the filing activity text contains an exact-looking reference to this bill.
A filing can mention many issues, clients, agencies, or bills. A match should be treated as a pointer for review, not as a conclusion about why legislation changed or how any lawmaker acted.
Lobbying context uses source-attributed LDA.gov records that appear related to this bill through bill references in public lobbying activity descriptions. It is research context only, not proof of influence, causation, endorsement, lobbying effectiveness, or legislative intent.
Supporting Older Americans Act of 2020 This bill reauthorizes through FY2024, modifies, and establishes programs under the Older Americans Act, which supports social services and activities for individuals aged 60 years or older. It also requires various reports and evaluations, including on social isolation. TITLE I--MODERNIZING DEFINITIONS AND PROGRAMS UNDER THE ADMINISTRATION ON AGING This title reauthorizes and revises various activities, and modifies the duties and functions, of the Administration on Aging. It also (1) provides statutory authority for the National Resource Center for Women and Retirement; (2) authorizes a demonstration project for recruiting and retaining direct care workers; and (3) includes immunizations, malnutrition screenings, and certain other activities within the scope of health promotion and disease prevention activities supported by the administration. TITLE II--IMPROVING GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING This title reauthorizes grants for supportive services, nutrition services, disease prevention and health promotion activities, and caregiver supports. It also modifies grant funding formulas, eligibility criteria, and other related requirements. TITLE III--MODERNIZING ACTIVITIES FOR HEALTH, INDEPENDENCE, AND LONGEVITY This title reauthorizes and revises activities that support health, independence, and longevity for older adults, including by allowing certain grants to support fall prevention and chronic disease self-management programs. TITLE IV--SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM This title reauthorizes employment and volunteer programs for older adults and designates older adults who have been recently incarcerated as a priority population for some of these programs. TITLE V--ENHANCING GRANTS FOR NATIVE AMERICANS This title reauthorizes programs for older adults in tribal populations and establishes a competitive grant program for support services to help maintain the health and independence for members of this population. TITLE VI--MODERNIZING ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION ACTIVITIES AND OTHER PROGRAMS This title reauthorizes and revises elder justice programs and the long-term care ombudsman program. TITLE VII--MISCELLANEOUS This title makes technical corrections, such as by replacing outdated statutory references.
Dignity in Aging Act of 2019 This bill establishes, reauthorizes, and revises several programs administered by the Department of Health and Human Services and the Department of Labor relating to care for the elderly. Among other things, the bill reauthorizes through FY2024 and revises programs that support caregivers of the elderly; informational services, such as pension counseling; nutritional services, such as meal delivery; disease prevention and health promotion services; community and workforce training regarding elder care; and abuse and neglect prevention services. The bill also establishes several entities and programs to further support elder care, including initiatives that aim to promote independent living and reduce social isolation for the elderly.
Dignity in Aging Act of 2019 This bill establishes, reauthorizes, and revises several programs administered by the Department of Health and Human Services and the Department of Labor relating to care for the elderly. Among other things, the bill reauthorizes through FY2024 and revises programs that support caregivers of the elderly; informational services, such as pension counseling; nutritional services, such as meal delivery; disease prevention and health promotion services; community and workforce training regarding elder care; and abuse and neglect prevention services. The bill also establishes several entities and programs to further support elder care, including initiatives that aim to promote independent living and reduce social isolation for the elderly.
![Rep. Bonamici, Suzanne [D-OR-1]](https://www.congress.gov/img/member/b001278_200.jpg)
![Rep. Courtney, Joe [D-CT-2]](https://www.congress.gov/img/member/c001069_200.jpg)
![Rep. Guthrie, Brett [R-KY-2]](https://www.congress.gov/img/member/g000558_200.jpg)
Democratic · MP-0 · S001177
![Rep. Thompson, Glenn [R-PA-15]](https://www.congress.gov/img/member/115_rp_pa_5_thompson_glenn_200.jpg)
![Rep. Walberg, Tim [R-MI-5]](https://www.congress.gov/img/member/w000798_200.jpg)
![Del. Norton, Eleanor Holmes [D-DC-At Large]](https://www.congress.gov/img/member/116_dg_dc_norton_eleanor_200.jpg)

Signed by President.
Signed by President.
Became Public Law No: 116-131.
Became Public Law No: 116-131.
Presented to President.
Presented to President.
Ms. Bonamici asked unanimous consent to take from the Speaker's table and agree to the Senate amendment. (consideration: CR H1640-1648)
Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.
On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H1640-1648)
Motion to reconsider laid on the table Agreed to without objection.
Message on Senate action sent to the House.
Measure laid before Senate by unanimous consent. (consideration: CR S1445)
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Passed Senate with an amendment by Voice Vote. (text of amendment in the nature of a substitute: CR S1430-1438)
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 280.
Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Reported (Amended) by the Committee on Education and Labor. H. Rept. 116-258.
Reported (Amended) by the Committee on Education and Labor. H. Rept. 116-258.
Placed on the Union Calendar, Calendar No. 206.
Ms. Bonamici moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H8466-8479)
DEBATE - The House proceeded with forty minutes of debate on H.R. 4334.
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H8466-8472)
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8466-8472)
Motion to reconsider laid on the table Agreed to without objection.
Committee Consideration and Mark-up Session Held.
Ordered to be Reported (Amended) by Voice Vote.
Introduced in House
Introduced in House
Referred to the House Committee on Education and Labor.
In the nature of a substitute.
Amendment SA 1461 agreed to in Senate by Unanimous Consent.