Transcript The National Commitment to Aging Services A Time of

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
Lyndon Johnson signing the OAA, 1965
3
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.
Timeline of Federal Aging Programs
5
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+
60%
Funding for the Administration
on Aging
59%
OAA Appropriations Have Not Kept
Pace With Demand
120,000,000
Number of Persons
100,000,000
80,000,000
Number of Persons Age 60 and above
Age 60 and above & Below 250% FPL
60,000,000
Age 60 and above & Below 200% FPL
40,000,000
Number of Persons Receiving OAA
Services
20,000,000
0
2005
2006
2007
2008
Year
Source: NASUAD Analysis of U.S. Census data (Current Population Survey) and AGid
2009
Current Aging Funding
Not Keeping Pace
1980
2010
$9.24
$3.85
Per adult 65+
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!
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-theboard cut
• Pressure is on appropriators to decide where to cut, but
pie made much smaller
Projected Growth in Federal Debt
Source: 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 Markwood
National Association of Area Agencies on Aging
1730 Rhode Island Avenue, NW, Suite 1200
Washington, DC 20036
202/872-0888
[email protected]