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The Capacity of the Aging Services Network: Top 10 Things to Know for Reauthorization 1 1965 OAA, Medicare, Medicaid 1972 1973 1975 SSI, Congregate Meals AAAs enacted SSBG 1981 1987 1990 1992 Medicaid Waiver LTC Ombudsman Americans with Disabilities Act Elder Rights title added 1999 2000 Olmstead Decision Family Caregiver 2005 Medicare Part D Enrollment Begins 2006 ADRC, Health Promotion, Nursing Home Diversion 2 3 Total Spending $3.8 Trillion Source: Office of Management and Budget data, President's FY 2010 Budget 4 AoA State Units on Aging 56 Area Agencies on Aging Title VI Native American Aging Programs Service Providers Volunteers Family Caregivers 629 244 0ver 30,000 Over 500,000 millions 5 The age wave has begun. 6 2000 2020 Source of charts: U.S. Census Bureau, “65+ in the United States: 2005,” December 2005. 7 80 numbers in millions 70 60 50 40 30 20 10 0 1900-2030 8 The characteristics of the population served by the Aging Services Network continue to diversify, with nearly two-thirds of states and AAAs serving both the elderly and physically disabled younger adult populations regardless of age. 9 22% 14% 64% 60 years of age and older population only 60 years of age and older population and disabled population regardless of age 10 Federal funding continues to decline despite growth in the number of eligible Americans. 11 Average of 30% of SUA budget is OAA funding 2% 20% 56% 22% Less than $1 million Between $1 and $25 million Between $26 and $50 million More than $50 million 12 Although funding from the Administration on Aging has not kept pace with the numbers of individuals 60 plus, states, the Area Agencies on Aging and the other network partners have successfully leveraged federal funding. 13 For every $1 in federal funding, state and local agencies on aging acquire more than $2 in other funding AoA provides seed funding and oversight States add states’ share of federal funds, provide additional state-only support and distribute funds AAAs add local funding and support and purchase services Providers add additional support and inkind contributions and deliver services Volunteers lend time and support 14 OAA Families Local Govt Funding Medicaid Aging Services Network Other Federal Funding StateOnly Funding Targete d Tax/ Lottery Private Funding 15 Foundation/private grants State lottery Targeted tax Local (i.e., county or city) funding State appropriation Medicaid Older Americans Act 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Percent of States 16 The Aging Services Network continues to develop a comprehensive strategy of services for long-term services and supports for all Americans of all ages and abilities that can help bend the cost curve on entitlements. 17 Supporting Family Caregivers Maintaining Health and Independence Protecting Vulnerable Older Americans Supporting the National Aging Network Services Employing Senior Workers •National Family Caregiver •Lifespan Respite Care •Alzheimer’s Disease •Native American Caregiving Support Program •Information and Referral, Case Management •Home Delivered, Congregate, and Native American Nutrition •Personal Care, Homemaker Assistance, Adult Day Care •Transportation •Long-Term Care Ombudsman •Prevention of Elder Abuse and Neglect •Aging and Disability Resource Centers, Evidence Based Disease Prevention, Community Living Incentives •Program Innovations •Aging Network Support •Seniors Community Service Employment for Older Americans Program 18 Planning and development of policy Quality for home and community based services Eligibility determination Financing Regulation of home and community based providers Quality for institutional services 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Percent of States 19 Yes 40% 46% 14% No My state is in the process of making changes to achieve this goal. 20 21 The Aging Services Network is evolving towards more consumer-driven activities. 22 State funded HCBS Medicaid HCBS In OAA programs 0 5 10 15 20 Number of States 25 30 23 The Aging Services Network is providing evidence-based health promotion and disease prevention programs that allow older adults and individuals with disabilities to remain in their homes and communities. 24 States and Area Agencies on Aging are encouraging the development of livable communities for all ages--the development of services and infrastructure to assist people across their lifespan - through planning initiatives and partnerships. 25 Housing Health Transportation Land Use Planning Public Safety Parks and Recreation Workforce Development/Education Volunteerism/Civic Engagement Arts and Cultural Activities Economic Development/Fiscal Impact 26 States and communities continue to face extraordinary pressure due to the economic decline. 27 Build on 40 years of Experience as Trusted Resource Build on Track Record of HCBS Build on Momentum & Success of Demonstration Grants Build on Reach of Network to Serve Broad & Diverse Populations 28 Budget Crisis / Stagnant Funding Need for Staff Increase Technology Investment Aging Baby Boomers 29 Kathy Leitch c/o Martha Roherty NASUA 1201 15th Street, NW Suite 350 Washington, DC 20005 202-898-2578 www.nasua.org [email protected] 30