Orientation to the Older Americans Act and Older Californians Act Johnna Meyer, Policy Manager California Department of Aging

Historically it was the smallest program in the federal budgetHistorically it was the smallest program in the federal budget Continuing ResolutionContinuing Resolution Reauthorized every 3-5 yearsReauthorized every 3-5 years Amended 13 times since 1965Amended 13 times since 1965 California was the 2 nd state to qualify for fundsCalifornia was the 2 nd state to qualify for funds Planning and Service Areas (PSA)Planning and Service Areas (PSA) –Area Agencies on Aging (AAA) –Direct Service Areas (DSA) OAA Key Information

Key Dates/Policy Issues 1950 (President Truman)1950 (President Truman) –National Conference on Aging 1951 (CA Governor Earl Warren)1951 (CA Governor Earl Warren) –Governor’s Conference on Aging 1956 (CA Governor Earl Warren)1956 (CA Governor Earl Warren) –Citizens Advisory Committee on Aging 1961 (President Eisenhower)1961 (President Eisenhower) –1 st White House Conference on Aging (WHCOA) Called for a WHCOA every 10 yearsCalled for a WHCOA every 10 years

Key Dates/Policy Issues 1963 (President Kennedy)1963 (President Kennedy) –Introduced the first legislation— Federal Grant Program for the Aging 1965 (President Johnson)1965 (President Johnson) –Signed into Law the Older Americans Act of 1965 –Established State Units on Aging –Enacted Medicare/Medicaid in SSA

Key Dates/Policy Issues –California Commission on Aging created 1971 WHCOA (President Nixon)1971 WHCOA (President Nixon) –5 fold increase for programs funded under the Act –75% of recommendations implemented by Federal Government –Outcomes: SSI/SSP, Federal Council on Aging, National Institute on Aging

Key Dates/Policy Issues 1972 OAA Amendments1972 OAA Amendments –Nutrition (Congregate) Program for the Elderly Act signed into law. Largest program under the Act ($100 M)

Key Dates/Policy Issues 1973 OAA Amendments1973 OAA Amendments –Changed Focus to System Building vs. Provision of Direct Service –Established Area Agencies on Aging –Advisory Councils required at all levels –Title IX, Older Americans Community Service Employment Act created (now Title V)

Key Dates/Policy Issues 1974 (January 1)1974 (January 1) –New Office on Aging established in California –New Commission on Aging created to serve as advisory body to Office on Aging

Key Dates/Policy Issues 1975 OAA Amendments1975 OAA Amendments –Priority Services mandated Transportation, Home Care, Legal Services, and Home Renovation/RepairTransportation, Home Care, Legal Services, and Home Renovation/Repair –California Department of Aging established –Title V Allocation to CDA

Key Dates/Policy Issues 1978 OAA Amendments1978 OAA Amendments –All funds must flow through a AAA –All PSAs must have a AAA by 1981 in order to receive OAA funds –California added 15 new AAAs –Purpose of the Act was broadened

Key Dates/Policy Issues 1981 WHCOA ( President Carter/Reagan )1981 WHCOA ( President Carter/Reagan ) –Social Security Focus Outcome: Medicare/Medicaid ReformsOutcome: Medicare/Medicaid Reforms –OAA Amendments Deleted the 50% funding for Title III B Priority Services—Access, In-home, and LegalDeleted the 50% funding for Title III B Priority Services—Access, In-home, and Legal Required instead “adequate proportion” and “minimum percentage”Required instead “adequate proportion” and “minimum percentage” 2-, 3-, or 4-year planning cycle2-, 3-, or 4-year planning cycle

Key Dates/Policy Issues 1984 OAA Amendments1984 OAA Amendments –Increased transfers amounts between IIIB and IIIC –Clarified roles of SUA and AAA for accountability for funding of Priority Services

Key Dates/Policy Issues 1984 Senior’s Initiative for California (Governor Deukmejian)1984 Senior’s Initiative for California (Governor Deukmejian) –Established Linkages, ADCRC, HICAP, Prop 30 (Sr. Center Bond Act) –LTC policy to CDA (AB 2226) –Transferred ADHC and MSSP to CDA

Key Dates/Policy Issues 1987 OAA Amendments1987 OAA Amendments –Required Office of State LTC Ombudsman –Added new Titles III D (In-Home), F (Preventive Health), & G (Abuse, Neglect) 1992 OAA Amendments1992 OAA Amendments –Expanded statement of purpose Opportunity for older individuals to receive managed in-home and CBLTC servicesOpportunity for older individuals to receive managed in-home and CBLTC services –Redefined I&R—Renamed I&A

Key Dates/Policy Issues –Case Management defined and identified as an access service requiring an “adequate proportion” of Title IIIB funding –Supportive Services more broadly defined –Limited transfer of funds between IIIB and IIIC –Title V minimum funding base for national granteesminimum funding base for national grantees Required closer working relationship between national grantees and AAAsRequired closer working relationship between national grantees and AAAs

Key Dates/Policy Issue –Changed/Added Programs IIIF—Disease Prevention and Health Promotion (formerly preventative health)IIIF—Disease Prevention and Health Promotion (formerly preventative health) IIIG—Supportive Activities for Caregivers (formerly Elder Abuse)IIIG—Supportive Activities for Caregivers (formerly Elder Abuse) Title VII, Vulnerable Elder Rights Protection Activities (LTC Ombudsman, Elder Abuse Prevention, Elder Rights, Counseling)Title VII, Vulnerable Elder Rights Protection Activities (LTC Ombudsman, Elder Abuse Prevention, Elder Rights, Counseling)

Key Dates/Policy Issues 1995 WHCOA (President Clinton)1995 WHCOA (President Clinton) –Focused on reaffirming support for existing programs –New look at existing programs to preserve for future generations Social Security (Medicare/Medicaid),Social Security (Medicare/Medicaid), Older Americans ActOlder Americans Act –Called for Universal Health Care –Further development of home and community based LTC services –Commitment to national policy focused on aging, not aged

Key Dates/Policy Issue –Older Californians Act Revised (AB 2800) –Established CDA’s mission statement in law –Statewide Expansion of 6 State- funded programs and HICAP –Transferred administration of these programs to AAAs

Key Dates/Policy Issues 2000 OAA Amendments2000 OAA Amendments –Cost Sharing –Nutrition Services Incentive Program (formerly USDA) Reimbursement to Allocation ModelReimbursement to Allocation Model –Title V, Senior Community Service Employment Program Tied to Workforce Investment ActTied to Workforce Investment Act State Plan RequiredState Plan Required Data collection system requiredData collection system required 9 Performance Measures + Sanctions9 Performance Measures + Sanctions

Key Dates/Policy Issues -Title III E Family Caregiver Support Program -First new program with money ($125M) -New Service Population -In-Home Services for Frail & Alzheimer’s -Moved III D In-Home to III B -Moved Disease Prevention and Health Promotion from III F to III D -Established Ombudsman Maintenance of Effort -Base Year 1999

Key Dates/Policy Issues –Requires AAA to COORDINATE with : with : Other community providersOther community providers Intergenerational ProgramsIntergenerational Programs

Key Dates/Policy Issues 2005 WHCOA (President Bush)2005 WHCOA (President Bush) –October 23-26, 2005 Focus on needs of baby boomersFocus on needs of baby boomers –OAA Reauthorization scheduled for FFY

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