Older Americans Act of 1965 ( 42 U.S.C. 3939h(2)(A) ) is amended by inserting , including cultural considerations and preferences and medically tailored meals before the comma at the end. 204. Business acumen provisions and clarification regarding outside funding for area agencies on aging (a) Assistance relating To growing and sustaining capacity Section 202(b)(9) of the Older Americans Act of 1965 ( 42 U.S.C. 3012(b)(9) ) is amended— (1) in subparagraph (A) by striking and after the semicolon at the end, (2) in subparagraph (B) by inserting and after the semicolon at the end, and (3) by adding at the end the following: (C) business acumen, capacity building, organizational development, innovation, and other methods of growing and sustaining the capacity of the aging network to serve older individuals and caregivers most effectively