For other versions of this document, see http://wikileaks.org/wiki/CRS-RL32437 ------------------------------------------------------------------------------ Order Code RL32437 CRS Report for Congress Received through the CRS Web Older Americans Act: History of Appropriations, FY1966-FY2004 June 18, 2004 Carol O'Shaughnessy Specialist in Social Legislation Domestic Social Policy Division Congressional Research Service ~ The Library of Congress Older Americans Act: History of Appropriations, FY1966-FY2004 Summary The Older Americans Act (OAA) is the major federal vehicle for the delivery of social and nutrition services for older persons. Originally enacted in 1965, the act supports a wide range of social services for older persons; the congregate and home- delivered nutrition program; caregiver support services; community service employment; the long-term care ombudsman program; services to prevent abuse; neglect and exploitation of older persons; grants to Native Americans; and research, training and demonstration activities in the field of aging. Authorization of appropriations for the act were extended through FY2005 by P.L. 106-501, signed into law on November 13, 2000. The act is scheduled for review for reauthorization by the 109th Congress. The act establishes the Administration on Aging (AoA) within the Department of Health and Human Services (DHHS) which administers all of the act's programs except for the community service employment program, administered by the Department of Labor (DOL). The original legislation in 1965 established AoA within the then-Department of Health, Education, and Welfare (HEW) and established a state grant program for community planning and services programs as well as authority for research, demonstration, and training programs. The act has been amended 14 times since the original legislation was enacted. Major amendments included the creation of the national nutrition program for the elderly in 1972 and the network of area agencies on aging in 1973 under Title III. Other amendments established the long-term care ombudsman program and a separate grant program for older Native Americans in 1978; and a number of additional service programs under the state and area agency on aging program, including programs to prevent elder abuse, neglect, and exploitation, and health promotion and disease prevention programs, among others, in 1987. The 1992 amendments created Title VII, authorizing programs that focus on protection of the rights of vulnerable older persons, including the long-term care ombudsman program, and services to prevent elder abuse, neglect, and exploitation (under prior law authorized under Title III). The 2000 amendments enacted the National Family Caregiver Support Program under Title III, and required the President to convene a White House Conference on Aging by December 2005. This report presents an appropriations history of the act from FY1966, the first time the act's programs received funds, through FY2004. This report will be updated as appropriations legislation is enacted. For appropriations action during the 108th Congress and more detailed information about the act, see CRS Report RL31336, Older Americans Act: Programs and Funding. Contents Summary of Legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Title I. Declaration of Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Title II. Administration on Aging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Title III. Grants for State and Community Programs on Aging . . . . . . . . . . 2 Title IV. Training, Research, and Discretionary Projects and Programs . . . 3 Title V. Community Service Employment for Older Americans . . . . . . . . . 3 Title VI. Grants for Services for Native Americans . . . . . . . . . . . . . . . . . . 4 Title VII. Vulnerable Elder Rights Protection Activities . . . . . . . . . . . . . . . 4 Appendix A. Public Laws to Enact and Amend the Older Americans Act . . . . 15 List of Tables Table 1. Older Americans Act Appropriations, FY1966-FY1991 . . . . . . . . . . . . 5 Table 2. Older Americans Act and White House Conference on Aging Appropriations, FY1992-FY1997 . . . . . . . . . . . . . . . . . . . . . . . . 11 Table 3. Older Americans Act, Alzheimer's Demonstration Programs, and White House Conference on Aging Appropriations, FY1998-FY2004 . . . . 13 Older Americans Act: History of Appropriations, FY1966-FY2004 Summary of Legislation With passage of the Older Americans Act in 1965, Congress created a new federal program specifically designed to meet the social service needs of older people. Although older persons may receive services under many other federal programs, the act is the major vehicle for the organization and delivery of social and nutrition services to this group. The original Act established the Administration on Aging (AoA) within the then-Department of Health, Education, and Welfare (HEW) and established a state grant program for community planning and services programs as well as authority for research, demonstration, and training programs in the field of aging. The act has been amended 14 times since the original legislation was enacted. Major amendments to the act occurred in 1972, with the creation of the national nutrition program for the elderly, and in 1973, with the establishment of substate area agencies on aging whose purpose is to plan and coordinate services for older persons and to act as advocates on their behalf. The 1973 amendments also established legislative authority for the community service employment program which provides part-time subsidized jobs for low-income older persons. The 1978 amendments represented a major structural change to the act when the separate grant programs for social services, nutrition services and multipurpose senior center facilities were consolidated into one program under the authority of state and area agencies on aging. These amendments also established the state long- term care ombudsman program and a new Title VI authorizing grants to Indian tribal organizations for social and nutrition services to older Indians. Amendments in 1981 and 1984 gave states more flexibility in the administration of the nutrition and supportive service programs, among other provisions. The 1987 amendments created new separately authorized service components under the state and area agency on aging program, including services to prevent abuse, neglect, and exploitation of older persons, and health promotion and disease prevention programs, among others. These amendments also incorporated a grant program for older Native Hawaiians under Title VI. The 1992 amendments again restructured some of the act's programs. A new Title VII was created to consolidate and expand certain programs that focus on protection of the rights of older persons which were previously authorized under Title III. These include the long-term care ombudsman program and program to prevent abuse, neglect and exploitation of older persons. CRS-2 The 2000 amendments extended the act's programs through FY2005. These amendments authorized the National Family Caregiver Support Program under Title III; required the Secretary of the Department of Labor (DoL) to establish performance measures for the senior community service employment program; allowed states to impose cost-sharing for certain Title III services older persons receive while retaining authority for voluntary contributions by older persons toward the costs of services, among other things. In addition, the amendments require the President to convene a White House Conference on Aging by December 31, 2005. For more information on Older Americans Act programs, see CRS Report RL31336, Older Americans Act: Programs and Funding. For information on the last amendments to the act in 2000, see CRS Report RL30055, Older Americans Act: 106th Congress Legislation. The following provides a brief description of the act's titles as enacted through the 2000 amendments (P.L. 106-501). Tables 1-3 present an appropriations history, FY1966-FY2004. Appendix A lists the public laws that have amended the Older Americans Act of 1965. Title I. Declaration of Objectives Title I of the act sets out broad social policy objectives oriented toward improving the lives of all older Americans, including adequate income in retirement, the best possible physical and mental health, opportunity for employment, and comprehensive long-term care services, among other things. Title II. Administration on Aging Title II establishes AoA in the Department of Health and Human Services (DHHS) and as the chief federal agency advocate for older persons; it sets out the responsibilities of AoA and the Assistant Secretary for Aging. The Assistant Secretary is appointed by the President with the advice and consent of the Senate. Title II requires that AoA establish the National Eldercare Locator Service to provide nationwide information through a toll-free telephone number to identify community resources for older persons. It also requires AoA to establish the National Long- Term Care Ombudsman Resource Center, the National Center on Elder Abuse, the National Aging Information Center, and the Pension Counseling and Information Program. Title III. Grants for State and Community Programs on Aging Title III authorizes grants to state and area agencies on aging to act as advocates on behalf of, and to coordinate programs for, older persons. It accounts for 69% of total OAA funds in FY2004 ($1.243 billion out of almost $1.798 billion). The program, which supports 56 state agencies on aging, 655 area agencies on aging, and more than 29,000 service providers, authorizes six separate service programs. States receive separate allotments of funds for supportive services and centers, family caregiver support, congregate and home-delivered nutrition services, nutrition services incentive grants, and disease prevention and health promotion services. CRS-3 AoA allots funds for supportive services, congregate and home-delivered nutrition services, and disease prevention/health promotion services to states based on each state's relative share of the total population aged 60 years and over. Funds for nutrition services incentive grants are allotted to states based on a formula that takes into account the number of meals served by each state's nutrition program the prior year. Funds for the family caregiver program are allotted to states based on each state's relative share of the total population aged 70 years and over (although persons under age 70 are eligible to receive caregiver services). Title III supportive and nutrition services are available to all persons age 60 and over, but are targeted to those with the greatest economic and social need, particularly low-income minority persons and older persons residing in rural areas. Priority for caregiver services is to be given to older persons and their families who have the greatest social and economic need, with particular attention to low income individuals, to older persons who provide care and support to persons with mental retardation and developmental disabilities, and, under certain circumstances, to grandparents and certain other caregivers of children. Participants are encouraged to make voluntary contributions for services they receive. Means testing for Title III services is prohibited. However, states are allowed to implement cost-sharing policies for certain services on a sliding fee scale basis under certain circumstances; but older persons must not be denied services due to failure to make cost-sharing payments. Title IV. Training, Research, and Discretionary Projects and Programs Title IV of the act authorizes the Assistant Secretary for Aging to award funds for training, research, and demonstration projects in the field of aging. Funds are to be used to expand knowledge about aging and the aging process and to test innovative ideas about services and programs for older persons. Over the years, Title IV has supported a wide range of research and demonstration projects, including those related to income, health, housing, retirement, long-term care, as well as projects on career preparation and continuing education for personnel in the field of aging. Title V. Community Service Employment for Older Americans The community service employment program for older Americans has as its purpose the promotion of useful part-time opportunities in community service activities for unemployed low-income persons who are 55 years or older and who have poor employment prospects. The program is the only existing job creation program for adults since the elimination of public service employment under the Comprehensive Employment and Training Act (CETA).1 Participants' income must not exceed 125% of the DHHS poverty level guidelines. 1 The Rehabilitation Act authorizes a community service employment program for persons with disabilities. It has never been funded. CRS-4 The program not only provides opportunities for part-time employment and income for older persons, but also contributes to the general welfare of communities by providing a source of labor for various community service activities. Enrollees work part-time in a variety of community service activities. The program supports 61,500 jobs and serves about 92,300 persons in FY2003 (for the program year, July 1, 2003-June 30, 2004). The cost per job slot in FY2003 is $7,153. Enrollees are paid no less than the federal or state minimum wage or the local prevailing rate of pay for similar employment, whichever is higher. Federal funds may be used to compensate participants for up to 1,300 hours of work per year (52 weeks at 25 hours a week), including orientation and training. Participants work an average of 20-25 hours per week. In addition to wages, enrollees receive physical examinations, personal and job-related counseling, and transportation for employment purposes, under certain circumstances. Participants also may receive on-the-job training. Title VI. Grants for Services for Native Americans Title VI authorizes funds for supportive and nutrition services to older Native Americans. Funds are awarded directly by AoA to Indian tribal organizations, Native Alaskan organizations, and non-profit groups representing Native Hawaiians. To be eligible for funding, a tribal organization must represent at least 50 Native American elders age 60 or older. In FY2003, grants were awarded to 241 organizations representing 300 Indian tribal organizations and two organizations serving native Hawaiian elders. Most frequently provided services under the program are transportation, home-delivered and congregate nutrition services, and a wide range of home care services. Title VII. Vulnerable Elder Rights Protection Activities Title VII authorizes the long-term care ombudsman program and elder abuse, neglect and exploitation prevention programs. Two other programs are authorized, but not funded -- legal assistance development and the Native American elder rights program. Funding for ombudsman and elder abuse prevention activities is allotted to states based on the states' relative share of the total population age 60 and older. State agencies on aging may award funds for these activities to a variety of organizations for administration, including other state agencies, area agencies on aging, county governments, nonprofit service providers, or volunteer organizations. CRS-5 Table 1. Older Americans Act Appropriations, FY1966-FY1991 (dollars in millions) FY1966 FY1967 FY1968 FY1969 FY1970 FY1971 FY1972 Title II: Administration on Aginga b b b b b b b National Information and Resource Clearinghouse on Aging b b b b b b b Federal Council on Aging Title III: Grants for State and Community Programs on Agingc $5.000 $6.000 $10.550 $16.000 $13.000 $13.000 $35.000 Supportive services and centers $5.000 $6.000 $10.550 $16.000 $9.000 $9.000 $30.000 b b b b b b b Nutrition services Congregate Home-delivered USDA commodities b b b b b b b Multipurpose senior centers State agency activities none none none none 4.000 4.000 5.000 b b b b b b b In-home services for frail elderly b b b b b b b Assistance for special needs b b b b b b b Health education and promotion b b b b b b b Elder abuse prevention b b b b b b b Long-term care ombudsman b b b b b b b Outreach for SSI, Medicaid, and food stamps Title IV: Training, Research and Discretionary Projects and Programsd 1.500 3.000 6.400 7.000 5.860 8.000 26.100 b b b b b b b Homecare demonstration projects b b b b b b b Ombudsman advocacy demonstration projects b b b b b b b Title V: Community Service Employment for Older Americans b b b b b b b Title VI: Grants for Native Americans Part A -- Indian program Part B -- Native American program b b b b b b b Title VII: Older Americans Personal Health Education and Training Total -- Older Americans Act Programs $6.500 $9.000 $16.950 $23.000 $18.860 $21.000 $61.100 CRS-6 FY1973 FY1974 FY1975 FY1976 FY1977 FY1978 FY1979 a Title II: Administration on Aging National Information and Resource Clearinghouse on Aging none none none none none $2,000 $2,000 Federal Council on Aging none none $0.500 $0.725e $0.575 $0.450 $0.450 Title III: Grants for State and Community Programs on Agingc $179.600 $184.800 222.000 306.785 384.525 495.982 553.760 Supportive services and centers 68.000 68.000 82.000 124.250f 122.000 153.000 196.970 Nutrition services 99.600 104.800 125.000 156.250g 225.525 283.982 334.290 Congregate (156.250)g (203.525) (250.000) (277.046) Home-delivered h USDA commodities (22.000)i (33.982)i (57.244)i j k Multipurpose senior centers none none none 5.000 20.000 40.000 State agency activities 12.000 12.000 15.000 21.285l 17.000 19.000 22.500 b b b b b b b In-home services for frail elderly b b b b b b b Assistance for special needs b b b b b b b Health education and promotion b b b b b b b Elder abuse prevention b b b b b b b Long-term care ombudsman b b b b b b b Outreach for SSI, Medicaid, and food stamps Title IV: Training, Research and Discretionary Projects and Programsd 33.000 33.000 23.000 42.300m 38.500 44.300 44.300 b b b b b b b Homecare demonstration projects b b b b b b b Ombudsman advocacy demonstration projects Title V: Community Service Employment for Older Americans none 10.000 12.000 85.900 150.000 211.700 220.600 b b b b b b Title VI: Grants for Native Americans none Part A -- Indian program Part B -- Native American program b b b b b b b Title VII: Older Americans Personal Health Education and Training Total -- Older Americans Act Programs $573.600 $573.600 $573.600 $435.710n $573.600 $573.600 $573.600 CRS-7 FY1980 FY1981 FY1982 FY1983 FY1984 FY1985 Title II: Administration on Aging a b b b National Information and Resource Clearinghouse on Aging 2.000 1.800 1.721 Federal Council on Aging 0.450 0.481 0.191 0.175 0.175 0.200 Title III: Grants for State and Community Programs on Agingc 663.652 714.575 699.232 750.693 779.044 795.900 Supportive services and centers 246.970 252.000 240.869 240.869 250.869 265.000 Nutrition services 394.182 439.900 436.690 488.151 506.502 530.900 Congregate (270.000) (295.000) (286.749) (319.074) (321.574) (336.000) Home-delivered (50.000) (55.000) (57.350) (62.025) (67.025) (67.900) USDA commodities (74.182)i (89.000)i (92.591)i (107.052)i (117.903)i (127.000)p k k k k k k Multipurpose senior centers r State agency activities 22.500 22.675 21.673 21.673 21.673 b b b b b b In-home services for frail elderly b b b b b b Assistance for special needs b b b b b b Health education and promotion b b b b b b Elder abuse prevention b b b b b b Long-term care ombudsman b b b b b b Outreach for SSI, Medicaid, and food stamps Title IV: Training, Research and Discretionary Projects and Programsd 54.300 40.500 22.175 22.175 22.175 25.000 b b b b b b Homecare demonstration projects b b b b b b Ombudsman advocacy demonstration projects Title V: Community Service Employment for Older Americans 266.900 277.100 277.100 319.450 317.300 326.000 Title VI: Grants for Native Americans 6.000 6.000 5.735 5.735 5.735 7.500 Part A -- Indian program Part B -- Native American program b b b b b Title VII: Older Americans Personal Health Education and Training nones Total -- Older Americans Act Programs $993.302 $1,040.456 $1,006.154 $1,098.228 $1,124.429 $1,154.600 CRS-8 FY1986 FY1987 FY1988 FY1989 FY1990 FY1991 Title II: Administration on Aginga b b b b b b National Information and Resource Clearinghouse on Aging Federal Council on Aging $0.191 $0.200 $0.191 $0.188 $0.186 $0.181 Title III: Grants for State and Community Programs on Agingc 773.490 830.557 834.427 856.681 853.104 901.828 Supportive services and centers 253.605 270.000 268.072 274.352t 271.986 290.818 Nutrition services 519.885 560.557 560.611 576.507 574.387 598.811 Congregate (321.522)o (348.000) (344.664) (356.668) (351.924) (361.083) Home-delivered (64.980) (75.400) (75.635) (78.546) (78.981) (87.831) USDA commodities (133.383)q (137.157) (140.312) (141.293) (143.482) (149.897) k k k k k k Multipurpose senior centers r r r r r r State agency activities b b In-home services for frail elderly 4.787 4.834 5.756 6.831 b b Assistance for special needs none none none none b b Health education and promotion none none none none b b Elder abuse prevention none none none 2.928v b b Long-term care ombudsman 0.957u 0.988 0.975 2.440v b b Outreach for SSI, Medicaid, and food stamps none none none none Title IV: Training, Research and Discretionary Projects and Programsd 23.925 25.000 23.935 22.173w 25.332 26.917x b b b b Homecare demonstration projects none none b b b b Ombudsman advocacy demonstration projects none none Title V: Community Service Employment for Older Americans 312.002 336.000 331.260 343.824 367.013 390.360 Title VI: Grants for Native Americans 7.178 7.500 7.181 10.710y 12.541 14.639 Part A -- Indian program (9.345) (11.108) (13.134) Part B -- Native American program (1.365) (1.433) (1.505) s s s s Title VII: Older Americans Personal Health Education and Training nones nones Total -- Older Americans Act Programs $1,116.786 $1,199.257 $1,196.994 $1,233.576b $1,258.176 $1,333.925 a. Sources for appropriation levels: For FY1966-FY1980, Title II, III, IV, and VI, the Administration on Aging of the U.S. Dept. of Health and Human Services. For Title V prior to FY1982, Appendices to the Budget, Budget Justifications, and U.S. Dept. of Labor. For all Titles for FY1982-FY1991, Appendices to the Budget and appropriations legislation, various years. For U.S. Dept. of Agriculture (USDA) commodities program, 1976-85, Appendices to the Budget, showing obligations of funds; 1986-1991, appropriations legislation. CRS-9 b. Not authorized. c. From FY1966 to FY1969, Title II funds were allocated to states for community planning and social services. There was no specific appropriation for state or area planning activities. Beginning in 1970, funds were appropriated for statewide planning. Beginning in 1973, funds were appropriated for area planning and social services; this appropriation was later termed social services. Funds for area agency planning are part of the services allotment. Beginning in FY1973, funds were appropriated for nutrition services. In FY1977 and FY1978, there was a separate appropriation for multipurpose senior centers, under Title V of the act; the 1978 amendments eliminated the separate authorization for senior centers and funds for this purpose were incorporated under the social services appropriation. The 1981 amendments changed reference to "supportive" services rather than "social" services. The 1984 amendments eliminated a separate appropriation for state agency activities. The 1987 amendments added separate authorizations under Title III for the following service areas: in-home services for the frail elderly; assistance for special needs; health education and promotion; elder abuse prevention; long-term care ombudsman; and outreach for SSI, medicaid, and food stamps. These amendments also modified these programs. d. Funds were authorized under Title III for area-wide demonstration or model projects from FY1970 through FY1978. In FY1979 and FY1980, funds for this purpose were authorized under Title IV. e. Includes $575 million for the fiscal year ending June 30, 1976, and $150 million for the transition quarter July 1-Sept. 30, 1976. f. Includes $93 million for the fiscal year ending June 30, 1976, and $31.25 million for the transition quarter July 1-Sept. 30, 1976. g. Includes $125 million for the fiscal year ending June 30, 1976, and $31.25 million for the transition quarter July 1-Sept. 30, 1976. h. Not available. i. Obligations of funds, as shown in budget appendices, various years. j. Shows amount appropriated for the transition quarter July 1-Sept. 30, 1976. k. Funds for multipurpose senior centers are included under the supportive services and centers appropriation. P.L. 95-478, the Comprehensive Older Americans Act Amendments of 1978, eliminated separate authorizations for senior centers. l. Includes $17.035 million for the fiscal year ending June 30, 1976, and $4.25 million for the transition quarter July 1-Sept. 30, 1976. m. Includes $32.8 million for the fiscal year ending June 30, 1976, and $9.5 million for the transition quarter July 1-Sept. 30, 1976. n. Includes funds for the fiscal year ending June 30, 1976 and for the transition quarter July 1-Sept. 30, 1976. Also includes unknown amounts for USDA commodities. o. This amount also reflects $30,000 withheld in FY1986 in accordance with section 515 of P.L. 99-190 related to consulting, management services and technical assistance. p. The appropriation available for FY1985 was $116 million. According to the USDA, an additional $4.8 million was available from prior year funding. In addition, P.L. 99-349, FY1986 urgent supplemental appropriations, appropriated $8.5 million in additional funds to support the fully authorized reimbursement rate of 56.76 cents per meal to support meals served under Title III in both FY1985 and FY1986. USDA indicated in testimony before the House Select Committee on Aging on July 30, 1986, that it would set aside $6.2 million of the $8.5 million to support FY1985 meals and $2.3 million to support FY1986 meals. The additional $6.2 million brings the total estimated amount available to pay for FY1985 meals to the amount shown. q. This amount reflects the 4.3% reduction required by the Gramm-Rudman-Hollings Act and a 0.6% reduction allowed by appropriations legislation. It also reflects supplemental funds added by P.L. 99-349, FY1986 urgent supplemental appropriations. This legislation added $8.5 million to support the program at the 56.76 cents per meal reimbursement level for both FY1985 and FY1986. USDA set aside $6.2 million of the $8.5 million to support FY1985 meals and $2.3 million to support FY1986 meals. For purposed of this table, the FY1986 amount includes the $2.3 million set aside by USDA. r. P.L. 98-459, the Older Americans Act Amendments of 1984, consolidated the authorization for state agency activities under the authorization for Title III services. The law provided that states may use up to 5% of their allotted services funds, or $300,000, whichever is greater, for state agency administration. s. Authorized for the first time for FY1985-FY1987 as part of the 1984 amendments (P.L. 98-459). No appropriations were made when the program was authorized, and the 1987 amendments eliminated the authorization as a separate title. t. Does not include $1.3 million of funds originally appropriated for supportive services in FY1989 ($275.652 million) that was reprogrammed to fund additional Indian trial organizations and the Native Hawaiian program under Title VI. CRS-10 u. Although the table accompanying the FY1988 continuing appropriations indicated that these funds were to be used for a home care ombudsman demonstration program, the conference report that accompanied the appropriations legislation indicated that this amount is to be used to support the state long-term care ombudsman program authorized under Section 307(a)(12) of the Older Americans Act. v. Prior to the across the board reduction of 2.41%, the conference report included $3 million for elder abuse prevention and $2.5 million for long-term care ombudsman activities. Among other instructions, the Appropriations Committee conferees indicated that the states be given discretion in allocation of elder abuse prevention funds, and that it is expected that portions of elder abuse funds be made available to long-term care ombudsman programs to address complaints of abuse in facilities, including board and care facilities. w. Does not include $2 million of funds originally appropriated for Title IV in FY1989 ($24.173 million) that was reprogrammed to fund additional tribal organizations and the Native Hawaiian program under Title VI. x. Per House and Senate Appropriations Committee reports, includes $1 million to be used to support the White House Conference on Aging. y. An additional $3.3 million above the original FY1989 appropriation of $7.41 million was reprogrammed from Title III and Title IV programs to be used for Title VI programs. This amount was used to fund additional tribal organizations and a grant to serve Native Hawaiian elderly which had not been funded previously. CRS-11 Table 2. Older Americans Act and White House Conference on Aging Appropriations, FY1992-FY1997 (dollars in millions) FY1992a FY1993 FY1994 FY1995b FY1996 FY1997 Title II: Administration on Aging $0.181 $16.219 $16.240 $16.700 $15.170 $14.795 Federal Council on Aging 0.181 0.178 0.177 0.176 none none c AoA program administration 16.041c 16.063 16.524 15.170 14.795 Title III: Grants for State and Community Programs on Aging 938.644 916.590 950.292 952.830 945.316d 935.316 Supportive services and centers 299.238 313.708 306.711 306.711 300.556 300.556 e Disease prevention and health promotion 17.000 17.032 15.623 15.623 15.623 Nutrition services 607.192 595.807 619.474 619.874 619.874 609.874 Congregate (366.067) (363.236) (375.809) (375.809) (364.535) (364.535) Home-delivered (89.603) (89.659) (93.665) (94.065) (105.339) (105.339) USDA commodities (151.492) (142.912) (50.000) (150.000) (150.000) (140.000) f School-based meals/multigenerational activitiesf none none none none none In-home services for frail elderly 6.898 7.075 7.075 9.263 9.263 9.263 Assistance for special needs none none none none none none g g g g g Elder abuse prevention 4.416 g g g g g Long-term care ombudsman 3.930 g g g g g Outreach for SSI, Medicaid and food stamps none f Supportive activities for caretakersf none none none none none Title IV: Training, Research and Discretionary Projects and Programs 25.941 25.973 25.830 25.735b 2.850 4.000 f Training of service providersf none none none none none Title V: Community Service Employment for Older Americans 395.181 390.060 410.500 396.060b 373.000 463.000 Title VI: Grants for Native Americans 15.086 15.110 16.902 16.902 16.057 16.057 f d Title VII: Vulnerable Elder Rights Protection 8.218 11.018 11.157 none g d Long-term care ombudsman (3.870) (4.370) (4.449) none g d Elder abuse prevention (4.348) (4.648) (4.732) none f Elder rights and legal assistancef none none none none none g Outreach counseling, and assistance none (2.000) (1.976) none none f Native American elder rightsf none none none none none Total -- Older Americans Act Programs $1,375.033 $1,372.700 $1,430.782 $1,419.834 $1,352.393 $1,433.168 White House Conference on Aging 2.000 none 1.000 3.000 none none CRS-12 a. P.L. 102-170 provided $2 million for the White House Conference on Aging. This amount was reprogrammed from various Older Americans Act programs, with the exception of Titles IV and V. Amounts shown are FY1992 appropriated amounts less funds reprogrammed for the White House Conference as presented in AoA's FY1993 budget justifications. b. Reflects rescission of $0.9 million from Title IV and $14.4 million from Title V made by P.L. 104-19. c. Identified as a separate appropriation item for the first time in FY1993. Various FY1993 budget documents show amounts assigned to AoA for program administration, salaries, and related expenses before the Office of Human Development Services reorganization. The amount shown for FY1992 is $16.237 million. d. P.L. 104-134 included earmarks for long-term care ombudsman activities ($4.449 million) and elder abuse prevention activities ($4.732 million) under Title III supportive services and centers. e. Consolidated in funding for supportive services and centers. Amount for this program is $17 million. f. Authorized for the first time beginning in FY1993 by P.L. 102-375. g. FY1992 funding shown under Title III. The 1992 amendments shifted this program to Title VII beginning in FY1993 and made program modifications and/or expansions. CRS-13 Table 3. Older Americans Act, Alzheimer's Demonstration Programs, and White House Conference on Aging Appropriations, FY1998-FY2004 (dollars in millions) OAA programs and Alzheimer's demonstration grants FY1998 FY1999 FY2000 FY2001 FY2002 FY2003 FY2004 Title II: Administration on Aging $14.795 $15.395 $16.461 $17.232 $20.501 $20.233 $30.618 Program administration (14.795) (15.395) (16.461) (17.232) (18.122) (17.869) (17.324) Aging Network support activities (2.379)a (2.364)a (13.294)b Title III: Grants for State and Community Programs on Aging 961.798 952.339 987.617 1,151.285 1,230.293 1,240.891 1,243.059 Supportive services and centers 309.500 300.192 310.082 325.082 357.000 355.673 353.889 Family caregivers 125.000 136.000c 149.025c 152.738c Disease prevention/health promotion 16.123 16.123 16.123 21.123 21.123 21.919 21.970 Nutrition services 626.412 626.261 661.412 680.080 716.170 714.274 714.462 Congregate meals (374.412) (374.261) (374.336) (378.412) (390.000) (384.592) (386.353) Home-delivered meals (112.000) (112.000) (146.970) (152.000) (176.500) (180.985) (179.917) Nutrition services incentive program (140.000) (140.000) (140.000) (149.668)d (149.670)d (148.697)e (148.192) f f f f In-home services for the frail elderly 9.763 9.763 none Title IV: Training, Research, and Discretionary Projects and Programs 10.000 18.000 31.162 37.678 38.280 40.258 33.509g Title V: Community service employment 440.200 440.200 440.200 440.200 445.100 442.306 438.650 Title VI: Grants to Native Americans Supportive and nutrition services 18.457 18.457 18.457 23.457 31.229 33.704 32.717) Native American caregivers (25.729) (27.495) (26.453) (5.500) (6.209) (6.318 Title VII: Vulnerable Elder Rights Protection Activities noneh 12.181 13.181i 14.181i 17.681i 18.559 19.444 i i i i Long-term care ombudsman program none (7.449) (14.276) i i i i Elder abuse prevention none (4.732) (5.168) Legal assistance none none none none none none none Native Americans elder rights program none none none none none none none Total -- Older Americans Act Programs $1,445.250 $1,456.569 $1,507.078 $1,684.033 $1,783.084 $1,771.057 $1,798.051 Alzheimer's Demonstration Grantsj $5.970 $5.970 $5.970 $8.962 $11.500 $13.412 $11.883 White House Conference on Aging none none none none none none $2.814k CRS-14 a. Includes $1.2 million for the Eldercare Locator and $1.2 million for Pension Counseling and Information Program. b. Includes funds for activities previously funded under Title IV: Senior Medicare Patrols; National Long-Term Care Ombudsman Resource Center; and National Center on Elder Abuse. Also includes funds for the Eldercare Locator and Pension Counseling and Information Program. c. Funding for Native American family caregiving is shown in Title VI. d. Congress originally appropriated $150 million, then rescinded $332,000 (.22%) pursuant to Section 1(a)(4) of P.L. 106-544. e. Congress transferred the program, previously funded by USDA, to AoA in FY2003. f. Not authorized. g. See footnote b. Funds shown are reduced from FY2003 level due to transfer of some funds to Title II. h. Funding for ombudsman and elder abuse prevention activities was included in Title III. i. Separate amounts not specified. j. The FY1999 Omnibus Consolidated Appropriations Act (P.L. 105-277/H.R. 4328) transferred the administration of the program from the Health Resources and Services Administration to AoA. The program is authorized under Section 398 of the Public Health Service Act. k. P.L. 106-501 requires the President to convene the conference no later than Dec. 31, 2005. CRS-15 Appendix A. Public Laws to Enact and Amend the Older Americans Act ! P.L. 89-73, Older Americans Act of 1965, enacted July 14, 1965. ! P.L. 90-42, Older Americans Act Amendments of 1967, enacted July 1, 1967. ! P.L. 91-69, Older Americans Act Amendments of 1969, enacted September 17, 1969. ! P.L. 92-258, Nutrition Program For the Elderly Act, enacted March 22, 1972. ! P.L. 93-29, Older Americans Comprehensive Services Amendment of 1973, enacted May 3, 1973. ! P.L. 93-351, Amendments to the Nutrition Program for the Elderly Act and for Other Purposes, enacted July 12, 1974. ! P.L. 94-135, Older Americans Act Amendments of 1975, enacted November 28, 1975. ! P.L. 95-65, 1977 Older Americans Act Amendments, enacted July 11, 1977. ! P.L. 95-478, Comprehensive Older Americans Act Amendments of 1978, enacted October 18, 1978. ! P.L. 97-115, Older Americans Act Amendments of 1981, enacted December 29, 1981. ! P.L. 98-459, Older Americans Act Amendments of 1984, enacted October 9, 1984. ! P.L. 99-269, Older Americans Act Amendments of 1986, enacted April 1, 1986. ! P.L. 100-175, Older Americans Act Amendments of 1987, enacted November 29, 1987. ! P.L. 102-375, Older Americans Act Amendments of 1992, enacted September 30, 1992. ! P.L. 106-501, Older Americans Act Amendments of 2000, enacted November 13, 2000. ------------------------------------------------------------------------------ For other versions of this document, see http://wikileaks.org/wiki/CRS-RL32437