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Sandy Markwood National Association of Area Agencies on Aging

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1 Sandy Markwood National Association of Area Agencies on Aging
The Future of the Older Americans Act and the Aging Network A Time of Challenge, Change and Opportunity Sandy Markwood National Association of Area Agencies on Aging

2 Federal Programs for Older Americans

3 Older Americans Act of 1965, P.L. 89-73 July 14, 1965
Lyndon Johnson signing the OAA, 1965

4 Older Americans Act Mission of the Aging Network
To support older adults to live with dignity and independence at home and in the community for as long as possible.

5 Timeline of Federal Aging Programs

6 Aging Network Reach to Older Americans through the OAA
Handle nearly 12 million information and referral contacts a year Support caregivers over 14.7 million times, providing 9.5 million respite care services Provide over 28 million rides to the doctor, grocery stores and other critical destinations Serve 237 million meals per year Deliver 14 million hours of homemaker services and more than 17 million hours of personal care

7 Support for Aging Services Not Keeping Pace
From 1980 – 2010 Number of Older Americans 65+ Funding for the Administration on Aging 60% 59%

8 OAA Appropriations Have Not Kept Pace With Demand
Source: NASUAD Analysis of U.S. Census data (Current Population Survey) and AGid

9 Current Aging Funding Not Keeping Pace
2010 1980 $9.24 Per adult 65+ $3.85 Per adult 65+

10 Aging Services Not Able to Meet Needs
57 million older adults 60+ Only 11 million served by Older Americans Act

11 Profile of Older American Today: The Need for Aging Services
3.6 million older adults live in poverty Median income of older adults- $15,362 for older woman/$27,707 for older men 1 in 7 older adults are threatened by hunger 10% of older adults are abused, neglected and/or exploited annually 80% of older adults have at least one chronic disease/50% have at least two We Can and Need to Do Better!

12 As the Numbers of Older Americans Continues to Grow
…So too should America’s investment in Aging Services and Supports

13 Aging Crossroads Challenges in Funding But Big Opportunities Still Exist for Aging Services and the Aging Network to Support Seniors!


15 Funding Challenges: Appropriations/Sequestration
Budget Control Act (BCA) of 2011 continues sequester through 2021 “Out years” (FY ‘14-’21) sequester operates differently Forces the BCA caps lower instead of an across-the-board cut Pressure is on appropriators to decide where to cut, but pie made much smaller

16 Projected Growth in Federal Debt Source: Center on Budget and Policy Priorities

17 Sequestration in 2013

18 NDD categories



21 Impact of OAA Funding Cuts
AAAs Reporting (June 2013) of those impacted so far 25% fewer home-delivered meals 28% fewer congregate meals 33% fewer supportive services 26% fewer caregiver services

22 Funding Aging Services is the Fiscally Sound Strategy
Annual Cost of Institutional Care Private Pay Nursing Home $81k Private Pay Assisted Living $42k Medicaid Nursing Home $54K Annual Cost of Home & Community-based Care Homemaker/Adult Day Care $18-$20k Home and Community-based Medicaid $24k

23 New Options and Opportunities for Aging Services
Care Transitions Bridging the Gap between Acute Care and Home Care Focus on Evidence-based Health Programs Managed Care for Long Term Services

24 More Opportunities Assessments Care Management
Focal Point for Home and Community-based Services for All Ages Private Pay/Cost Sharing Promoting Livable Communities

25 What Will New Opportunities Require of the Aging Network
Exploring New Partnerships with Health Care Industry, Disability Community, VA, others Setting Up New Contracting Arrangements with Other AAAs, Service Providers, and Partners Competing in a Different Environment Establishing New Pricing/Billing Systems Changing the Culture of AAAs and Service Providers but NOT Changing the Mission


27 Reauthorizing the Older Americans Act for the Future
What Does the Future Hold?

28 Congressional Action Senate House
2012 Senator Sanders Comprehensive Bill Introduced- Lots of Individual Bills Introduced 2013 Senator Sanders Bill Introduced House No Action Yet


30 Importance of Your Role and Your Voice for Missouri’s Older Adults, People with Disabilities and Caregivers



33 Contact: Sandy Markwood National Association of Area Agencies on Aging 1730 Rhode Island Avenue, NW, Suite 1200 Washington, DC /

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