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Stand Strong Falls Prevention Act

Introduced Sep 17, 2025 · Last action Mar 19, 2026 Committee on Health, Education, Labor, and Pensions. Hearings held.

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Summary

This legislation is called the Stand Strong Falls Prevention Act. Committee on Health, Education, Labor, and Pensions. Hearings held.

Full bill text

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2833 Introduced in Senate (IS)]

<DOC>

119th CONGRESS
  1st Session
                                S. 2833

 To amend the Older Americans Act of 1965 to improve falls prevention
            research and activities, and for other purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

           September 17 (legislative day, September 16), 2025

 Mr. King (for himself and Mr. Rounds) introduced the following bill;
     which was read twice and referred to the Committee on Health,
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL

 To amend the Older Americans Act of 1965 to improve falls prevention
            research and activities, 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 ``Stand Strong Falls Prevention Act''.

SEC. 2. ADVISORY COMMITTEE ON FALLS PREVENTION OF THE ADMINISTRATION ON
              AGING.

    Title II of the Older Americans Act of 1965 (42 U.S.C. 3011 et
seq.) is amended by inserting after section 203A the following:

``SEC. 203B. FALLS PREVENTION ACTIVITIES.

    ``(a) Advisory Committee on Falls Prevention.--
            ``(1) Establishment.--There is established an Advisory
        Committee on Falls Prevention (referred to in this section as
        the `Advisory Committee') to advise the Assistant Secretary on
        developing and maintaining the national plan described in
        paragraph (2)(A) and carrying out the assessments described in
        paragraph (2)(C). The Advisory Committee shall be headed by a
        Chair (referred to in this section as the `Chair').
            ``(2) Duties of the advisory committee.--The Advisory
        Committee shall--
                    ``(A) be responsible for, and oversee, the creation
                and maintenance of an integrated national plan to
                address falls prevention, including through
                accelerating the development of falls prevention
                programs, modalities, or interventions that aim to
                prevent falls and reduce the prevalence and severity of
                injuries resulting from falls;
                    ``(B) advise and assist the Assistant Secretary in
                providing information and coordination of falls
                prevention research and services across all Federal
                agencies;
                    ``(C) carry out the assessment under subsection
                (b)(2)(B), including--
                            ``(i) an assessment of--
                                    ``(I) all Federal efforts and
                                programs related to falls prevention,
                                including budget requests and
                                approvals; and
                                    ``(II) the progress of the United
                                States in addressing falls prevention;
                                and
                    ``(D) make recommendations, including
                implementation steps for priority actions, based on
                such assessment.
            ``(3) Membership.--The Advisory Committee shall be
        comprised of the following:
                    ``(A) Federal members.--Members of the Advisory
                Committee shall include the following:
                            ``(i) One representative from each of the
                        following agencies, appointed by the head of
                        each such agency:
                                    ``(I) The Centers for Disease
                                Control and Prevention.
                                    ``(II) The Centers for Medicare &
                                Medicaid Services.
                                    ``(III) The Indian Health Service.
                                    ``(IV) The National Institutes of
                                Health.
                                    ``(V) The Office of the Assistant
                                Secretary for Health.
                                    ``(VI) The National Science
                                Foundation.
                                    ``(VII) The Department of Veterans
                                Affairs.
                                    ``(VIII) The Food and Drug
                                Administration.
                                    ``(IX) The Agency for Healthcare
                                Research and Quality.
                                    ``(X) The Department of Labor.
                                    ``(XI) The Department of Housing
                                and Urban Development.
                                    ``(XII) The Office of the Assistant
                                Secretary for Planning and Evaluation
                                of the Department of Health and Human
                                Services.
                                    ``(XIII) The Office of Rural
                                Development of the Department of
                                Agriculture.
                                    ``(XIV) The Rehabilitation Services
                                Administration of the Department of
                                Education.
                                    ``(XV) The Weatherization
                                Assistance Program of the Department of
                                Energy.
                            ``(ii) One designee to be assigned by the
                        Assistant Secretary from other officials
                        described in section 203(c)(2).
                    ``(B) Non-federal members.--Members of the Advisory
                Committee shall include 12 expert members from outside
                the Federal Government to be appointed by the Assistant
                Secretary, including the following:
                            ``(i) Two consumer advocates with
                        demonstrated experience related to falls
                        prevention.
                            ``(ii) Two health care providers with falls
                        prevention expertise.
                            ``(iii) Two representatives of State health
                        departments that have implemented programs
                        specifically related to falls prevention.
                            ``(iv) Two researchers in falls prevention-
                        related research.
                            ``(v) Two caregivers that have experience
                        with--
                                    ``(I) patients who fell; or
                                    ``(II) falls prevention.
                            ``(vi) Two voluntary health association
                        representatives that have demonstrated
                        experience in patient care and research,
                        including patient services, referral, support
                        groups, care consultation, education, and
                        safety services.
                            ``(vii) Two aging service providers with
                        falls prevention expertise.
                            ``(viii) Two housing assistance experts
                        that have demonstrated experience with--
                                    ``(I) research;
                                    ``(II) tenant or homeowner
                                assistance; or
                                    ``(III) working with housing
                                nonprofit associations.
                            ``(ix) Two disability service providers
                        that have experience with assistive technology.
                            ``(x) Two State falls prevention coalition
                        leaders.
                    ``(C) Chair.--The Assistant Secretary shall appoint
                one member of the Advisory Committee to serve as Chair.
                    ``(D) Period of appointment; vacancies.--
                            ``(i) In general.--A member of the Advisory
                        Committee appointed under subparagraph (A) or
                        (B) shall be appointed for a term of 5 years.
                            ``(ii) Vacancies.--A vacancy in the
                        Advisory Committee--
                                    ``(I) shall not affect the powers
                                of the Advisory Committee; and
                                    ``(II) shall be filled in the same
                                manner as the original appointment.
            ``(4) Meetings.--The Advisory Committee shall meet every 4
        months, beginning 2 months after all initial members of the
        Advisory Committee have been appointed.
            ``(5) Initial report.--
                    ``(A) In general.--Not later than 1 year after the
                date on which all initial members of the Advisory
                Committee have been appointed, the Advisory Committee
                shall provide to the Assistant Secretary and Congress--
                            ``(i) an initial evaluation of all
                        federally funded efforts in programs related to
                        falls prevention, including educational
                        programs, home- and community-based programs,
                        emergency medical services, and hospital or
                        health system programs, and their outcomes;
                            ``(ii) initial recommendations for priority
                        actions to expand, eliminate, coordinate, or
                        condense each such program based on the
                        performance, mission, and purpose of each such
                        program;
                            ``(iii) except as provided in subparagraph
                        (C), a recommendation for developing--
                                    ``(I) under title XVIII of the
                                Social Security Act (42 U.S.C. 1395 et
                                seq.), a pilot or demonstration program
                                to provide--
                                            ``(aa) coverage under such
                                        title for not less than 20,000
                                        Medicare beneficiaries of basic
                                        home modifications to reduce
                                        falls; and
                                            ``(bb) evidence-based falls
                                        prevention programs; and
                                    ``(II) under section 1115A of the
                                Social Security Act (42 U.S.C. 1315a)--
                                            ``(aa) a broad payment
                                        demonstration model to test
                                        coverage of basic home
                                        modifications to reduce falls;
                                        and
                                            ``(bb) evidence-based falls
                                        prevention programs;
                            ``(iv) recommendations on how to increase
                        use by providers, for patients with public or
                        private health insurance plans, of the falls
                        risk screening, assessment, intervention, and
                        follow-up tool developed through the Stopping
                        Elderly Accidents, Deaths, and Injuries
                        (STEADI) initiative of the Centers for Disease
                        Control and Prevention; and
                            ``(v)(I) a report on the status and success
                        of public education and activation campaigns
                        related to falls prevention; and
                            ``(II) recommendations for improvements for
                        future federally-funded public education and
                        activation campaigns related to falls
                        prevention.
                    ``(B) Recommendations for medicare pilot or
                demonstration programs.--The recommendation described
                in subparagraph (A)(iii) may include--
                            ``(i) a recommendation on how the
                        Administrator of the Centers for Medicare &
                        Medicaid Services could design, develop, and
                        test a payment model under title XVIII of the
                        Social Security Act that combines coverage of
                        basic home modifications with services that are
                        furnished by a qualifying provider determined
                        by such Administrator and are furnished under a
                        health care provider's supervision; and
                            ``(ii) a recommendation on coverage under
                        title XVIII of falls prevention services that
                        are evidence-based (within the meaning of such
                        term under section 361(a)) to improve patient
                        care, mitigate mobility and functional
                        deterioration in functional activities, and
                        lower program expenditures under such title.
                    ``(C) Exception.--The recommendation required under
                subparagraph (A)(iii) shall not be required if an Act
                of Congress, enacted as of the date of enactment of
                this section, requires the Administrator of the Centers
                for Medicare & Medicaid Services to develop a program
                or payment model described in such subparagraph.
            ``(6) Powers of advisory committee.--
                    ``(A) Hearings.--The Advisory Committee may hold
                such hearings, sit and act at such times and places,
                take such testimony, and receive such evidence as the
                Advisory Committee considers advisable to carry out
                this subsection.
                    ``(B) Information from federal agencies.--
                            ``(i) In general.--The Advisory Committee
                        may secure directly from a Federal department
                        or agency such information as the Advisory
                        Committee considers necessary to carry out this
                        subsection.
                            ``(ii) Furnishing information.--On request
                        of the Chair of the Advisory Committee, the
                        head of the department or agency shall furnish
                        the information to the Advisory Committee.
                    ``(C) Postal services.--The Advisory Committee may
                use the United States mails in the same manner and
                under the same conditions as other departments and
                agencies of the Federal Government.
                    ``(D) Gifts.--The Advisory Committee may accept,
                use, and dispose of gifts or donations of services or
                property.
            ``(7) Advisory committee personnel matters.--
                    ``(A) Compensation of members.--A member of the
                Advisory Committee who is not an officer or employee of
                the Federal Government shall be compensated at a rate
                equal to the daily equivalent of the annual rate of
                basic pay prescribed for level IV of the Executive
                Schedule under section 5315 of title 5, United States
                Code, for each day (including travel time) during which
                the member is engaged in the performance of the duties
                of the Advisory Committee.
                    ``(B) Travel expenses.--A member of the Advisory
                Committee shall be allowed travel expenses, including
                per diem in lieu of subsistence, at rates authorized
                for employees of agencies under subchapter I of chapter
                57 of title 5, United States Code, while away from
                their homes or regular places of business in the
                performance of services for the Advisory Committee.
            ``(8) Staff.--
                    ``(A) In general.--The Chair of the Advisory
                Committee may, without regard to the civil service laws
                (including regulations), appoint and terminate an
                executive director and such other additional personnel
                as may be necessary to enable the Advisory Committee to
                perform its duties, except that the employment of an
                executive director shall be subject to confirmation by
                the Advisory Committee.
                    ``(B) Compensation.--The Chair of the Advisory
                Committee may fix the compensation of the executive
                director and other personnel without regard to chapter
                51 and subchapter III of chapter 53 of title 5, United
                States Code, relating to classification of positions
                and General Schedule pay rates, except that the rate of
                pay for the executive director and other personnel may
                not exceed the rate payable for level V of the
                Executive Schedule under section 5316 of that title.
            ``(9) Detail of government employees.--A Federal Government
        employee may be detailed to the Advisory Committee without
        reimbursement, and such detail shall be without interruption or
        loss of civil service status or privilege.
            ``(10) Procurement of temporary and intermittent
        services.--The Chair of the Advisory Committee may procure
        temporary and intermittent services under section 3109(b) of
        title 5, United States Code, at rates for individuals that do
        not exceed the daily equivalent of the annual rate of basic pay
        prescribed for level V of the Executive Schedule under section
        5316 of that title.
            ``(11) Coordination of public education campaigns.--The
        Director shall share recommendations developed by the Advisory
        Committee with entities that receive Federal funding for public
        education campaigns relating to falls prevention, including
        under section 393D(a) of the Public Health Service Act (42
        U.S.C. 280b-1f(a)).
            ``(12) Termination.--The Advisory Committee shall terminate
        on the date that is 10 years after the date on which all
        initial members are appointed.
    ``(b) Reports Relating to Falls Prevention.--
            ``(1) Data sharing.--Agencies within the Department of
        Health and Human Services, and other Federal agencies, that
        have data relating to falls prevention shall share such data
        with the Assistant Secretary, to enable the Assistant Secretary
        to complete the reports under paragraph (2).
            ``(2) Regular reports.--The Assistant Secretary shall
        submit to Congress a report, not later than 1 year after the
        date of enactment of the Stand Strong Falls Prevention Act and
        every 4 years thereafter, that includes--
                    ``(A) an evaluation of all federally funded
                programs and efforts in falls prevention (including
                education programs, home and community-based programs,
                and hospital programs and any such programs or efforts
                included in budget requests and approvals), including
                an evaluation with respect to the outcomes (including
                program performance), mission, and purpose of such
                programs related to falls prevention;
                    ``(B) an assessment of the progress of the United
                States in addressing falls prevention, as reported by
                the Advisory Committee under subsection (a)(2)(B);
                    ``(C) an evaluation of the implementation of any
                pilot or demonstration program or model recommended
                under subsection (a)(5)(B) or any other pilot or
                demonstration program described in such subsection that
                has otherwise been initiated by the Administrator of
                the Centers for Medicare & Medicaid Services;
                    ``(D) a description of the outcomes of the
                recommendations of the Advisory Committee under
                subsection (a)(5), including priorities, if necessary,
                through an updated national plan under subsection
                (a)(2)(A);
                    ``(E) recommendations, based on the evaluations,
                assessment, and outcomes described in subparagraphs (A)
                through (D), for--
                            ``(i) priority actions to--
                                    ``(I) reduce the financial impact
                                of falls on expenditures under the
                                Medicare program under title XVIII of
                                the Social Security Act (42 U.S.C. 1395
                                et seq.), the Medicaid program under
                                title XIX of such Act (42 U.S.C. 1396
                                et seq.), and other federally funded
                                programs through falls prevention
                                initiatives; and
                                    ``(II) improve health outcomes
                                through such initiatives;
                            ``(ii) priority actions to improve
                        screening, referral, and interventions to
                        address falls prevention;
                            ``(iii) expanding pilot or demonstration
                        programs or models described in subsection
                        (a)(5)(B) towards implementation on a
                        nationwide basis in accordance with section
                        1115A(c) of the Social Security Act (42 U.S.C.
                        1315a(c)) by 2030; and
                            ``(iv) steps to implement each
                        recommendation described in this paragraph; and
                    ``(F)(i) a report on the status and success of
                public education campaigns related to falls prevention;
                and
                    ``(ii) recommendations for improvements for future
                federally-funded public education campaigns related to
                falls prevention.
    ``(c) Funding.--
            ``(1) Authorization of appropriations.--To carry out this
        section, there are authorized to be appropriated such sums as
        may be necessary for each of fiscal years 2026 through 2030.
            ``(2) Existing amounts.--In addition to any amounts
        appropriated pursuant to paragraph (1), the Assistant Secretary
        may carry out this section using amounts otherwise made
        available to the Assistant Secretary.
    ``(d) Definition.--In this section, the term `falls prevention'
means prevention of injury from falls that focuses on reducing fall
risk factors, preventing repeat falls, and preventing falls with
injuries.''.
                                 <all>

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Status

In Committee

  1. 1Introduced
  2. 2Committee
  3. 3Floor
  4. 4Passed
  5. 5Signed

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