; (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; and (B) cost-sharing policies do not result in the denial of services due to the individual’s income or the individual’s failure to make a cost-sharing payment; and (5) recommendations to Congress and various stakeholders about ways to clarify or improve cost sharing or voluntary contribution policies and implementation. 213. Culturally appropriate, medically tailored meals Section 339(2)(A)(iii) ( 42 U.S.C. 3030g–21(2)(A)(iii) ) is amended by inserting , including meals adjusted for cultural considerations and preferences and medically tailored meals before the comma at the end. 214. Nutrition services study Subpart 3 of part C of title III ( 42 U.S.C. 3030g–21 et seq.) is amended by adding at the end the following: 339B. Nutrition services impact study (a) Study (1) In general The Assistant Secretary shall perform a study to assess how to measure and evaluate the discrepancy between available services and the demand for such services in the home delivered nutrition services program and the congregate nutrition services program under this part, which shall include assessing various methods (such as those that States use) to measure and evaluate the discrepancy (such as measurement through the length of waitlists). (2) Contents In performing the study, the Assistant Secretary shall— (A) consider means of obtaining information in rural and underserved communities