Older Americans Act: FY2008 Funding and FY2009 Budget Request

Older Americans Act: FY2008 Funding and
FY2009 Funding Proposals
Updated October 8, 2008
Angela Napili
Information Research Specialist
Knowledge Services Group

Older Americans Act: FY2008 Funding and
FY2009 Funding Proposals
Summary
The Older Americans Act (OAA) is the major federal vehicle for the delivery of
social and nutrition services for older persons. These include supportive services,
congregate nutrition services (meals served at group sites such as senior centers,
community centers, schools, churches, or senior housing complexes), home-delivered
nutrition services, community service employment, the long-term care ombudsman
program, and services to prevent the abuse, neglect and exploitation of older persons.
The OAA also supports grants to older Native Americans and research, training, and
demonstration activities. Funding for most OAA programs is provided through
appropriations legislation for the Departments of Labor, Health and Human Services,
Education, and Related Agencies (Labor-HHS-Education).
On February 4, 2008, the President submitted his FY2009 budget request, which
would provide $1.731 billion for OAA programs, a 10% decrease from the FY2008
funding level of $1.924 billion.
On July 8, 2008, the Senate Appropriations Committee reported its FY2009
Labor-HHS-Education bill (S. 3230, S.Rept. 110-410). The bill would provide $2.039
billion for OAA programs, 6% higher than the FY2008 funding level.
On September 30, 2008, the President signed P.L.110-329, the Consolidated
Security, Disaster Assistance, and Continuing Appropriations Act, 2009, which
provides temporary FY2009 funding, at FY2008 funding levels, through March 6,

2009.

For OAA’s Title V Senior Community Service Employment Program (SCSEP),
the FY2009 Budget requests $350.0 million, a 33% decrease from the FY2008 funding
level of $521.6 million. S.Rept. 110-410 would provide $571.9 million in FY2009, a

10% increase from the FY2008 level.

Funding for preventive health services under OAA’s Title III would be eliminated
under the FY2009 budget request. S.Rept. 110-410 would provide $21 million in
FY2009, the same as the FY2008 funding level.
The FY2009 budget request would also eliminate funding for Alzheimer’s Disease
Demonstration Grants. S.Rept. 110-410 would provide $11.5 million in FY2009, the
same as the FY2008 level.
For nutrition services under Title III, the FY2009 Budget requests $758.0 million,
the same funding level as FY2008. S.Rept. 110-410 would increase funding for
nutrition services by 6% in FY2009 to $801.5 million.
The FY2009 Budget requests $28.0 million under OAA’s Title IV for the new
Choices for Independence demonstration, intended to help older Americans plan for
their long-term care needs so that they can maintain their independence in the
community. S.Rept. 110-410 would provide $28.0 million for Choices for
Independence under Title II Aging Network support activities, rather than as a
demonstration under Title IV. In FY2008, Congress appropriated $16.2 million to
Choices for Independence under Title II Aging Network support activities.

Contents
In troduction ......................................................1
FY2008 Funding and FY2009 Funding Proposals........................1
Title II. Administration on Aging.................................2
Title III. Grants for State and Community Programs on Aging...........4
Title IV. Program Innovations....................................5
Title V. Community Service Employment for Older Americans..........6
Title VI. Grants for Services for Native Americans...................7
Title VII. Vulnerable Elder Rights Protection Activities................8
Alzheimer’s Disease Demonstration Grants.........................8
List of Tables
Table 1. The Older Americans Act, Alzheimer’s Demonstration Grants,
and White House Conference on Aging Funding, FY2000-FY2008,
and FY2009 Funding Proposals...................................9
List of Figures
Figure 1. Older Americans Act, FY2008 Funding .......................11
Figure 2. Funding for Older Americans Act Programs, FY2000-FY2008,
and FY2009 Proposals.........................................12

Older Americans Act: FY2008 Funding and
FY2009 Funding Proposals
Introduction
Originally enacted in 1965, the Older Americans Act (OAA) supports a wide¹
range of social services and programs for older persons. These include supportive
services, congregate nutrition services (meals served at group sites such as senior
centers, community centers, schools, churches, or senior housing complexes), home-
delivered nutrition services, community service employment, the long-term care
ombudsman program, and services to prevent the abuse, neglect, and exploitation of
older persons. Except for Title V, Community Service Employment for Older
Americans, all programs are administered by the Administration on Aging (AoA) in
the Department of Health and Human Services (HHS). Title V is administered by the
Department of Labor (DOL) Employment and Training Administration.
Table 1 summarizes OAA appropriations from FY2000 through FY2008, the
President’s FY2009 Budget Request, and the Senate-reported Labor-HHS-Education
bill (S. 3230, S.Rept. 110-410). It includes funding for the Alzheimer’s Disease
Demonstration Grants and the 2005 White House Conference on Aging. Figure 1
shows the distribution of FY2008 OAA funding by program. Figure 2 shows total
OAA funding from FY2000 through FY2008 and total OAA funding proposed in the²
FY2009 Budget Request and S.Rept. 110-410.
FY2008 Funding and FY2009 Funding Proposals
On December 26, 2007, the President signed the Consolidated Appropriations
Act, 2008 (P.L. 110-161), which provided $1.924 billion for OAA programs in
FY2008, 4% more than the FY2007 level. This figure includes the act’s
across-the-board reduction of 1.747% for items in the Labor-HHS-Education³

division.
¹ The OAA was reauthorized in 2006 by P.L. 109-365. For further information, see CRS
Report RL31336, The Older Americans Act: Programs, Funding, and 2006 Reauthorization
(P.L. 109-365), by Carol O’Shaughnessy and Angela Napili. An unofficial compilation of
the OAA, as amended, is at the Administration on Aging website [http://www.aoa.gov/
OAA2006/Main_Site/oaa/oaa_full.asp].
² For information on OAA appropriations in earlier years, see CRS Report RL32437, Older
Americans Act: History of Appropriations, FY1966-FY2004, by Carol O’Shaughnessy.
³ The Consolidated Appropriations Act (P.L. 110-161) Division G, on Labor-HHS-
Education appropriations, includes an across-the-board reduction of 1.747% to accounts,
(continued...)

On February 4, 2008, the President submitted his FY2009 Budget Request,
which would provide $1.731 billion for OAA programs, a 10% decrease from the
FY2008 funding level.
On June 26, 2008, the House Appropriations Committee met to mark up its draft
FY2009 Labor-HHS-Education appropriations bill, but the session was suspended
before final action.
On July 8, 2008, the Senate Appropriations Committee reported its FY2009
Labor-HHS-Education bill (S. 3230, S.Rept. 110-410). It would provide $2.039
billion for OAA programs, 6% higher than the FY2008 funding level.
On September 30, 2008, the President signed a continuing resolution, P.L.110-
329, the Consolidated Security, Disaster Assistance, and Continuing Appropriations
Act, 2009. P.L. 110-329 provides temporary FY2009 funding, at FY2008 funding
levels, through March 6, 2009. Under the continuing resolution, OAA funds are
made available at the same level and under the same conditions as in FY2008.
The following provides details of funding under Titles II through VII of the
OAA. Title I (Declaration of Objectives) does not authorize appropriations.
Title II. Administration on Aging
Title II establishes AoA within HHS as the chief federal agency advocate for
older persons and 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.
Funding authorized under Title II goes toward program administration and
Aging Network support activities. Aging Network support activities currently
include the following:
^!the National Eldercare Locator, a nationwide toll-free phone number
and website that helps identify community resources for older
persons;
^!the Pension Counseling and Information Program, which funds
regional counseling projects that help older Americans learn about
and receive the retirement benefits to which they are entitled;
^!the Senior Medicare Patrol Program, which funds projects that
educate older Americans and their families to recognize and report
Medicare and Medicaid fraud;
^!the National Long-Term Care Ombudsman Resource Center, which
provides training and technical assistance to state and local long-
term care ombudsmen; and
^!the National Center on Elder Abuse, which provides information to
the public and professionals, and provides training and technical

³ (...continued)
items, programs, projects, and activities in the bill text and the Explanatory Statement
narrative, with some exceptions (Title V, §528).

assistance to state elder abuse agencies and to community-based
organizations.
^!The Choices for Independence initiative, which helps older
Americans plan for long-term care services and supports so that they⁴
can maintain their independence in the community. Choices for
Independence reflects recently authorized provisions in the Older
American Act Amendments of 2006 (P.L. 109-365) related to Aging
and Disability Resource Centers (ADRCs), evidence-based
prevention programs, and consumer-directed services targeted to
persons at high risk of nursing home placement and spend-down to⁵
Medicaid.
The FY2008 Consolidated Appropriations Act (P.L. 110-161) provided $49.7
million for Title II in FY2008, including an $18.5 million increase from FY2007 for
Aging Network support activities. This increase included $16.2 million for the new
Choices for Independence initiative. Choices for Independence is explained in more
detail in the Title IV section below.
The Administration’s FY2008 budget request would have funded Choices for
Independence at $28.0 million under Title IV, which authorizes funds for training,
research, and demonstration projects. However, the House-passed, Senate-passed,
and conference report versions of FY2008 Labor-HHS-Education appropriations
bills, as well as the FY2008 Consolidated Appropriations Act (P.L. 110-161), all
provided funding for Choices for Independence under Title II Aging Network support⁶
activities. The House committee report explained that “[t]hese established
programs, which began as demonstration projects, provide critical support for the⁷
national aging services network.”
The FY2009 Budget requests $31.8 million for Title II, and repeats the FY2008
Budget’s proposal to fund Choices for Independence as a demonstration project
under Title IV, rather than under Title II.
The Senate-reported Labor-HHS-Education proposal requests $62.4 million for
Title II in FY2009, including $28.0 million for Choices for Independence under Title
II Aging Network support activities.

⁴ HHS, AoA, Fiscal Year 2009 Justification of Estimates for Appropriations Committees,
pp. 61and 69, at [http://www.aoa.gov/about/legbudg/current_budg/docs/FinalAoAFY2009
CongressionalJ ustifica tion01282008.pdf].
⁵ H.Rept. 110-231, p.207.
⁶ The House Appropriations Committee recommended that $16.5 million be used for
Choices for Independence (H.Rept. 110-231, p. 207). The Senate Appropriations Committee
recommended that $28.0 million would be used for the Choices for Independence Initiative
(S.Rept. 110-107, p. 203). The conference report for H.R. 3043 would have provided $22.3
million for Choices for Independence activities (H.Rept. 110-424, p. 160).
⁷ H.Rept. 110-231, p.207.

Title III. Grants for State and Community Programs on Aging
The major program under the OAA, Title III — Grants for State and Community
Programs on Aging — authorizes grants to 56 state and 655 area agencies on aging
to act as advocates on behalf of, and to coordinate programs for older persons.⁸ Title
III accounted for 67% of the OAA’s total FY2008 funding. States receive separate
allotments of funds for supportive services and centers, family caregiver support,
congregate and home-delivered nutrition services, the nutrition services incentive
grant program, and disease prevention and health promotion services. In FY2006,⁹

9.5 million older persons were served by Title III programs.

The FY2008 Consolidated Appropriations Act (P.L. 110-161) provided $1.284
billion for Title III, a 2% increase over the FY2007 level of $1.263 billion.
Under the FY2008 Consolidated Appropriations Act, the Title III-C congregate
meals program and the home-delivered meals program each had a 3% funding increase,
and nutrition services incentives grants had a 4% increase from the previous year. Both
Senate and House Appropriations Committee reports noted that funding for OAA
nutrition programs had remained relatively flat over the past several years while the
population of older Americans continued to increase. According to committee reports,
the Senate Appropriations Committee “hopes that the funding increase provided will
help alleviate the fiscal strain affecting these programs,” and the House Appropriations
Committee intended the increase “to be a significant first step in properly investing in¹⁰
the care of the nation’s frail elderly.”
The FY2009 Budget proposes that funding for almost all Title III programs
remain at their FY2008 levels. The exception is the Title III-D disease prevention and
health promotion program; its funding ($21.0 million in FY2008) would be eliminated
under the FY2009 Budget. The Budget Justification explains that “Integrating the
provision of prevention services into AoA’s core program structures will provide a
more effective means to address preventive health needs than the previous approach¹¹
of using a small funding stream to provide States with unfocused seed money.”
Therefore, the President’s FY2009 budget request for all Title III programs is $1.263
billion, a 2% reduction from the FY2008 level.
The Senate-reported Labor-HHS-Education proposal would provide $1.339 billion
for Title III programs in FY2009, a 4% increase from FY2008. The report states that
the Senate Appropriations Committee “is aware that many local senior nutrition

⁸ The 56 state agencies on aging include units in 50 states, 5 U.S. territories, and the District
of Columbia. More information is at [http://www.aoa.gov/prof/agingnet/agingnet.aspx], the
AoA website.
⁹ AoA, Aging Network, 2006 State Program Reports, “Table 1. Estimated Unduplicated
Count of Persons Served Under Title III of the OAA,” at [http://www.aoa.gov/prof/agingnet/
NAPIS/SPR/2006/T a bles/T able1.pdf].
¹⁰ S.Rept. 110-107, p. 201. H.Rept. 110-231, pp. 205-206.
¹¹ HHS, AoA, Fiscal Year 2009 Justification of Estimates for Appropriations Committees,
p. 35.

programs are facing a crisis due to rising fuel and food costs.”¹² For Title III-C
nutrition programs, S.Rept. 110-410 would provide a 6% increase over the FY2008
levels. For Title III-D disease prevention and health promotion, S.Rept. 110-410 would
maintain funding at the FY2008 level of $21.0 million.
Title IV. Program Innovations
Title IV of the OAA authorizes the Assistant Secretary for Aging to award funds
for training, research, and demonstration projects in the field of aging. In recent years,
AoA has funded a number of national efforts that support the work of state and area
agencies on aging, including national resource centers that focus on legal assistance,
retirement needs of minority populations, and the vulnerable elderly. Other recent
projects have included funding for Aging and Disability Resource Centers (ADRCs).
The ADRC program provides competitive grants to states to help them develop and
implement “one stop” access points to information on long-term care support options.
The program is currently operating in 40 states, two territories, and the District of
Columbia.¹³ Other activities have included outreach to help Medicare beneficiaries
understand their benefits under the Medicare Modernization Act (MMA), conducted
in cooperation with the Centers for Medicare and Medicaid Services.
The FY2008 Consolidated Appropriations Act (P.L. 110-161) provided $14.7
million for Title IV in FY2008, $9.4 million less than the FY2007 level.
For Title IV, the President’s FY2009 budget request is $32.9 million. About 85%
($28.0 million) of requested Title IV funds would be used for the Choices for
Independence demonstration described below. The balance of the request would be
used to maintain support for ongoing activities, including national resource centers
that provide technical assistance to aging service providers, multigenerational civic
engagement activities, and program evaluation.
According to the Administration’s FY2009 Budget Justification, the Choices for
Independence demonstration will be a randomized controlled experiment in three to
five states. It will test whether Medicare and Medicaid savings can be achieved through
home and community-based alternatives to nursing homes. Choices for Independence
has three components. First, Aging and Disability Resource Centers provide public
education, information, and assistance with planning for long-term care. Consumers
receive information on private financing options (such as long-term care insurance and
home equity conversions), home modification, assistive technology, and options for
alternative living arrangements. Second, the “Evidence-Based Prevention” component
helps seniors change behavior to reduce risk of disease and disability. Funds support
activities in areas such as falls prevention, exercise, chronic disease self-management,
medication management, and nutrition. This component builds on existing Title IV
evidence-based disease prevention projects. Third, the “Nursing Home Diversion”
component gives states a “flexible funding source” they could use to help seniors avoid
institutionalization. This component would provide financial incentives to
low-to-moderate-income individuals who are at risk of nursing home placement but

¹² S.Rept. 110-410, p.163.
¹³ A directory of ADRCs is at the Aging and Disability Resource Center Technical
Assistance Exchange website, [http://www.adrc-tae.org].

who are not yet eligible for Medicaid. ADRCs would help older people and their
families develop a plan to meet their long-term care needs. According to the Budget
Justification, the Choices for Independence initiative would require a 25% state match
for all three components, and states would have to meet certain performance and¹⁴
outcome standards as a condition of participation.
The Administration estimates that through the FY2009 Choices for Independence
demonstration, there would be 156,000 ADRC contacts, 10,000 participants in the
evidence-based chronic disease self-management program, and 359 clients served¹⁵
through the nursing home diversion component.
As mentioned previously, the FY2008 Consolidated Appropriations Act funded
various Choices for Independence activities under Title II Aging Network support
activities, rather than as a demonstration project under Title IV.S.Rept. 110-410 would
provide $10.1 million for Title IV programs in FY2009. The Senate proposal would
again fund Choices for Independence activities under Title II Aging Network support
activities, rather than as a demonstration project under Title IV.
Title V. Community Service Employment for Older Americans
Title V, also known as the Senior Community Service Employment Program
(SCSEP), 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. For FY2008, the community service
employment program represents more than a quarter of the OAA’s funds ($521.6
million out of $1.924 billion). Enrollees work part-time in a variety of community
service activities. DOL estimates that in FY2008 the program will provide for 59,316
job slots, serving about 105,914 participants, at a cost of $4,925 per participant.¹⁶
Enrollees are paid no less than the highest of the federal minimum wage, the state
or local minimum wage, or the prevailing wage paid by the same employer for similar
public occupations. In addition to wages, enrollees receive physical examinations,
personal and job-related counseling, and transportation for employment purposes, under
certain circumstances.
The 2006 Older Americans Act reauthorization amendments (P.L. 109-365)
maintained the program focus on employing older people in community service jobs and
reemphasized the community service aspects of the program. While the program is to
move participants into unsubsidized employment, the amendments recognized that
many older people who have special needs may need to remain in subsidized

¹⁴ HHS, AoA, Fiscal Year 2009 Justification of Estimates for Appropriations Committees,
pp. 4, 61, and 64-67.
¹⁵ HHS, AoA, Fiscal Year 2009 Justification of Estimates for Appropriations Committees,
p. 66.
¹⁶ DOL, FY2009 Congressional Budget Justficiation, Employment and Training
Administration, Community Service Employment for Older Americans, pp. CSEOA-18-19,
at [http://www.dol.gov/dol/budget/2009/PDF/CBJ-2009-V1-05.pdf].

employment and that the program supplements the income for some workers who¹⁷
cannot find jobs in the private economy.
The Consolidated Appropriations Act (P.L. 110-161) provided $521.6 million for
Title V in FY2008, an 8% increase over the FY2007 funding level. The Explanatory
Statement explained that the increase allows for the federal minimum wage increase to
$6.55 per hour effective July 24, 2008.¹⁸ (The program year for FY2008 funds begins
July 1, 2008.)
The Administration’s FY2009 budget requests $350.0 million for Title V, a
reduction of 33% from the FY2008 level. According to the Administration, the proposed
level would fund approximately 36,300 job slots serving 71,795 participants in 2009,
at a cost per participant of $4,875. A 2003 DOL/Office of Management and Budget
program assessment rated the program ineffective, in part because of “lack of
competition in the program” and “its duplication of other federal programs.” The DOL
Budget Justification states that “In FY2009, the workforce investment system will play
a stronger role in placing job-ready older workers in unsubsidized employment as an
alternative to placing them in SCSEP subsidized employment.”¹⁹
S.Rept. 110-410 would provide $571.9 million for Title V programs in FY2009,
a 10% increase over the FY2008 level. The federal minimum wage is scheduled to
increase to $7.25 per hour effective July 24, 2009. (The program year for FY2009 funds
begins July 1, 2009.)
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 FY2007, grants were awarded to 237 tribal organizations
representing approximately 300 Indian tribes and two organizations serving Native²⁰
Hawaiian elders. The program provides services such as transportation, home-
delivered and congregate nutrition services, information and referral, and a wide range
of home care services.

¹⁷ For further information, see CRS Report RL31336, Older Americans Act: Programs,
Funding, and 2006 Reauthorization, by Carol O’Shaughnessy and Angela Napili.
¹⁸ U.S. House Committee on Appropriations, Consolidated Appropriations Act, 2008,
Committee Print of the Committee on Appropriations, U.S. House of Representatives, on
H.R. 2764 / Public Law 110-161, January 2008, p. 1471, at [http://www.gpoaccess.gov/
congress/house/appropriations/08conappro.html]. The minimum wage increase is in P.L.

110-28, §8102.

¹⁹ DOL, FY2009 Congressional Budget Justficiation, Employment and Training
Administration, Community Service Employment for Older Americans, pp. CSEOA-10, 14,
and 18-19.
²⁰ HHS, AoA, Fiscal Year 2009 Justification of Estimates for Appropriations Committees,
p. 45.

The 2000 amendments (P.L. 106-501) added a new part to Title VI authorizing
caregiver support services to Native American elders. Respite, caregiver training,
information and outreach, counseling, and support groups are among the services
provided.
The FY2008 Consolidated Appropriations Act (P.L. 110-161) provided $33.2
million for Title VI, a 3% increase over the FY2007 level. The FY2009 budget request
and S.Rept. 110-410 would both provide $33.2 million for FY2009, the same as the
FY2008 funding level.
Title VII. Vulnerable Elder Rights Protection Activities
Title VII authorizes the long-term care ombudsman program as well as elder
abuse, neglect, and exploitation prevention programs. Most Title VII funding is directed
at the long-term care ombudsman program. Of its $20.6 million funding in FY2008,
three-quarters was for ombudsman activities. The purpose of the program is to
investigate and resolve complaints of residents of nursing facilities, board and care
facilities, and other adult care homes. In FY2006, ombudsmen handled nearly 286,000
complaints, conducted investigations on over 190,000 cases, and provided almost²¹

440,000 consultations to long-term care facilities’ staff.

The FY2008 Consolidated Appropriations Act (P.L. 110-161) provided $20.6
million for Title VII, a 2% increase over the FY2007 level. The Administration’s
FY2009 budget request and S.Rept. 110-410 would both provide $20.6 million, the
same as the FY2008 level.
Alzheimer’s Disease Demonstration Grants
The FY2008 Consolidated Appropriations Act (P.L. 110-161) funds Alzheimer’s
Disease Demonstration Grants at $11.5 million, 2% less than the FY2007 level. This²²
program is administered by AoA but it is not part of the Older Americans Act.
The Administration’s FY2009 budget request would eliminate Alzheimer’s Disease
Demonstration Grant funding. The Administration argues that the program, active since
1992, “has served the purpose of generating new models and approaches that States can
now incorporate into their own State and community programs.” The Budget
Justification also notes that states can use Title III funds, including Family Caregiver
funds, to provide care for persons with Alzheimer’s.²³
S.Rept. 110-410 would maintain funding for Alzheimer’s Disease Demonstration
Grants at $11.5 million, the same as the FY20008 level.

²¹ HHS, AoA, Fiscal Year 2009 Justification of Estimates for Appropriations Committees,
p. 52.
²² The program was authorized under Sections 398 to 398B of the Public Health Service Act
(42 U.S.C. 280c-3 to 280c-5). Authorization of appropriations expired in 2002.
²³ HHS, AoA, Fiscal Year 2009 Justification of Estimates for Appropriations Committees,
p. 76.

CRS-9
Table 1. The Older Americans Act, Alzheimer’s Demonstration Grants, and White House Conference on Aging
Funding, FY2000-FY2008, and FY2009 Funding Proposals
($ in millions)
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^110-410
^:^A^d^mⁱⁿⁱ^s^t^rati^on^on^A^gⁱⁿ^g^$16.461^$17.232^$20.501^$20.233^$30.618^$31.567^$30.812^$31.518^$49.653^$31.829^$62.388
^admⁱⁿⁱ^s^t^r^atⁱ^oⁿ^16.461^17.232^18.122^17.869^17.324^18.³⁰¹^17.688^18.385^18.064^18.696^$18.696
^or^{k s}^uppor^{t activities}ⁿ^/^aⁿ^/^a^2.379^f^2.364^f^13.294^h^13.266^h^13.124^h^13.133^h^31.589^o^13.133^r^43.692^r
^Gr^aⁿ^t^s^f^o^r^St^a^t^e^aⁿ^d^987.617^1,151.285^1,230.293^1,240.891^1,243.059^1,250.192^1,242.378^1,263.²³²^1,283.816^$1,262.790^$1,338.855
^uⁿⁱ^{ty Program}^s^on^A^gⁱⁿ^g
^tⁱ^{ve s}^e^r^vⁱ^ces^{and cent}^e^r^s^310.082^325.082^{357.000 355.673}^353.889^354.¹³⁶^350.354^350.595^351.348^351.348^361.348
^e^giver^s^aⁿ^/^a^125.000^136.000^149.025^152.738^155.⁷⁴⁴^156.060^156.167^153.439^153.439^155.000
ⁱ^{ki/CRS-RL33880}^{e pr}^{evention/health pr}^omotion^16.123^21.123^21.123^21.919^21.970^21.⁶¹⁶^21.385^21.400^21.026⁰^21.026
^g/wⁿ^services^661.412^680.080^716.170^714.274^714.462^718.⁶⁹⁶^714.579^735.070^758.003^758.003^801.481
^s^.or^egat^{e m}^e^al^s^(374.336)^(378.412)^(390.000)^(384.592)^(386.353)^(387.274)^(385.054)^(398.919)ⁿ^(410.716)^(410.716)^(434.269)
^le^akⁿ
^{ed meals}^(146.970)^(152.000)^(176.500)^(180.985)^(179.917)^(182.826)^(181.781)^(188.305)^(193.858)^(193.858)^(205.005)
^://wikiⁿ^{services in}^cen^{tive g}^r^aⁿ^t^s^(140.000)^(149.668)^e^(149.670)^(148.697)^g^(148.192)^(148.596)^(147.744)^(147.⁸⁴⁶⁾^(153.429)^(153.429)^(162.207)
^h^ttp^{: Program}^Iⁿⁿ^ovati^oⁿ^s^31.162^37.678^38.280^40.258^33.509ⁱ^43.286^24.578^24.058^14.655^32.918^r^10.102^r
^m^{unity Service}^440.200^440.200^445.100^442.306^438.650^436.678^432.311^483.611ⁿ^521.625^350.000^571.925
^{ent for Older Am}^ericans
^{: G}^r^ants^{to Native Am}^ericans^18.⁴⁵⁷^23.457^31.229^33.704^32.771^32.702^32.353^32.375^33.214^33.214^33.214
^{tive and nutr}^{ition s}^e^r^v^ices^18.457^23.457^25.729^27.495^26.453^26.³⁹⁸^26.116^26.134^26.898^26.898^26.898
^{ican car}^e^giver^s^bⁿ^/^a⁰^5.500^6.209^6.318^6.304^6.237^6.241^6.316^6.316^6.316
^I^:^{Vulnerable E}^l^{der Rights}^13.181^14.181^17.681^18.559^19.444^19.²⁸⁸^20.142^20.156^20.633^20.633^22.133
^e^r^m^car^e^om^buds^m^{an pr}^ogr^am^dd^dd^14.276^14.162^15.000^15.010^15.577^q^15.577^17.077
^{e pr}^evention^5.168^5.126^5.142^5.146^5.056^q^5.056^5.056
^sⁱ^s^t^ance⁰⁰⁰⁰⁰⁰⁰⁰⁰⁰⁰
^erⁱ^c^ans^el^der^rⁱ^ght^s^pr^ogr^am
^d^{er A}^m^eri^can^s^A^c^{t Program}^s^$1,507.078^$1,684.033^$1,783.084^$1,771.057^$1,798.051^$1,813.⁷¹³^$1,782.574^$1,854.950^$1,923.596^$1,^731.384^$2,038.617
^er’s^Dem^o^ns^{tration G}^r^ants^c^$5.970^$8.962^$11.500^$13.412^$11.883^$11.⁷⁸⁶^$11.660^$11.668^$11.464⁰^$11.464
^{e Conference on Aging}⁰⁰⁰⁰^$2.814^j^$4.520^j⁰^j⁰⁰⁰⁰

CRS-10
^FY^2000-FY^{2006: A}^ppropria^tions^le^gⁱ^s^l^a^tion^a^nd^c^o^m^m^itte^e^re^ports^{, v}^a^rious^y^e^a^r^s^.^FY^2007-FY^2008:^C^ons^olidate^d^Appr^opr^iations^Ac^{t, 2008}^,^Committe^e^{Print of the}^Co^m^m^itte^e^{on Appr}^opr^iations^,
^ous^e^{of Re}^pr^e^s^eⁿ^tativ^e^s^{, on H}^.^{R. 2764 / Pub}^l^ic^Law^110-¹⁶¹^{, J}^a^nua^ry^{, 2008, pp. 1776, 1809-1810, a}^t^[^h^ttp://^www.^g^p^o^access.^go^v/^coⁿ^g^ress/^hous^e^/^a^ppr^opr^ia^tions^/08c^ona^ppr^o.htm^l^]^.^FY^{2009: U}^.^S.
^m^e^{nt of}^H^e^a^{lth a}^nd^H^u^m^aⁿ^Se^r^v^ic^e^s^,^A^d^mⁱ^nis^t^r^a^{tion on A}^g^ing^,^Fis^c^{al Ye}^ar^{2009 J}^u^s^tific^{ation of Es}^tim^ate^s^for^Appr^opr^iations^Com^m^itte^e^s^{; U}^.^{S. D}^e^pa^r^t^m^e^{nt of}^L^a^bor^,^Fis^c^{al Ye}^ar^{2009 Budge}^{t in Br}^ie^f^;
^410.
^iz^e^d^by^the^O^l^de^r^A^m^e^r^ic^aⁿ^s^A^c^{t A}^m^e^ndm^eⁿ^ts^of^{2000 (}^P^.L^{. 106-}^{501, §316)}^{. Funding}^f^o^r^N^a^tiv^e^A^m^e^r^ic^aⁿ^f^a^m^ily^c^a^r^e^g^ivⁱⁿ^g^{is show}^{n in T}^itle^V^I^.
^iz^e^d^by^the^O^l^de^r^A^m^e^r^ic^aⁿ^s^A^c^{t A}^m^e^ndm^eⁿ^ts^of^{2000 (}^P^.L^{. 106-}^{501, §604)}^.
^{1999 O}^m^nibus^C^ons^olida^t^e^d^A^ppr^opr^ia^tions^A^c^t⁽^P^.L^.^105-²⁷⁷⁾^tr^aⁿ^s^f^e^r^r^e^d^the^a^d^mⁱ^nis^t^r^a^{tion of}^the^pr^og^r^a^m^f^r^om^the^H^e^a^{lth R}^e^s^our^c^e^s^a^{nd Se}^r^v^ic^e^s^A^d^mⁱ^nis^t^r^a^{tion to A}^o^A^.^T^h^e^pr^og^r^a^m^w^a^s
^a^u^thor^iz^e^d^unde^r^Se^c^tions^{398 to 398B}^of^the^P^ublic^H^e^a^{lth Se}^r^vⁱ^c^e^A^c^{t (}^{42 U}^.^S.C^.^280c^-³^{to 280c}^-⁵⁾^.^A^u^thor^iz^a^{tion of}^a^ppr^oprⁱ^a^tions^e^x^pir^e^{d in 2002.}
^r^a^te^a^m^ounts^{not s}^p^e^cⁱ^fⁱ^e^d^.
^re^s^s^orig^ina^lly^a^ppropria^te^{d $150 m}^{illion, the}ⁿ^re^s^cⁱ^nde^{d $332,000 (0.22%}^{) purs}^u^aⁿ^{t to S}^e^c^{tion 1(a}^{)(4) of}^P^.^L^.^106-554.
^s^a^pprox^im^a^t^e^l^y^{$1.2 m}^{illion f}^o^{r the}^Elde^rc^a^r^e^L^o^c^a^t^or^,^a^nd^$1.2^m^{illion f}^o^{r P}^e^ns^{ion Couns}^e^ling^a^{nd Inf}^o^rm^a^{tion P}^r^og^r^am^.^T^h^ese^p^r^o^g^ram^s^w^e^{re au}^t^h^o^rⁱ^zed^b^y^t^h^{e Ol}^d^e^{r A}^m^eri^can^{s A}^c^t^A^m^en^d^m^en^t^s
^of^{2000 (}^P^.L^{. 106-}^{501, §205)}^.
^r^e^s^s^tr^aⁿ^s^f^e^r^r^e^{d the}^pr^og^r^a^m^,^pr^e^v^ious^ly^f^unde^{d by}^the^U^.^{S. D}^e^pa^r^t^m^e^{nt of}^A^g^rⁱ^c^u^ltur^e^,^{to A}^o^A^{in FY}^{2003. P}^.^L^.^110-^{19 r}^e^p^eal^ed^cert^aⁱⁿ^p^r^o^vⁱ^sⁱ^oⁿ^s^regardⁱⁿ^{g st}^at^{e agen}^cy^an^d^t^rⁱ^b^al^gran^t^{ee co}^m^m^o^dⁱ^t^y
^pur^c^h^a^s^e^s^{, a}^s^a^dde^{d by}^the^O^l^de^r^A^m^e^r^ic^aⁿ^s^A^c^{t A}^m^e^ndm^eⁿ^ts^of^{2006 (}^P^.L^{. 109-}³⁶⁵⁾^{, a}^{nd r}^e^s^t^or^e^d^f^o^r^m^e^r^c^o^m^m^odity^pur^c^h^a^s^e^pr^ov^is^ions^{, w}^{ith r}^e^vⁱ^sⁱ^ons^.
^ude^s^f^unds^f^o^{r a}^c^tiv^itie^s^pre^v^ious^ly^f^unde^{d unde}^{r T}^itle^IV^:^Se^{nior Me}^dic^a^r^e^P^a^trols^,^N^a^tiona^{l L}^ong^-T^e^r^m^Ca^re^O^m^buds^m^aⁿ^R^e^s^our^c^e^C^e^nte^r^{, a}^{nd N}^a^tiona^{l C}^e^nte^r^{on Elde}^r^A^bus^e^.^A^l^s^o^inc^l^ude^s^f^unds
^f^o^r^the^Elde^r^c^a^r^e^L^o^c^a^t^or^{, a}^{nd P}^e^ns^{ion C}^ouns^e^ling^a^{nd I}ⁿ^f^o^r^m^a^{tion P}^r^og^r^a^m^.
^ble^note^{h. Funds}^s^how^{n a}^r^e^re^duc^e^d^f^r^om^FY^{2003 le}^v^e^{l due}^{to tra}ⁿ^s^f^e^r^of^s^o^m^e^f^unds^{to T}^itle^II.
ⁱ^{ki/CRS-RL33880}^100-^{75 r}^e^quir^e^{d the}^P^r^e^s^ideⁿ^{t to co}ⁿ^v^en^e^the^c^onf^e^r^eⁿ^c^e^{no la}^te^r^thaⁿ^D^e^c^.^{31, 2005. I}^t^w^a^s^he^{ld D}^ecem^b^e^{r 1}¹^-¹⁴^,^{2005. Se}^e^[^h^ttp://^www.^wh^c^o^a^.^g^o^v^]^.^F^Y^{2006 oblig}^a^tions^f^o^r^the^W^h^ite^H^ous^e^C^onf^e^r^eⁿ^c^e^{on A}^g^ing^w^e^r^e^f^unde^{d by}^c^a^r^r^y^ov^e^r^ba^la^nc^e^s^of^pr^ior^-^y^e^a^r^a^ppr^opr^ia^tions^.
^g/w^m^ounts^r^e^f^l^e^c^t^the^0.80%^a^c^r^os^s^-^the^-^boa^r^d^r^e^duc^{tion r}^e^qui^r^e^{d by}^P^.^L^.^108-^{447, D}ⁱ^vⁱ^sⁱ^{on J}^,^Se^c^{tion 122. T}^h^e^A^d^mⁱ^nis^t^r^a^{tion w}^a^s^gⁱ^v^e^{n dis}^c^r^e^{tion on how}^{to dis}^t^rⁱ^bute^the^r^e^duc^tion^am^oⁿ^g
^s^.or^indivⁱ^dua^{l a}^c^c^ounts^a^{nd line}^ite^m^s^.^m^ounts^r^e^f^l^e^c^t^tw^{o r}^e^s^c^is^sⁱ^ons^{: (}¹⁾^T^h^e^r^e^w^a^s^a^1%^a^c^r^os^s^-^the^-^boa^r^d^r^e^duc^{tion r}^e^quir^e^{d by}^P^.^L^.^109-^{148, D}ⁱ^vⁱ^sⁱ^{on B}^,^T^itle^{III, Cha}^p^te^{r 8, Se}^c^{tion 3801. (2) O}ⁿ^J^une^14,^2006,^the^H^H^S^Se^c^r^e^t^a^r^y
^le^ak^notif^ie^{d the}^A^ppropria^tions^Com^m^itte^e^s^tha^t^he^w^ould^traⁿ^s^f^e^r^f^unds^a^m^ong^H^H^S^prog^ra^m^s^{to f}ⁱ^na^nc^e^a^c^tiv^itie^s^re^la^te^{d to the}^Me^d^ic^a^r^e^dr^ug^be^ne^f^{it c}^a^{ll c}^eⁿ^te^r^.^T^h^is^tr^aⁿ^s^f^e^r^w^a^s^a^0.069%^a^c^r^os^s^-^the^-
^boa^{rd re}^duc^{tion a}^{nd it re}^duc^e^d^A^d^mⁱ^nis^t^ra^{tion on A}^g^ing^f^unds^by^$0.^{9 m}^{illion. It w}^a^s^a^u^thoriz^e^d^by^Se^c^{tion 208 of}^P^.^L^.^109-149^.
^://wiki^{2007, P}^.^L^.^{110-5 s}^p^e^cⁱ^fⁱ^e^d^dolla^{r a}^m^ounts^f^o^{r s}^o^m^e^{, but not a}^{ll, prog}^ra^m^s^{. A}^g^eⁿ^cⁱ^e^s^ha^{d s}^o^m^e^f^l^e^x^ibility^{to de}^te^rm^ine^pr^og^r^a^m^a^m^ounts^ba^s^e^{d on FY}^{2006 a}^ppr^opr^ia^tions^.
^h^ttp^le^v^e^{l w}^a^s^s^p^e^cⁱ^fⁱ^e^d^{in P}^.^L^.^110-^5,^R^e^vⁱ^s^e^{d C}^ontinuing^A^ppr^opr^ia^tions^R^e^s^o^{lution, 2007.}^Choic^e^s^f^o^{r Inde}^pe^nde^nc^e^Initia^tiv^eⁱⁿ^c^l^ude^s^ne^w^l^y^a^u^thoriz^e^d^prov^is^ions^of^th^e^O^l^de^r^A^m^e^r^ic^aⁿ^s^A^c^{t A}^m^e^ndm^eⁿ^ts^of^{2006 (}^P^.^L^.^109-365)^re^la^te^{d to “}^a^g^ing^a^{nd dis}^a^bility^re^s^ourc^e^c^eⁿ^te^rs^(A^D^RCs^),
^e^v^ideⁿ^c^e^-^ba^s^e^{d pr}^e^v^eⁿ^{tion pr}^og^r^a^m^s^{, a}^{nd c}^ons^um^e^r^-^d^ir^e^c^t^e^d^s^e^r^v^ic^e^s^ta^r^g^e^t^e^d^a^t^indivⁱ^dua^ls^w^{ho a}^r^e^a^t^hig^h^rⁱ^s^k^of^nur^sⁱ^ng^hom^e^p^l^acem^en^t^an^d^sp^en^d^-^d^o^wⁿ^t^o^M^e^dⁱ^cai^d^”^(H.^R^ep^t^.^110-^{231, p. 207)}^.
^T^h^e^P^r^e^s^ideⁿ^t’s^FY^{2008 budg}^e^t^re^que^s^t^e^d^Choic^e^s^f^o^{r Inde}^pe^nde^nc^e^f^unds^unde^{r T}^itle^IV^{, w}^h^ile^the^FY^{2008 Cons}^olida^t^e^d^A^ppropria^t^ions^A^c^{t (}^P^.L^{. 110-}¹⁶¹⁾^pr^ov^ide^s^the^f^unds^unde^r^A^g^ing^N^e^tw^or^k
^s^{upport a}^c^tiv^itie^s^unde^{r T}^itle^{II. T}^h^e^P^r^e^s^ideⁿ^t’s^FY^{2008 budg}^e^t^re^que^s^t^w^{ould ha}^v^e^prov^ide^d^{$28.0 m}^{illion f}^o^{r Choic}^e^s^f^o^{r Ind}^e^p^eⁿ^d^eⁿ^c^e^.^P^.^L^.^110-^{161 prov}^ide^s^{$16.2 m}^{illion f}^o^{r Choic}^e^s^f^o^r
^I^nde^pe^nde^nc^e⁽^a^f^t^e^r^a^1.747%^a^c^r^os^s^-^the^-^boa^r^d^r^e^duc^tion)^.
^{110-161 a}^pplie^s^aⁿ^a^c^r^os^s^-^the^-^boa^{rd re}^duc^{tion of}^1.747%^{to f}ⁱ^g^u^re^s^{in the}^{bill te}^x^t^a^{nd Ex}^plaⁿ^a^t^ory^Sta^t^e^m^eⁿ^{t na}^rra^tiv^e^(D^iv^is^{ion G}^,^T^itle^V^,^§528).
^r^a^te^a^m^ounts^not^s^p^e^cⁱ^fⁱ^e^d^{in FY}^{2008 C}^ons^olida^t^e^d^A^ppr^opr^ia^tions^A^c^{t ta}^ble^s^{. T}^h^e^s^e^fⁱ^g^u^r^e^s^w^e^r^e^c^a^l^c^u^la^te^{d by}^C^R^S^by^a^p^plyⁱ^ng^the^1.747%^a^c^r^os^s^-^the^-^boa^r^d^r^e^duc^{tion to f}ⁱ^g^u^r^e^s^{in the}^Ex^plaⁿ^a^t^or^y
^S^t^at^em^en^tⁿ^a^rratⁱ^v^{e i}ⁿ^t^h^e^C^ongr^e^s^sⁱ^{onal Re}^c^o^r^d^,^Decem^b^e^{r 1}⁷^,^{2007, p. H}^16242.
^r^e^s^ideⁿ^t’s^FY^{2009 budg}^e^t^re^que^s^t^s^{$28.0 m}^{illion f}^o^{r Choi}^c^e^s^f^o^r^Inde^pe^nde^nc^e^a^c^tiv^itie^s^unde^{r T}^itle^IV^{. S.Re}^{pt. 110-41}⁰^re^que^s^t^s^{$28.0 m}^{illion f}^o^{r Choic}^e^s^f^o^{r Inde}^pe^nde^nc^e^a^c^tiv^itie^s^unde^{r A}^g^ing
^N^e^tw^ork^s^{upport a}^c^tiv^itie^s^unde^{r T}^itle^{II. Se}^e^ta^ble^note^o.

Figure 1. Older Americans Act, FY2008 Funding
($ 1.924 billion)

^S^o^u^rce:^P^r^e^p^a^r^e^d^by^C^R^S^ba^s^e^{d on}^Cons^olidate^d^Appr^opr^iations^Ac^{t, 2008, Com}^m^itte^e^Pr^{int of}
^t^h^e^C^o^mm^itte^e^{on Appr}^opr^iations^{, U}^.^{S. H}^ous^e^of^Re^pr^e^s^eⁿ^tativ^e^s^{, on H}^.^{R. 2764 / Public}^L^a^w
^110-¹⁶¹^{, J}^a^nua^r^y^{, 2008,}^p^p^.^{1776, 1809-}^{1810, at}
^[^h^t^t^p^:^/^/^www.^g^p^o^access.^go^v/^coⁿ^g^ress/^hous^e^/^a^ppr^opr^ia^tions^/08c^ona^ppr^o.htm^l^] .
^Note:^Sum^s^m^a^y^tota^{l to m}^o^r^e^thaⁿ^100%^due^{to r}^ounding^.

Figure 2. Funding for Older Americans Act Programs,
FY2000-FY2008, and FY2009 Proposals
($ in millions)

^S^o^u^rce:^P^r^e^p^a^r^e^d^by^C^R^S^ba^s^e^{d on a}^ppr^opr^ia^tions^le^gⁱ^s^l^a^tion.