the future of the older americans act and the aging network a time of challenge, change and...
TRANSCRIPT
The Future of the Older Americans Act and the Aging Network A Time of Challenge, Change and Opportunity
Sandy MarkwoodNational Association of Area Agencies
on Aging
Federal Programs for Older Americans
3
Older Americans Act of 1965, P.L. 89-73July 14, 1965
Lyndon Johnson signing the OAA, 1965
Older Americans ActMission 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
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
Support for Aging Services Not Keeping Pace
From 1980 – 2010
Number of Older Americans 65+
Funding for the Administration on Aging
60%
59%
OAA Appropriations Have Not Kept Pace With Demand
2005 2006 2007 2008 20090
20,000,000
40,000,000
60,000,000
80,000,000
100,000,000
120,000,000
Age 60 and above & Below 250% FPL
Age 60 and above & Below 200% FPL
Number of Persons Receiving OAA Services
Year
Year
Nu
mb
er
of
Pe
rso
ns
Source: NASUAD Analysis of U.S. Census data (Current Population Survey) and AGid
Current Aging Funding Not Keeping Pace
1980
$9.24Per adult 65+
2010
$3.85 Per adult 65+
Aging Services Not Able to Meet Needs
57 million older adults 60+
Only 11 million served by Older Americans Act
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!
As the Numbers of Older Americans Continues to Grow
…So too should America’s investment in Aging Services and Supports
Aging Crossroads
Challenges in Funding
But Big Opportunities Still Exist for Aging Services and the Aging Network to Support Seniors!
• 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
Funding Challenges: Appropriations/Sequestration
Projected Growth in Federal DebtSource: Center on Budget and Policy Priorities
Sequestration in 2013
NDD categories
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
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
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
More Opportunities
• Assessments• Care Management• Focal Point for Home and Community-
based Services for All Ages• Private Pay/Cost Sharing• Promoting Livable Communities
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
Reauthorizing the Older Americans Act for the Future
What Does the Future Hold?
Congressional Action
Senate• 2012 Senator Sanders Comprehensive Bill
Introduced- Lots of Individual Bills Introduced• 2013 Senator Sanders Bill Introduced
House• No Action Yet
Importance of Your Role and Your Voice for Missouri’s Older Adults, People with Disabilities and Caregivers
Contact:
Sandy MarkwoodNational Association of Area Agencies on Aging1730 Rhode Island Avenue, NW, Suite 1200Washington, DC 20036202/[email protected]