Orientation to the Older Americans Act and Older Californians Act - PowerPoint PPT Presentation

Orientation to the Older Americans Act andOlder Californians Act

Johnna Meyer, Policy Manager

California Department of Aging

• Historically it was the smallest program in the federal budget
• Continuing Resolution
• Reauthorized every 3-5 years
• Amended 13 times since 1965
• California was the 2nd state to qualify for funds
• Planning and Service Areas (PSA)
• Area Agencies on Aging (AAA)
• Direct Service Areas (DSA)

• 1950 (President Truman)
• National Conference on Aging
• 1951 (CA Governor Earl Warren)
• Governor’s Conference on Aging
• 1956 (CA Governor Earl Warren)
• Citizens Advisory Committee on Aging
• 1961 (President Eisenhower)
• 1st White House Conference on Aging (WHCOA)
• Called for a WHCOA every 10 years

Key Dates/Policy Issues

• 1963 (President Kennedy)
• Introduced the first legislation— Federal Grant Program for the Aging
• 1965 (President Johnson)
• Signed into Law the Older Americans Act of 1965
• Established State Units on Aging
• Enacted Medicare/Medicaid in SSA

• 1966
• California Commission on Aging created
• 1971 WHCOA (President Nixon)
• 5 fold increase for programs funded under the Act
• 75% of recommendations implemented by Federal Government
• Outcomes: SSI/SSP, Federal Council on Aging, National Institute on Aging

• 1972 OAA Amendments
• Nutrition (Congregate) Program for the Elderly Act signed into law. Largest program under the Act ($100 M)

• 1973 OAA Amendments
• Changed Focus to System Building vs. Provision of Direct Service
• Established Area Agencies on Aging
• Advisory Councils required at all levels
• Title IX, Older Americans Community Service Employment Act created (now Title V)

• 1974 (January 1)
• New Office on Aging established in California
• New Commission on Aging created to serve as advisory body to Office on Aging

• 1975 OAA Amendments
• Priority Services mandated
• Transportation, Home Care, Legal Services, and Home Renovation/Repair
• 1976
• California Department of Aging established
• 1977
• Title V Allocation toCDA

• 1978 OAA Amendments
• All funds must flow through a AAA
• All PSAs must have a AAA by 1981 in order to receive OAA funds
• California added 15 new AAAs
• Purpose of the Act was broadened

• 1981WHCOA (President Carter/Reagan)
• Social Security Focus
• Outcome: Medicare/Medicaid Reforms
• OAA Amendments
• Deleted the 50% funding for Title III B Priority Services—Access, In-home, and Legal
• Required instead “adequate proportion” and “minimum percentage”
• 2-, 3-, or 4-year planning cycle

• 1984 OAA Amendments
• Increased transfers amounts between IIIB and IIIC
• Clarified roles of SUA and AAA for accountability for funding of Priority Services

• 1984 Senior’s Initiative for California (Governor Deukmejian)
• Established Linkages, ADCRC, HICAP, Prop 30 (Sr. Center Bond Act)
• 1985
• LTC policy to CDA (AB 2226)
• Transferred ADHC and MSSP to CDA

• 1987 OAA Amendments
• Required Office of State LTC Ombudsman
• Added new Titles III D (In-Home), F (Preventive Health), & G (Abuse, Neglect)
• 1992 OAA Amendments
• Expanded statement of purpose
• Opportunity for older individuals to receive managed in-home and CBLTC services
• Redefined I&R—Renamed I&A

• Case Management defined and identified as an access service requiring an “adequate proportion” of Title IIIB funding
• Supportive Services more broadly defined
• Limited transfer of funds between IIIB and IIIC
• Title V
• minimum funding base for national grantees
• Required closer working relationship between national grantees and AAAs

• Changed/Added Programs
• IIIF—Disease Prevention and Health Promotion (formerly preventative health)
• IIIG—Supportive Activities for Caregivers (formerly Elder Abuse)
• Title VII, Vulnerable Elder Rights Protection Activities (LTC Ombudsman, Elder Abuse Prevention, Elder Rights, Counseling)

• 1995 WHCOA (President Clinton)
• Focused on reaffirming support for existing programs
• New look at existing programs to preserve for future generations
• Social Security (Medicare/Medicaid),
• Older Americans Act
• Called for Universal Health Care
• Further development of home and community based LTC services
• Commitment to national policy focused on aging, not aged

• 1996
• Older Californians Act Revised (AB 2800)
• Established CDA’s mission statement in law
• Statewide Expansion of 6 State-funded programs and HICAP
• Transferred administration of these programs to AAAs

• 2000OAA Amendments
• Cost Sharing
• Nutrition Services Incentive Program (formerly USDA)
• Reimbursement to Allocation Model
• Title V, Senior Community Service Employment Program
• Tied to Workforce Investment Act
• State Plan Required
• Data collection system required
• 9 Performance Measures + Sanctions

• TitleIII E Family Caregiver Support Program
• First new program with money ($125M)
• New Service Population
• In-Home Services for Frail & Alzheimer’s
• Moved III D In-Home to III B
• Moved Disease Prevention and Health Promotion from III F to III D
• Established Ombudsman Maintenance of Effort
• Base Year 1999

• Requires AAA to COORDINATE

with :

• Other community providers
• Intergenerational Programs

• 2005 WHCOA (President Bush)
• October 23-26, 2005
• Focus on needs of baby boomers
• OAA Reauthorization scheduled for FFY 2005-06

Thank You