Revving Up for OAA Reauthorization: What’s on Your Mind?

1. Monday, July 19 8:15-9:45 am Revving Up for OAA Reauthorization: What’s on Your Mind? John Palmer, RLTV, moderator Carol O’Shaughnessy, NHPF Lynn Kellogg, n4a Sandy Markwood, n4a

2. Older Americans Act of 1965, P.L. 89-73, July 14, 1965 Lyndon Johnson signing the OAA, 1965.

3. Older Americans Act, Influenced by Political and Policy Trends • 1965: Legacy of the Great Society -- one of the foundation pieces for evolving public policy on aging • 1970s: New Federalism -- state and area agency on aging infrastructure development • 1980s: national policy focus on nursing home reform & HCBS waivers • OAA authorization for ombudsman program and Title III priority on funding home care services

4. Timeline of Major Amendments 1965 1973 – AAAs created; multipurpose senior centers and community service employment authorized • 1978 – Home –delivered meals authorized and ombudsman services required • 1992 – Elder rights recognized 2000 – National family caregiver support program 2006 – HCBS systems thru ADRCs; evidence-based health promotion services 2011 2011 – How best to position the Act for the baby boom population and the vulnerable elderly? 1972 – Nutrition program

5. Themes in Legislative Developments Universal vs. targeted participation of older people Tension between federally designated services and state and local needs Title III formula grant distribution Statutory recognition for functions already performed by state/area agencies Some R&D initiatives become operating programs Broad planning, coordination, & advocacy functions vs. management of specific service programs Consolidation/simplification/flexibility vs. increasing requirements on stable funding base What is needed most? More funding or greater authority and additional programs? “Dance of Legislation”

6. For further information, see The Aging Services Network: Accomplishments and Challenges in Serving a Growing Elderly Population By Carol V. O’Shaughnessy National Health Policy Forum http://www.nhpf.org/library/details.cfm/2625

7. n4a Reauthorization Survey Results • Almost 400 people responded to AAA survey; 75% were n4a members • Areas of strongest consensus (90%+ ) include: Project 2020; combining Titles C1 and C2; build capacity of Aging Network; and protecting/enhancing local flexibility in the Act

8. Since 2006, what programs have seen the greatest increase in demand?

9. n4a Reauthorization Survey Results • Clear majority support (70%+) • clarifying the relationship between AAAs and ADRCs; • broadening role of AAAs in transportation coordination • doing more to connect to and support housing options; • greater flexibility in cost-sharing; etc.

10. Q: How should an ADRC be defined?

11. n4a Reauthorization Survey Results • We are less united on… • Evenly divided on whether to establish new eligibility guidelines or not • Half want III D integrated into III B; others disagree • Title VI survey results spoke to need for capacity building incl. technology training, higher authorized funding, and transportation

12. n4a Draft Reauthorization Ideas • Where we are heading and how to get us there… • Long-Term Services and Supports • Capacity Building in the Aging Network • Livable Communities • Senior Mobility Options

13. n4a Draft Reauthorization Ideas • Balancing national priorities and local flexibility… • Flexibility • Authorization Levels (which represent an investment in the core programs) • Strengthening Title VI aging programs

14. What’s on Your Mind? • Feedback forms in the back of your OAA Reauthorization Ideas packet • Turn in as you leave, or • Turn in at n4a booth today, or • Turn in at Registration before you leave St. Louis • Last resort: Send to n4a staff in DC by end of August