sandy markwood national association of area agencies on aging
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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. Federal Programs for Older Americans. Older Americans Act of 1965, P.L. 89-73 July 14, 1965. - PowerPoint PPT PresentationTRANSCRIPT
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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
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Federal Programs for Older Americans
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Older Americans Act of 1965, P.L. 89-73July 14, 1965
Lyndon Johnson signing the OAA, 1965
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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.
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Timeline of Federal Aging Programs
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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
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Support for Aging Services Not Keeping Pace
From 1980 – 2010
Number of Older Americans 65+
Funding for the Administration on Aging
60%
59%
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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
Num
ber o
f Per
sons
Source: NASUAD Analysis of U.S. Census data (Current Population Survey) and AGid
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Current Aging Funding Not Keeping Pace
1980
$9.24Per adult 65+
2010
$3.85 Per adult 65+
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Aging Services Not Able to Meet Needs
57 million older adults 60+
Only 11 million served by Older Americans Act
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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!
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As the Numbers of Older Americans Continues to Grow
…So too should America’s investment in Aging Services and Supports
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Aging Crossroads
Challenges in Funding
But Big Opportunities Still Exist for Aging Services and the Aging Network to Support Seniors!
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• 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
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Projected Growth in Federal DebtSource: Center on Budget and Policy Priorities
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Sequestration in 2013
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NDD categories
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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
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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
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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
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More Opportunities
• Assessments• Care Management• Focal Point for Home and Community-
based Services for All Ages• Private Pay/Cost Sharing• Promoting Livable Communities
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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
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Reauthorizing the Older Americans Act for the Future
What Does the Future Hold?
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Congressional Action
Senate• 2012 Senator Sanders Comprehensive Bill
Introduced- Lots of Individual Bills Introduced• 2013 Senator Sanders Bill IntroducedHouse• No Action Yet
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Importance of Your Role and Your Voice for Missouri’s Older Adults, People with Disabilities and Caregivers
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Contact:
Sandy MarkwoodNational Association of Area Agencies on Aging1730 Rhode Island Avenue, NW, Suite 1200Washington, DC 20036202/[email protected]