; and (B) outreach efforts and other activities carried out to satisfy the assurances described in paragraphs (18) and (19) of section 306(a), to identify such older individuals and their service needs. . 212. Other practices (a) Evaluation Section 315(d) ( 42 U.S.C. 3030c–2(d) ) is amended by inserting , by State, after a comprehensive evaluation . (b) GAO study Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall conduct a study and issue a report that includes— (1) information— (A) about, and a list of, contracts (implemented by States or area agencies on aging) with health care organizations, and State-implemented cost-sharing policies by area agencies on aging, waiver use and waiver use policies, and voluntary contribution policies, by State, under title III of the Older Americans Act of 1965 ( 42 U.S.C. 3021 et seq.); and (B) about any negative impacts on low-income individuals resulting from the policies and uses described in subparagraph (A), and annual evaluation methods and corrective action that the Assistant Secretary is taking to rectify such an impact; (2) information about the policies described in subparagraph (A), such as payment rates (including sliding scales based solely on individual income and the cost of delivering services and whether low-income individuals or other populations are excluded from cost sharing or whether specific demographic groups are targeted with cost sharing), procedures to account for cost-sharing payments, written or other educational materials to inform recipients about cost sharing and voluntary contributions in a way that protects access to services, and the extent to which stakeholders' views are solicited regarding cost-sharing policies; (3) information on the number of older individuals paying for services under the Older Americans Act of 1965 ( 42 U.S.C. 3001 et seq.); (4) policies that ensure that— (A) low-income individuals are not burdened by cost-sharing policies