This bill establishes federal grant programs to address substance use disorders among Americans aged 60 and older, a growing public health concern that is often overlooked in treatment systems. The legislation directs the Substance Abuse and Mental Health Services Administration to award grants to states, local governments, nonprofits, Indian tribes, and health facilities to provide early identification, treatment, and prevention services for older adults with substance use disorders, including those with co-occurring mental health issues. The bill prioritizes applicants who use evidence-based methods, collect data on service gaps, provide integrated care, and deliver person-centered treatment that is culturally appropriate and age-sensitive. The legislation authorizes $25 million annually for fiscal years 2025 through 2029 for grants specifically serving older adults, with an additional $25 million per year for the same period to expand access to medications and evidence-based treatments in areas with high substance misuse rates, with at least 15 percent of funds directed to rural communities.