Older Americans Act: History of Appropriations, FY1966-FY2004

CRS Report for Congress
Older Americans Act:
History of Appropriations,
FY1966-FY2004
June 18, 2004
Carol O’Shaughnessy
Specialist in Social Legislation
Domestic Social Policy Division

Congressional Research Service ˜ The Library of Congress

Older Americans Act: History of Appropriations,
FY1966-FY2004
Summary
The Older Americans Act (OAA) is the major federal vehicle for the delivery
of social and nutrition services for older persons. Originally enacted in 1965, the act
supports a wide range of social services for older persons; the congregate and home-
delivered nutrition program; caregiver support services; community service
employment; the long-term care ombudsman program; services to prevent abuse;
neglect and exploitation of older persons; grants to Native Americans; and research,
training and demonstration activities in the field of aging. Authorization of
appropriations for the act were extended through FY2005 by P.L. 106-501, signed
into law on November 13, 2000. The act is scheduled for review for reauthorization
by the 109^th Congress.
The act establishes the Administration on Aging (AoA) within the Department
of Health and Human Services (DHHS) which administers all of the act’s programs
except for the community service employment program, administered by the
Department of Labor (DOL).
The original legislation in 1965 established AoA within the then-Department
of Health, Education, and Welfare (HEW) and established a state grant program for
community planning and services programs as well as authority for research,
demonstration, and training programs. The act has been amended 14 times since the
original legislation was enacted. Major amendments included the creation of the
national nutrition program for the elderly in 1972 and the network of area agencies
on aging in 1973 under Title III. Other amendments established the long-term care
ombudsman program and a separate grant program for older Native Americans in
1978; and a number of additional service programs under the state and area agency
on aging program, including programs to prevent elder abuse, neglect, and
exploitation, and health promotion and disease prevention programs, among others,
in 1987.
The 1992 amendments created Title VII, authorizing programs that focus on
protection of the rights of vulnerable older persons, including the long-term care
ombudsman program, and services to prevent elder abuse, neglect, and exploitation
(under prior law authorized under Title III). The 2000 amendments enacted the
National Family Caregiver Support Program under Title III, and required the
President to convene a White House Conference on Aging by December 2005.
This report presents an appropriations history of the act from FY1966, the first
time the act’s programs received funds, through FY2004. This report will be updated
as appropriations legislation is enacted. For appropriations action during the 108^th
Congress and more detailed information about the act, see CRS Report RL31336,
Older Americans Act: Programs and Funding.

Contents
Summary of Legislation.........................................1
Title I. Declaration of Objectives.................................2
Title II. Administration on Aging.................................2
Title III. Grants for State and Community Programs on Aging..........2
Title IV. Training, Research, and Discretionary Projects and Programs...3
Title V. Community Service Employment for Older Americans.........3
Title VI. Grants for Services for Native Americans ..................4
Title VII. Vulnerable Elder Rights Protection Activities...............4
Appendix A. Public Laws to Enact and Amend the Older Americans Act....15
List of Tables
Table 1. Older Americans Act Appropriations, FY1966-FY1991............5
Table 2. Older Americans Act and White House Conference
on Aging Appropriations, FY1992-FY1997........................11
Table 3. Older Americans Act, Alzheimer’s Demonstration Programs, and
White House Conference on Aging Appropriations, FY1998-FY2004....13

Older Americans Act: History of
Appropriations, FY1966-FY2004
Summary of Legislation
With passage of the Older Americans Act in 1965, Congress created a new
federal program specifically designed to meet the social service needs of older
people. Although older persons may receive services under many other federal
programs, the act is the major vehicle for the organization and delivery of social and
nutrition services to this group.
The original Act established the Administration on Aging (AoA) within the
then-Department of Health, Education, and Welfare (HEW) and established a state
grant program for community planning and services programs as well as authority for
research, demonstration, and training programs in the field of aging. The act has
been amended 14 times since the original legislation was enacted.
Major amendments to the act occurred in 1972, with the creation of the national
nutrition program for the elderly, and in 1973, with the establishment of substate area
agencies on aging whose purpose is to plan and coordinate services for older persons
and to act as advocates on their behalf. The 1973 amendments also established
legislative authority for the community service employment program which provides
part-time subsidized jobs for low-income older persons.
The 1978 amendments represented a major structural change to the act when the
separate grant programs for social services, nutrition services and multipurpose
senior center facilities were consolidated into one program under the authority of
state and area agencies on aging. These amendments also established the state long-
term care ombudsman program and a new Title VI authorizing grants to Indian tribal
organizations for social and nutrition services to older Indians. Amendments in 1981
and 1984 gave states more flexibility in the administration of the nutrition and
supportive service programs, among other provisions. The 1987 amendments created
new separately authorized service components under the state and area agency on
aging program, including services to prevent abuse, neglect, and exploitation of older
persons, and health promotion and disease prevention programs, among others.
These amendments also incorporated a grant program for older Native Hawaiians
under Title VI.
The 1992 amendments again restructured some of the act’s programs. A new
Title VII was created to consolidate and expand certain programs that focus on
protection of the rights of older persons which were previously authorized under Title
III. These include the long-term care ombudsman program and program to prevent
abuse, neglect and exploitation of older persons.

The 2000 amendments extended the act’s programs through FY2005. These
amendments authorized the National Family Caregiver Support Program under Title
III; required the Secretary of the Department of Labor (DoL) to establish performance
measures for the senior community service employment program; allowed states to
impose cost-sharing for certain Title III services older persons receive while retaining
authority for voluntary contributions by older persons toward the costs of services,
among other things. In addition, the amendments require the President to convene
a White House Conference on Aging by December 31, 2005.
For more information on Older Americans Act programs, see CRS Report
RL31336, Older Americans Act: Programs and Funding. For information on the last
amendments to the act in 2000, see CRS Report RL30055, Older Americans Act:

106^th Congress Legislation.

The following provides a brief description of the act’s titles as enacted through
the 2000 amendments (P.L. 106-501). Tables 1-3 present an appropriations history,
FY1966-FY2004. Appendix A lists the public laws that have amended the Older
Americans Act of 1965.
Title I. Declaration of Objectives
Title I of the act sets out broad social policy objectives oriented toward
improving the lives of all older Americans, including adequate income in retirement,
the best possible physical and mental health, opportunity for employment, and
comprehensive long-term care services, among other things.
Title II. Administration on Aging
Title II establishes AoA in the Department of Health and Human Services
(DHHS) and as the chief federal agency advocate for older persons; it 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.
Title II requires that AoA establish the National Eldercare Locator Service to provide
nationwide information through a toll-free telephone number to identify community
resources for older persons. It also requires AoA to establish the National Long-
Term Care Ombudsman Resource Center, the National Center on Elder Abuse, the
National Aging Information Center, and the Pension Counseling and Information
Program.
Title III. Grants for State and Community Programs on Aging
Title III authorizes grants to state and area agencies on aging to act as advocates
on behalf of, and to coordinate programs for, older persons. It accounts for 69% of
total OAA funds in FY2004 ($1.243 billion out of almost $1.798 billion). The
program, which supports 56 state agencies on aging, 655 area agencies on aging, and
more than 29,000 service providers, authorizes six separate service programs. States
receive separate allotments of funds for supportive services and centers, family
caregiver support, congregate and home-delivered nutrition services, nutrition
services incentive grants, and disease prevention and health promotion services.

AoA allots funds for supportive services, congregate and home-delivered
nutrition services, and disease prevention/health promotion services to states based
on each state’s relative share of the total population aged 60 years and over. Funds
for nutrition services incentive grants are allotted to states based on a formula that
takes into account the number of meals served by each state’s nutrition program the
prior year. Funds for the family caregiver program are allotted to states based on
each state’s relative share of the total population aged 70 years and over (although
persons under age 70 are eligible to receive caregiver services).
Title III supportive and nutrition services are available to all persons age 60 and
over, but are targeted to those with the greatest economic and social need,
particularly low-income minority persons and older persons residing in rural areas.
Priority for caregiver services is to be given to older persons and their families who
have the greatest social and economic need, with particular attention to low income
individuals, to older persons who provide care and support to persons with mental
retardation and developmental disabilities, and, under certain circumstances, to
grandparents and certain other caregivers of children.
Participants are encouraged to make voluntary contributions for services they
receive. Means testing for Title III services is prohibited. However, states are
allowed to implement cost-sharing policies for certain services on a sliding fee scale
basis under certain circumstances; but older persons must not be denied services due
to failure to make cost-sharing payments.
Title IV. Training, Research, and Discretionary Projects and
Programs
Title IV of the act authorizes the Assistant Secretary for Aging to award funds
for training, research, and demonstration projects in the field of aging. Funds are to
be used to expand knowledge about aging and the aging process and to test
innovative ideas about services and programs for older persons. Over the years, Title
IV has supported a wide range of research and demonstration projects, including
those related to income, health, housing, retirement, long-term care, as well as
projects on career preparation and continuing education for personnel in the field of
aging.
Title V. Community Service Employment for Older Americans
The community service employment program for older Americans 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. The program is the only existing job creation
program for adults since the elimination of public service employment under the
Comprehensive Employment and Training Act (CETA).¹ Participants’ income must
not exceed 125% of the DHHS poverty level guidelines.

¹ The Rehabilitation Act authorizes a community service employment program for persons
with disabilities. It has never been funded.

The program not only provides opportunities for part-time employment and
income for older persons, but also contributes to the general welfare of communities
by providing a source of labor for various community service activities. Enrollees
work part-time in a variety of community service activities. The program supports
61,500 jobs and serves about 92,300 persons in FY2003 (for the program year, July

1, 2003-June 30, 2004). The cost per job slot in FY2003 is $7,153.

Enrollees are paid no less than the federal or state minimum wage or the local
prevailing rate of pay for similar employment, whichever is higher. Federal funds
may be used to compensate participants for up to 1,300 hours of work per year (52
weeks at 25 hours a week), including orientation and training. Participants work an
average of 20-25 hours per week. In addition to wages, enrollees receive physical
examinations, personal and job-related counseling, and transportation for
employment purposes, under certain circumstances. Participants also may receive
on-the-job training.
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 FY2003, grants were awarded to 241 organizations representing 300 Indian
tribal organizations and two organizations serving native Hawaiian elders. Most
frequently provided services under the program are transportation, home-delivered
and congregate nutrition services, and a wide range of home care services.
Title VII. Vulnerable Elder Rights Protection Activities
Title VII authorizes the long-term care ombudsman program and elder abuse,
neglect and exploitation prevention programs. Two other programs are authorized,
but not funded — legal assistance development and the Native American elder rights
program.
Funding for ombudsman and elder abuse prevention activities is allotted to
states based on the states’ relative share of the total population age 60 and older.
State agencies on aging may award funds for these activities to a variety of
organizations for administration, including other state agencies, area agencies on
aging, county governments, nonprofit service providers, or volunteer organizations.

CRS-5
Table 1. Older Americans Act Appropriations, FY1966-FY1991
(dollars in millions)
^FY¹⁹⁶⁶^FY¹⁹⁶⁷^FY¹⁹⁶⁸^FY¹⁹⁶⁹^FY¹⁹⁷⁰^FY¹⁹⁷¹^FY¹⁹⁷²^a
^e^II:^Admⁱ^nist^r^a^tⁱ^oⁿ^oⁿ^Ag^ing
^tⁱ^o^na^l^Iⁿ^fo^r^m^a^tⁱ^o^{n a}ⁿ^d^Re^so^ur^c^e^Cl^e^a^rⁱ^ngho^use^oⁿ^A^gⁱⁿ^g^bbbbbbb
^e^r^a^{l Co}^uⁿ^c^{il o}ⁿ^A^gⁱⁿ^g
^e^III:^Gr^aⁿ^t^s^f^o^r^St^a^t^e^a^{nd Co}^m^m^unit^y^P^r^o^g^r^a^m^{s o}ⁿ^Ag^ing^c^$5.000^$6.000^$10.550^$16.000^$13.000^$13.000^$35.000
ⁱ^v^{e s}^e^rvⁱ^ces^an^{d cen}^t^e^rs^$5.000^$6.000^$10.550^$16.000^$9.000^$9.000^$30.000
^tr^itioⁿ^ser^v^ices^bbbbbbb
^oⁿ^g^r^eg^ate
^e^-^d^eliv^ered
^co^m^m^o^d^ities^bbbbbbb
ⁱ^{ki/CRS-RL32437}^ltip^u^r^p^o^s^{e sen}ⁱ^o^r^cen^ter^s
^g/w^en^cy^activ^itiesⁿ^oⁿ^eⁿ^oⁿ^eⁿ^oⁿ^eⁿ^oⁿ^e⁴^.0⁰⁰⁴^.⁰⁰⁰⁵^.⁰⁰⁰^bbbbbbb
^s^.or^h^om^{e s}^e^rv^ices^f^o^{r f}^r^{ail elderly}
^le^akⁱ^s^t^an^{ce f}^o^{r s}^p^{ecial n}^eeds^bbbbbbb
^ed^u^catioⁿ^an^d^p^r^o^m^o^tioⁿ
^://wiki^s^{e prev}^en^tion^bbbbbbb
^h^ttp^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ
^treach^f^o^{r S}^S^I^{, Medicaid, an}^{d f}^{ood s}^t^am^ps
^V^{: T}^r^{aining, Res}^e^{arch and}^Dis^{cretionary Projects}^{and Program}^s^d^1.500^3.000^6.400^7.000^5.860^8.000^26.100
^{ecare dem}^oⁿ^s^tration^proj^ects^bbbbbbb
^bu^ds^m^aⁿ^adv^o^cacy^dem^oⁿ^s^tration^proj^ects
^m^{unity Service}^E^m^ploym^{ent for Older Am}^ericans^bbbbbbb
^{: G}^r^ants^{for Native Am}^ericans
^A^—^In^di^an^prog^ram
^{— Nativ}^{e A}^m^erican^prog^ram
^{e VII:}^O^l^{der Am}^erica^{ns P}^ersoⁿ^a^l^H^e^a^l^t^h^Educa^t^io^{n a}^{nd Tra}ⁱ^ning^bbbbbbb
^—^Ol^d^{er A}^m^eri^can^s^A^c^{t Progr}^am^s^$6.500^$9.000^$16.950^$23.000^$18.860^$21.000^$61.100

CRS-6
^FY¹⁹⁷³^FY¹⁹⁷⁴^FY¹⁹⁷⁵^FY¹⁹⁷⁶^FY¹⁹⁷⁷^FY¹⁹⁷⁸^FY¹⁹⁷⁹
^e^II:^Admⁱ^nist^r^a^tⁱ^oⁿ^oⁿ^Ag^ing^a
ⁱ^o^na^l^Iⁿ^fo^r^m^a^tⁱ^o^{n a}ⁿ^d^Re^so^ur^c^e^Cl^e^a^rⁱ^ngho^use^oⁿ^A^gⁱⁿ^gⁿ^oⁿ^eⁿ^oⁿ^eⁿ^oⁿ^eⁿ^oⁿ^eⁿ^oⁿ^e^$²^,⁰⁰⁰^$²^,⁰⁰⁰
^C^o^uⁿ^cⁱ^l^on^A^gⁱⁿ^gⁿ^on^eⁿ^on^e^$0.500^$0.725^e^$0.575^$0.450^$0.450
^e^III:^Gr^aⁿ^t^s^f^o^r^St^a^t^e^a^{nd Co}^m^m^unit^y^P^r^o^g^r^a^m^{s o}ⁿ^Ag^ing^c^$179.600^$184.800^222.000^306.785^384.525^495.982^553.760
ⁱ^v^{e s}^e^rvⁱ^ces^an^{d cen}^t^e^rs^68.000^68.000^82.000^124.250^f^122.000^153.000^196.970
^s^e^rv^ices^99.600^104.800^125.000^156.250^g^225.525^283.982^334.290^g
^oⁿ^g^r^eg^ate^(156.250)^(203.525)^(250.000)^(277.046)
^e^-^d^eliv^ered^hⁱⁱⁱ
^co^m^m^o^d^ities^(22.000)^(33.982)^(57.244)^j
^u^r^p^o^s^{e sen}ⁱ^o^r^cen^ter^sⁿ^oⁿ^eⁿ^oⁿ^eⁿ^oⁿ^e⁵^.⁰⁰⁰^20.000^40.000^k^l
^en^cy^activ^ities¹²^.⁰⁰⁰¹²^.⁰⁰⁰¹⁵^.⁰⁰⁰²¹^.²⁸⁵^17.000^19.000^22.500^bbbbbbb
^om^{e s}^e^rv^ices^f^o^{r f}^r^{ail elderly}
ⁱ^s^t^an^{ce f}^o^{r s}^p^{ecial n}^eeds^bbbbbbb
ⁱ^{ki/CRS-RL32437}^ed^u^catioⁿ^an^d^p^r^o^m^o^tioⁿ
^g/w^s^{e prev}^en^tion
^s^.or^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ^bbbbbbb
^le^ak^f^o^{r S}^S^I^{, Medicaid, an}^{d f}^{ood s}^t^am^ps
^d^33.000^33.000^23.000^42.300^m^38.500^44.300^44.300
^://wiki^V^{: T}^r^{aining, Res}^e^{arch and}^Dis^{cretionary Projects}^{and Program}^s^{ecare dem}^oⁿ^s^tration^proj^ects^bbbbbbb
^h^ttp
^bu^ds^m^aⁿ^adv^o^cacy^dem^oⁿ^s^tration^proj^ects
^{e V}^:^C^o^m^m^uⁿⁱ^{ty S}^ervi^{ce E}^m^p^l^oym^en^{t for Ol}^d^{er A}^m^eri^can^sⁿ^oⁿ^e^10.000^12.000^85.900^150.000^211.700^220.600
^{: G}^r^ants^{for Native Am}^ericans^bbbbbb^no^ne
^A^—^In^di^an^prog^ram
^{— Nativ}^{e A}^m^erican^prog^ram
^{e VII:}^O^l^{der Am}^erica^{ns P}^ersoⁿ^a^l^H^e^a^l^t^h^Educa^t^io^{n a}^{nd Tra}ⁱ^ning^bbbbbbb
^—^Ol^d^{er A}^m^eri^can^s^A^c^{t Program}^s^$573.600^$573.600^$573.600^$435.710ⁿ^$573.600^$573.600^$573.600

CRS-7
^FY¹⁹⁸⁰^FY¹⁹⁸¹^FY¹⁹⁸²^FY¹⁹⁸³^FY¹⁹⁸⁴^FY¹⁹⁸⁵^a
^tl^{e I}^I^:^A^d^mⁱⁿⁱ^s^t^rati^on^on^A^gⁱⁿ^g^bb^b
^tⁱ^o^na^l^Iⁿ^fo^r^m^a^tⁱ^o^{n a}ⁿ^d^Re^so^ur^c^e^Cl^e^a^rⁱ^ngho^use^oⁿ^A^gⁱⁿ^g²^.⁰⁰⁰¹^.⁸⁰⁰¹^.⁷²¹
^deral^C^o^uⁿ^cⁱ^l^on^A^gⁱⁿ^g⁰^.450^0.481^0.191^0.175^0.175^0.200
^l^e^III:^Gr^aⁿ^t^s^f^o^r^St^a^t^e^a^{nd Co}^m^m^unit^y^P^r^o^g^r^a^m^{s o}ⁿ^Ag^ing^c^663.652^714.575^699.232^750.693^779.044^795.900
^pportⁱ^v^{e s}^e^rvⁱ^ces^an^{d cen}^t^e^rs^246.970^252.000^240.869^240.869^250.869^265.000
^trition^s^e^rv^ices^394.182^439.900^436.690^488.151^506.502^530.900
^oⁿ^g^r^eg^ate^(270.000)^(295.000)^(286.749)^(319.074)^(321.574)^(336.000)
^o^m^e^-^d^elⁱ^v^ered^(50.000)^(55.000)^(57.350)^(62.025)^(67.025)^(67.900)
^com^m^odities⁽^74.182)ⁱ^(89.000)ⁱ^(92.591)ⁱ^(107.052)ⁱ^(117.903)ⁱ^(127.000)^p
^ltip^u^r^p^o^s^{e sen}ⁱ^o^r^cen^ter^s^kkkkk^k^r
^en^cy^activ^ities²²^.⁵⁰⁰²²^.⁶⁷⁵²¹^.⁶⁷³²¹^.⁶⁷³²¹^.⁶⁷³
^bbbbb^b
ⁱ^{ki/CRS-RL32437}^-^h^om^{e s}^e^rv^ices^f^o^{r f}^r^{ail elderly}
^g/w^sⁱ^s^t^an^{ce f}^o^{r s}^p^{ecial n}^eeds^bbbbb^b
^s^.or^ed^u^catioⁿ^an^d^p^r^o^m^o^tioⁿ
^le^ak^s^{e prev}^en^tion
^bbbbb^b
^://wikiⁿ^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ
^h^ttp^treach^f^o^{r S}^S^I^{, Medicaid, an}^{d f}^{ood s}^t^am^ps
^{tle I}^V^{: T}^r^{aining, Res}^e^{arch and}^Dis^{cretionary Projects}^{and Program}^s^d^54.300^40.500^22.175^22.175^22.175^25.000
^{ecare dem}^oⁿ^s^tration^proj^ects^bbbbb^b
^bu^ds^m^aⁿ^adv^o^cacy^dem^oⁿ^s^tration^proj^ects
^tl^{e V}^:^C^o^m^m^uⁿⁱ^{ty S}^ervi^{ce E}^m^p^l^oym^en^{t for Ol}^d^{er A}^m^eri^can^s^266.900^277.100^277.100^319.450^317.300^326.000
^tl^{e V}^I^{: G}^r^an^ts^{for N}^a^ti^{ve A}^m^eri^can^s^6.000^6.000^5.735^5.735^5.735^7.500
^A^—^In^di^an^prog^ram
^{rt B}^{— Nativ}^{e A}^m^erican^prog^ram
^l^{e VII:}^O^l^{der Am}^erica^{ns P}^ersoⁿ^a^l^H^e^a^l^t^h^Educa^t^io^{n a}^{nd Tra}ⁱ^ning^bbbbb^no^ne^s
^tal^—^Ol^d^{er A}^m^eri^can^s^A^c^{t Program}^s^$993.302^$1,040.456^$1,006.154^$1,^098.228^$1,124.429^$1,154.600

CRS-8
^FY¹⁹⁸⁶^FY¹⁹⁸⁷^FY¹⁹⁸⁸^FY¹⁹⁸⁹^FY¹⁹⁹⁰^FY¹⁹⁹¹^a
^l^e^II:^Admⁱ^nist^r^a^tⁱ^oⁿ^oⁿ^Ag^ing
^tⁱ^o^na^l^Iⁿ^fo^r^m^a^tⁱ^o^{n a}ⁿ^d^Re^so^ur^c^e^Cl^e^a^rⁱ^ngho^use^oⁿ^A^gⁱⁿ^g^bb^b^b^b^b
^e^r^a^{l Co}^uⁿ^c^{il o}ⁿ^A^gⁱⁿ^g^$0.191^$0.200^$0.191^$0.188^$0.186^$0.181
^l^e^III:^Gr^aⁿ^t^s^f^o^r^St^a^t^e^a^{nd Co}^m^m^unit^y^P^r^o^g^r^a^m^{s o}ⁿ^Ag^ing^c^773.490^830.557^834.427^856.681^853.104^901.828
^pportⁱ^v^{e s}^e^rvⁱ^ces^an^{d cen}^t^e^rs^253.605^270.000^268.072^274.352^t^271.986^290.818
^trition^s^e^rv^ices^519.885^560.557^560.611^576.507^574.387^598.811
^oⁿ^g^r^eg^ate^(321.522)^o^(348.000)^(344.664)^(356.668)^(351.924)^(361.083)
^o^m^e^-^d^elⁱ^v^ered^(64.980)^(75.400)^(75.635)^(78.546)^(78.981)^(87.831)
^com^m^odities⁽^133.383)^q^(137.157)^(140.312)^(141.293)^(143.482)^(149.897)
^ltip^u^r^p^o^s^{e sen}ⁱ^o^r^cen^ter^s^kk^k^k^k^k
^en^cy^activ^ities^rr^r^r^r^r
^-^h^om^{e s}^e^rv^ices^f^o^{r f}^r^{ail elderly}^bb^4.787^4.834^5.756^6.831
ⁱ^{ki/CRS-RL32437}^sⁱ^s^t^an^{ce f}^o^{r s}^p^{ecial n}^eeds^no^ne^no^ne^no^ne^no^ne
^g/w^bb
^s^.or^ed^u^catioⁿ^an^d^p^r^o^m^o^tioⁿ^no^ne^no^ne^no^ne^no^ne^v
^le^ak^s^{e prev}^en^tion^no^ne^no^ne^no^ne²^.⁹²⁸
ⁿ^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ^bb^0.957^u^0.988^0.975^2.440^v
^://wiki^treach^f^o^{r S}^S^I^{, Medicaid, an}^{d f}^{ood s}^t^am^ps^no^ne^no^ne^no^ne^no^ne
^h^ttp^d^w^x
^{tle I}^V^{: T}^r^{aining, Res}^e^{arch and}^Dis^{cretionary Projects}^{and Program}^s^23.925^25.000^23.935^22.173^25.332^26.917
^{ecare dem}^oⁿ^s^tration^proj^ects^bb^b^no^ne^no^ne^b
^bu^ds^m^aⁿ^adv^o^cacy^dem^oⁿ^s^tration^proj^ects^no^ne^no^ne^b
^{tle V: Com}^m^{unity Service}^E^m^ploym^{ent for Older Am}^ericans^312.002^336.000^331.260^343.824^367.013^390.360
^tl^{e V}^I^{: G}^r^an^ts^{for N}^a^ti^{ve A}^m^eri^can^s^7.178^7.500^7.181^10.710^y^12.541^14.639
^A^—^In^di^an^prog^ram^(9.345)^(11.108)^(13.134)
^{rt B}^{— Nativ}^{e A}^m^erican^prog^ram^(1.365)^(1.433)^(1.505)
^l^{e VII:}^O^l^{der Am}^erica^{ns P}^ersoⁿ^a^l^H^e^a^l^t^h^Educa^t^io^{n a}^{nd Tra}ⁱ^ning^no^ne^s^no^ne^s^ss^s^s
^tal^—^Ol^d^{er A}^m^eri^can^s^A^c^{t Pr}^ogram^s^$1,116.786^$1,199.²⁵⁷^$1,196.994^$1,233.576^b^$1,258.176^$1,333.925
^r^ces^f^o^{r appropriation}^lev^e^ls^{: For FY1966-}^{FY1980, T}^{itle II, II}^{I, IV, an}^{d VI, th}^{e A}^d^mⁱⁿⁱ^s^t^ration^on^A^gⁱⁿ^g^of^th^{e U.S. Dep}^{t. o}^f^Health^an^d^Hu^m^aⁿ^S^e^r^v^{ices. Fo}^r^T^{itle V p}^r^io^r
^{to FY1982, A}^ppen^d^ices^{to th}^{e B}^u^dg^{et, B}^u^dg^{et J}^u^s^tif^ication^s^,^an^{d U.S. Dept. of}^L^a^{bor. For all T}^itles^f^o^r^FY1982-^FY1991,^A^ppen^dⁱ^{ces to}^th^{e B}^u^d^g^{et an}^d^ap^p^r^o^p^r^iatioⁿ^s^legⁱ^slatioⁿ^,
^v^a^riou^s^y^ears^.^{For U.S. Dept. of}^A^g^ricu^ltu^{re (USDA}⁾^com^m^oditie^s^pro^g^ram^,^1976-^{85, A}^ppen^d^ices^{to th}^{e B}^u^dg^{et, s}^h^owⁱⁿ^g^oblig^ation^s^of^f^uⁿ^d^s^;^1986-^{1991, appropri}^a^tⁱ^oⁿ^s
^legⁱ^slatioⁿ^.

CRS-9
^{t au}^th^o^r^ized^.
^{FY1966 to FY1969, T}^{itle II f}^uⁿ^d^s^w^e^{re allocated to s}^t^at^es^f^o^{r com}^m^uⁿ^ity^planⁿⁱⁿ^g^an^{d s}^o^{cial s}^e^rv^ices^{. T}^h^{ere w}^a^sⁿ^o^s^p^ecifⁱ^{c ap}^p^r^o^p^r^iatioⁿ^f^o^r^{state o}^r^ar^{ea p}^l^anⁿⁱⁿ^g^activ^ities.
^Be^giⁿⁿⁱⁿ^gⁱⁿ^{1970, f}^uⁿ^d^s^w^e^{re appropri}^a^t^e^{d f}^o^{r s}^t^at^ewⁱ^d^{e pl}^anⁿⁱⁿ^g^.^Begⁱⁿⁿⁱⁿ^gⁱⁿ^{1973, f}^uⁿ^d^s^w^e^{re appropri}^a^t^e^{d f}^o^{r area pl}^anⁿⁱⁿ^g^an^d^so^{cial ser}^v^{ices; th}^{is ap}^p^r^o^p^r^iatioⁿ^w^a^s
^l^a^t^e^{r t}^e^rm^{ed s}^o^ci^al^s^e^rvⁱ^ces^{. F}^uⁿ^d^s^f^o^{r area ag}^en^cy^pl^anⁿⁱⁿ^g^{are part}^of^t^h^{e s}^e^rvⁱ^ces^al^l^o^t^m^en^t^.^Begⁱⁿⁿⁱⁿ^gⁱⁿ^F^Y^{1973, f}^uⁿ^d^s^w^{ere appropriated f}^o^{r n}^u^t^rition^s^e^rv^ices^{. In}^FY1977
^an^{d FY1978, th}^{ere w}^a^s^{a s}^e^{parate appropriation}^f^o^{r m}^u^ltipu^r^pos^{e s}^eⁿⁱ^{or cen}^ters^{, u}ⁿ^d^{er T}^{itle V}^of^th^e^act;^th^{e 1978 am}^en^dm^en^ts^e^limⁱⁿ^ated^th^{e sep}^a^r^a^{te au}^th^o^r^izatioⁿ^f^o^r^senⁱ^o^r
^cen^t^e^rs^an^d^f^uⁿ^d^s^f^o^r^t^hⁱ^s^pu^rpos^e^w^e^reⁱⁿ^corporat^ed^uⁿ^d^er^t^h^{e s}^o^ci^al^s^e^rvⁱ^ces^appropri^a^tⁱ^oⁿ^.^T^h^{e 1981 am}^en^dm^en^t^s^ch^an^g^e^{d ref}^e^ren^{ce t}^o^“^s^u^pportⁱ^v^{e” s}^e^rvⁱ^ces^rat^h^{er t}^h^an^“^s^oci^a^l^”
^s^e^rv^ices^{. T}^h^{e 1984 am}^en^dm^en^ts^elimⁱⁿ^{ated a s}^e^{parate appro}^p^ria^tion^f^o^{r s}^t^{ate ag}^en^cy^activ^ities^.^T^h^{e 1987 am}^en^dm^en^ts^{added s}^e^pa^r^a^{te au}^th^o^r^izatioⁿ^s^uⁿ^d^er^T^{itle I}^I^I^f^o^r^th^e
^f^o^llowⁱⁿ^g^s^e^rv^{ice areas}^{: in}^-^h^om^{e s}^e^rv^ices^f^o^r^th^e^f^r^ail^elderly^;^as^sⁱ^s^t^an^{ce f}^o^{r s}^p^{ecial n}^eeds^;^h^ealth^edu^cation^an^{d prom}^otion^;^{elder abu}^s^{e prev}^en^tion^;^lon^g^-^term^care^om^bu^ds^m^aⁿ^;
^an^{d ou}^treach^f^o^{r S}^S^I^{, m}^e^{dicaid, an}^{d f}^{ood s}^t^am^ps^{. T}^h^es^{e am}^en^dm^en^ts^als^o^m^odifⁱ^{ed th}^es^{e prog}^ram^s^.
ⁿ^d^s^w^e^{re au}^th^{orized u}ⁿ^d^{er T}^{itle III}^f^o^r^area-^wⁱ^{de dem}^oⁿ^s^tration^{or m}^{odel proj}^ects^f^r^om^{FY1970 th}^ro^{ugh FY}^{1978. In}^F^Y^{1979 an}^{d F}^Y^{1980, f}^uⁿ^d^s^f^o^r^t^hⁱ^s^pu^rpos^e^w^e^re^au^t^h^ori^zed
^uⁿ^d^er^T^{itle I}^V^.
^clu^d^es^{$575 m}^illion^f^o^{r th}^{e f}ⁱ^s^{cal y}^{ear en}^din^g^J^uⁿ^e^{30, 1976, an}^{d $150 m}^illion^f^o^{r th}^{e tran}^s^ition^qu^{arter J}^u^ly^1-^{Sept. 30}^{, 1976.}
^clu^d^es^{$93 m}^illion^f^o^{r th}^{e f}ⁱ^s^{cal y}^{ear en}^din^g^J^uⁿ^e^{30, 1976, an}^{d $31.25 m}^illion^f^o^{r th}^{e tran}^s^ition^qu^{arter J}^u^ly^1-^{Sept. 3}^{0, 1976.}
^clu^d^es^{$125 m}^illion^f^o^{r th}^{e f}ⁱ^s^{cal y}^{ear en}^din^g^J^uⁿ^e^{30, 1976, an}^{d $31.25 m}^illion^f^o^{r th}^{e tran}^s^ition^qu^{arter J}^u^ly^1-^Sept.^{30, 1976.}
^{t av}^ailab^l^e.
^b^lⁱ^g^atⁱ^oⁿ^s^of^f^uⁿ^d^s^,^as^s^h^owⁿⁱⁿ^bu^dg^et^appen^dⁱ^ces^{, v}^a^ri^ou^s^y^ears^.
ⁱ^{ki/CRS-RL32437}^ow^s^am^ouⁿ^t^{appropriated f}^o^{r th}^{e tran}^s^ition^qu^{arter J}^u^ly^1-^{Sept. 30, 1976.}
^g/wⁿ^d^s^f^o^r^m^u^ltipu^r^pos^e^s^eⁿⁱ^or^cen^ters^{are in}^clu^d^{ed u}ⁿ^d^{er th}^{e s}^u^pportiv^{e s}^e^rv^ices^an^{d cen}^ters^{appropriation}^.^P^.^L^.^95-^{478, t}^h^e^C^o^m^p^reh^eⁿ^s^iv^{e Older A}^m^erican^s^A^c^{t A}^m^en^dm^en^ts^of^{1978, el}ⁱ^mⁱⁿ^at^{ed s}^e^parat^e^au^t^h^ori^zatⁱ^oⁿ^s^f^o^{r s}^eⁿⁱ^{or cen}^t^e^rs^.
^s^.or^clu^d^es^{$17.035 m}^illion^f^o^{r th}^{e f}ⁱ^s^{cal y}^{ear en}^din^g^J^uⁿ^e^{30, 1976, an}^{d $4.25 m}^illion^f^o^{r th}^{e tran}^s^ition^qu^{arter J}^u^ly^1-^Sept^{. 30, 1976.}
^le^ak^clu^d^es^{$32.8 m}^illion^f^o^{r th}^{e f}ⁱ^s^{cal y}^{ear en}^din^g^J^uⁿ^e^{30, 1976, an}^{d $9.5 m}^illion^f^o^{r th}^{e tran}^s^ition^qu^{arter J}^u^ly^1-^{Sept. 3}^{0, 1976.}
^://wiki^clu^d^es^f^uⁿ^d^s^f^o^{r th}^{e f}ⁱ^s^{cal y}^{ear en}^din^g^J^uⁿ^e^{30, 1976 an}^d^f^o^{r th}^{e tran}^s^ition^qu^{arter J}^u^ly^1-^{Sept. 30, 1976. A}^l^s^oⁱⁿ^clu^d^e^{s unkno}^wⁿ^a^m^o^{unts fo}^r^USDA^c^o^m^m^o^d^itie^s.^h^is^am^ouⁿ^t^als^o^ref^l^ects^{$30,000 w}^ith^h^e^{ld in}^{FY1986 in}^acco^rdan^{ce w}^ith^s^ection^{515 of}^P^.^L^.^99-^{190 related to con}^s^u^ltin^g^,^m^an^ag^em^en^{t s}^e^rv^ices^an^{d tech}ⁿⁱ^{cal as}^sⁱ^s^t^an^ce.
^h^ttp^h^{e appropriation}^av^{ailable f}^o^{r FY1985 w}^a^s^{$116 m}^illion^.^A^cco^rdin^g^{to th}^{e USDA}^{, an}^additioⁿ^a^{l $4.8 m}^illion^w^a^s^av^{ailable f}^rom^{prior y}^{ear f}^uⁿ^dⁱⁿ^g.^Iⁿ^addition^,^P^.^L^.^99-^349,
^{FY1986 u}^r^g^eⁿ^t^s^u^pplem^en^{tal appropriation}^s^{, appropriated $8.5 m}^illionⁱⁿ^addition^a^{l f}^uⁿ^d^s^{to s}^u^pport^th^{e f}^u^lly^au^th^{orized reim}^bu^rs^em^en^t^rat^e^of^{56.76 cen}^t^s^{per m}^eal^t^o^s^u^pport
^m^eals^s^e^rv^ed^uⁿ^d^er^T^{itle III in}^both^{FY1985 an}^{d FY1986. USDA}ⁱⁿ^dicat^{ed in}^tes^tim^on^y^bef^o^{re th}^{e Hou}^s^{e Select C}^o^m^m^{ittee on}^A^gⁱⁿ^g^on^Ju^l^y^{30, 1986, t}^h^atⁱ^t^w^o^u^l^d^s^e^t^asⁱ^d^e
^{$6.2 m}^illion^of^th^{e $8.5 m}^illion^{to s}^u^{pport FY1985 m}^eals^aⁿ^d^$²^.³^m^illion^{to s}^u^{pport FY1986 m}^eals^.^T^h^{e addition}^a^{l $6.2 m}^illion^b^rⁱⁿ^g^s^th^{e to}^{tal estim}^ated^am^o^uⁿ^t^av^ailab^l^e
^t^o^pay^f^o^{r F}^Y^{1985 m}^eal^s^t^o^t^h^{e am}^ouⁿ^t^s^h^owⁿ^.
^hⁱ^s^am^ouⁿ^t^ref^l^ect^s^t^h^{e 4.3%}^redu^ctⁱ^oⁿ^requⁱ^r^{ed by}^t^h^{e G}^r^am^m^-^R^u^dm^an^-^H^ol^lⁱⁿ^g^s^A^c^t^an^{d a 0.6%}^redu^ctⁱ^oⁿ^al^l^o^w^e^{d by}^appropri^a^tion^s^legⁱ^s^l^ation^.^{It als}^o^ref^l^ects^s^u^pplem^en^tal
^f^uⁿ^d^s^{added by}^P^.^L^.^99-^{349, FY1986 u}^r^g^eⁿ^t^s^u^pplem^en^{tal appropria}^tion^s^{. T}^h^is^legⁱ^s^l^ation^{added $8.5 m}^illion^{to s}^u^{pport th}^{e prog}^ram^{at th}^{e 56.76 cen}^ts^{per m}^eal^reim^bu^rs^em^en^t
^lev^e^{l f}^o^{r both}^{FY1985 an}^{d FY1986. USDA}^s^e^{t as}^{ide $6.2}^m^illion^of^th^{e $8.5 m}^illion^{to s}^u^{pport FY1985 m}^eals^an^d^$2.3^m^illion^to^s^u^pport^F^Y^{1986 m}^eal^s^.^F^o^{r pu}^rpos^{ed of}^t^hⁱ^s
^{table, th}^{e FY1986 am}^ouⁿ^tⁱⁿ^clu^d^es^th^{e $2.3 m}^illion^s^e^{t as}^{ide by}^USDA^.
^.^L^.^98-^{459, th}^{e Older A}^m^erican^s^A^c^{t A}^m^en^dm^en^ts^of^1984,^coⁿ^s^olidated^th^{e au}^th^orization^f^o^{r s}^t^{ate ag}^en^cy^activ^ities^uⁿ^d^{er t}^h^e^au^th^o^r^izatioⁿ^f^o^r^T^{itle I}^I^I^ser^v^{ices. T}^h^{e law}^p^r^o^v^id^ed
^t^h^at^s^t^at^es^m^a^y^u^s^{e u}^p^t^o^5%^of^t^h^ei^{r al}^l^o^t^t^e^{d s}^e^rvⁱ^ces^f^uⁿ^d^s^,^{or $300,000, w}^hⁱ^c^h^e^v^e^{r i}^s^g^r^eat^{er, f}^o^{r s}^t^at^{e ag}^en^cy^admⁱⁿⁱ^s^t^ratⁱ^on^.
^u^t^h^ori^{zed f}^o^{r t}^h^{e f}ⁱ^rs^t^tⁱ^m^{e f}^o^{r F}^Y^1985-^F^Y^{1987 as}^part^of^t^h^{e 1984 am}^eⁿ^d^m^eⁿ^t^s⁽^P^.L^{. 98-}^{459). N}^o^appropri^a^tⁱ^oⁿ^s^w^e^{re m}^a^de^w^h^en^t^h^{e prog}^ram^w^a^s^au^t^h^ori^{zed, an}^{d t}^h^{e 1987}
^am^en^d^m^en^{ts elim}ⁱⁿ^ated^th^{e au}^th^o^r^izatioⁿ^{as a sep}^a^r^a^{te title.}
ⁿ^o^{t in}^clu^d^{e $1.3 m}^illion^of^f^uⁿ^d^s^origⁱⁿ^ally^appr^opriate^d^fo^r^s^u^pportiv^{e s}^e^rv^icesⁱⁿ^{FY1989 ($275.652 m}^illion⁾^th^{at w}^a^{s r}^e^p^r^o^g^r^a^m^m^e^d^to^f^uⁿ^d^ad^d^itioⁿ^a^{l I}ⁿ^dⁱ^an^tr^ial
^o^r^g^aⁿⁱ^zatioⁿ^s^an^d^th^{e Nativ}^{e Haw}^a^iian^p^r^o^g^r^a^m^uⁿ^d^er^T^{itle VI}^.

CRS-10
^Al^t^h^o^{ugh the tab}^l^{e acco}^m^p^anyⁱ^{ng the FY}^{1988 con}^tⁱⁿ^uⁱⁿ^g^appropri^a^tⁱ^oⁿ^sⁱⁿ^di^cat^{ed t}^h^at^t^h^es^{e f}^uⁿ^d^s^w^e^{re t}^o^{be u}^s^{ed f}^o^{r a h}^o^m^e^{care om}^bu^ds^m^aⁿ^dem^oⁿ^s^t^r^atⁱ^oⁿ^p^r^o^g^r^a^m^,^t^h^e
^con^f^eren^{ce report th}^{at accom}^p^an^{ied th}^{e appropria}^tion^s^legⁱ^s^l^ationⁱⁿ^{dicated th}^{at th}^is^am^o^{unt is}^{to be u}^s^{ed to s}^u^{pport th}^{e s}^t^ate^l^oⁿ^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ^prog^ram^au^t^h^ori^zed
^uⁿ^d^{er S}^ectⁱ^oⁿ^{307(a)(12) of}^t^h^{e O}^l^{der A}^m^eri^can^s^A^c^t^.
^r^io^r^to^th^{e acr}^o^{ss th}^{e b}^o^a^r^d^r^e^d^u^ctioⁿ^o^f²^.⁴¹^%^{, th}^{e co}ⁿ^f^er^en^{ce r}^e^p^o^r^{t in}^clu^d^ed^$³^m^illioⁿ^f^o^r^eld^e^r^ab^u^s^{e p}^r^ev^en^tioⁿ^an^d^$²^.⁵^m^illioⁿ^f^o^r^loⁿ^g^-^ter^m^car^{e o}^m^b^u^d^s^m^aⁿ^activ^ities.
^A^m^oⁿ^g^o^t^h^e^rⁱⁿ^str^u^ctioⁿ^s^{, th}^{e A}^p^p^r^o^p^r^iatioⁿ^s^Co^m^m^{ittee co}ⁿ^f^er^{ees in}^dⁱ^cated^th^{at th}^{e states b}^e^gⁱ^v^eⁿ^dⁱ^scr^e^tioⁿⁱⁿ^allo^catioⁿ^o^f^{elder abu}^s^{e prev}^en^tion^f^uⁿ^d^s^,^an^{d th}^at^it^is^ex^pected
^t^h^at^portⁱ^oⁿ^s^of^el^{der abu}^s^{e f}^uⁿ^d^s^{be m}^a^{de av}^ai^l^a^bl^{e t}^o^l^oⁿ^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ^prog^ram^s^t^o^addres^s^com^p^l^aⁱⁿ^t^s^of^abu^s^{e i}ⁿ^f^a^c^{ilities, in}^clu^dⁱⁿ^g^b^o^a^r^d^an^d^car^{e f}^acilities.
ⁿ^o^{t in}^clu^d^{e $2 m}^illion^of^f^uⁿ^d^s^origⁱⁿ^ally^appropria^ted^f^o^r^T^itle^IVⁱⁿ^{FY1989 ($24.173 m}^illion⁾^th^{at w}^a^s^reprog^ram^m^e^d^to^f^uⁿ^d^ad^d^itioⁿ^a^{l tr}^ib^{al o}^r^g^aⁿⁱ^zatioⁿ^s^an^d^th^{e Nativ}^e
^Haw^a^iian^p^r^o^g^r^a^m^uⁿ^d^er^T^{itle VI}^.
^e^{r Hou}^s^{e an}^{d Sen}^a^{te A}^ppropriation^s^C^o^m^m^{ittee reports}^{, in}^clu^d^es^{$1 m}^illion^{to be u}^s^{ed to s}^u^{pport th}^{e W}^h^{ite Hou}^s^{e C}^oⁿ^f^eren^ce^oⁿ^A^gⁱ^ng.
ⁿ^addition^a^{l $3.3 m}^illion^abov^{e th}^{e orig}ⁱⁿ^{al FY1989 appropriation}^of^{$7.41 m}^illion^w^a^s^r^e^prog^ram^m^e^{d f}^r^om^T^{itle III an}^{d T}ⁱ^t^{le I}^V^p^r^o^g^r^a^m^s^to^b^e^u^s^ed^f^o^r^T^{itle VI}^p^r^o^g^r^a^m^s^.
^T^h^{is am}^o^uⁿ^t^w^a^{s u}^s^ed^to^f^uⁿ^d^ad^d^itioⁿ^a^{l tr}^ib^{al o}^r^g^aⁿⁱ^zatioⁿ^s^an^d^{a g}^r^an^{t to}^ser^v^{e Nativ}^{e Haw}^a^iian^eld^e^r^l^y^w^h^ich^h^a^dⁿ^o^{t b}^een^f^uⁿ^d^{ed prev}^iou^s^ly^.

ⁱ^{ki/CRS-RL32437}
^g/w
^s^.or
^le^ak
^://wiki
^h^ttp

CRS-11
Table 2. Older Americans Act and White House Conference on Aging Appropriations, FY1992-FY1997
(dollars in millions)^a^b
^FY¹⁹⁹²^FY¹⁹⁹³^FY¹⁹⁹⁴^FY¹⁹⁹⁵^FY¹⁹⁹⁶^FY¹⁹⁹⁷
^{e I}^I^:^A^d^mⁱⁿⁱ^s^t^rati^on^on^A^gⁱⁿ^g^$0.181^$16.219^$16.240^$16.700^$15.170^$14.795
^C^o^uⁿ^cⁱ^l^on^A^gⁱⁿ^g⁰^.181^0.178^0.177^0.176ⁿ^oⁿ^eⁿ^oⁿ^e^c^c
^r^o^g^r^a^m^a^d^mⁱⁿⁱ^s^t^r^a^tⁱ^oⁿ^16.041^16.063^16.524^15.170^14.795
^r^{ants fo}^{r State and Com}^m^{unity Program}^s^{on Aging}^938.644^916.⁵⁹⁰^950.292^952.830^945.316^d^935.316
ⁱ^v^{e s}^e^rvⁱ^ces^an^{d cen}^t^e^rs^299.238^313.708^306.711^306.711^300.556^300.556^e
^{e prev}^en^tⁱ^oⁿ^an^{d h}^eal^t^h^prom^otⁱ^oⁿ^17.000^17.032^15.623^15.623^15.623
^itioⁿ^ser^v^ices^607.192^595.807^619.474^619.874^619.874^609.874
^oⁿ^g^r^eg^ate^(366.067)^(363.236)^(375.809)^(375.809)^(364.535)^(364.535)
^e^-^d^eliv^ered^(89.603)^(89.659)^(93.665)^(94.065)^(105.339)^(105.339)
^com^m^odities⁽^151.492)⁽^142.912)^(50.000)^(150.000)^(150.000)^(140.000)
^o^o^l^-^b^ased^m^eals/m^u^ltig^en^er^atioⁿ^a^{l activ}^ities^f^f^no^ne^no^ne^no^ne^no^ne^no^ne
ⁱ^{ki/CRS-RL32437}^om^{e s}^e^rvⁱ^ces^f^o^{r f}^r^ai^l^el^derl^y⁶^.898^7.075^7.075^9.263^9.263^9.263
^g/wⁱ^s^t^an^{ce f}^o^{r s}^p^{ecial n}^eedsⁿ^on^eⁿ^on^eⁿ^on^eⁿ^on^eⁿ^on^eⁿ^on^e
^s^.or^s^{e prev}^en^tion⁴^.416^gggg^g
^le^ak
^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ³^.930
^://wiki^f^o^{r S}^S^I^{, Medicaid an}^{d f}^{ood s}^t^am^psⁿ^oⁿ^e^gggg^g
^h^ttp^{e activ}^ities^f^o^{r caretak}^ers^f^f^no^ne^no^ne^no^ne^no^ne^no^ne
^V^{: T}^r^{aining, Res}^e^{arch and Dis}^cretio^{nary Projects}^{and Program}^s^25.941^25.973^25.830^25.735^b^2.850^4.000^f^f
ⁱⁿ^g^of^s^e^rv^{ice prov}^iders^no^ne^no^ne^no^ne^no^ne^no^ne
^{e V}^:^C^o^m^m^uⁿⁱ^{ty S}^ervi^{ce E}^m^p^l^oym^en^{t for Ol}^d^{er A}^m^eri^can^s^395.181^390.060^410.500^396.060^b^373.000^463.000
^{: G}^r^ants^{for Native Am}^ericans^15.086^15.110^16.902^16.902^16.057^16.057
^I^:^Vulnerable^E^l^{der Rights}^Protection^f^8.218^11.018^11.157^d^no^ne
^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ^g^(3.870)^(4.370)^(4.449)^d^no^ne^g^d
^s^{e prev}^en^tion^(4.348)^(4.648)^(4.732)^no^ne
^r^rⁱ^{ghts a}ⁿ^d^le^ga^{l a}^ssistaⁿ^c^e^f^f^no^ne^no^ne^no^ne^no^ne^no^ne^g
^couⁿ^s^elin^g^,^an^{d as}^sⁱ^s^t^an^ceⁿ^oⁿ^e^(2.000)^(1.976)ⁿ^oⁿ^eⁿ^oⁿ^e
^{e A}^m^erican^{elder rig}^h^t^s^f^f^no^ne^no^ne^no^ne^no^ne^no^ne
^—^Ol^d^{er A}^m^eri^can^s^A^c^{t Program}^s^$1,375.033^$1,372.700^$1,430.782^$1,419.834^$1,352.393^$1,433.168
^{e Conference on Agin}^g²^.000^none^1.000^3.000^none^none

CRS-12
^.^L^.^102-^{170 prov}^ided^{$2 m}^illion^f^o^{r th}^{e W}^h^{ite Hou}^s^{e C}^oⁿ^f^eren^{ce on}^A^gⁱⁿ^g^.^T^h^is^am^ouⁿ^t^w^a^s^reprog^ram^m^e^{d f}^r^om^v^a^riou^s^Older^A^m^e^rⁱ^c^aⁿ^s^A^c^t^p^r^o^g^r^a^m^s^{, w}^ith^th^{e ex}^cep^tioⁿ
^o^f^T^{itles I}^V^an^d^{V. A}^m^o^uⁿ^t^{s sh}^o^wⁿ^ar^{e FY1}⁹⁹²^appropri^a^t^e^d^am^ouⁿ^t^s^l^e^s^s^f^uⁿ^d^s^r^e^p^r^o^g^r^a^m^m^e^d^f^o^r^t^h^e^W^hⁱ^t^e^H^o^u^s^e^C^oⁿ^f^e^r^eⁿ^c^e^a^s^p^r^e^s^eⁿ^t^e^dⁱⁿ^A^o^A^’^s^F^Y^{1993 bu}^dg^et
^j^u^stif^icatioⁿ^s^.
^e^f^l^ects^res^c^is^sⁱ^on^of^{$0.9 m}^illion^f^r^om^T^itle^{IV an}^{d $14.4 m}^illion^f^r^om^T^{itle V m}^a^{de by}^P^.^L^.^104-^19.
^tⁱ^fⁱ^e^{d as}^{a s}^e^parat^e^appropri^a^tⁱ^oⁿⁱ^t^e^m^f^o^{r t}^h^{e f}ⁱ^rs^t^tⁱ^m^{e i}ⁿ^F^Y^{1993. V}^a^ri^ou^s^F^Y^{1993 bu}^dg^et^docu^m^en^t^s^s^h^ow^am^ount^s^as^sⁱ^gned^to^A^o^A^f^o^r^p^r^o^g^r^a^m^ad^mⁱⁿⁱ^str^a^tioⁿ^,^salarⁱ^es,
^an^{d rel}^a^t^e^{d ex}^pen^s^es^bef^o^{re t}^h^{e O}^f^fⁱ^{ce of}^H^u^m^aⁿ^D^e^v^e^l^opm^en^t^S^e^rvⁱ^ces^reorg^aⁿⁱ^zatⁱ^oⁿ^.^T^h^{e am}^ouⁿ^t^s^h^owⁿ^f^o^{r F}^Y^{1992 i}^s^{$16.237 m}ⁱ^llioⁿ^.
^.^L^.^104-^{134 in}^clu^d^{ed earm}^a^rk^s^f^o^{r lon}^g^-^term^{care om}^bu^ds^m^aⁿ^activ^ities^{($4.449 m}^illion⁾^an^{d elder abu}^s^{e prev}^en^tion^activ^iti^es^{($4.732 m}^illion⁾^uⁿ^d^{er T}^{itle III s}^u^pportiv^e^s^e^rv^ices
^an^{d cen}^ters^.
^oⁿ^s^{olidated in}^f^uⁿ^dⁱⁿ^g^f^o^{r s}^u^pportiv^{e s}^e^rv^ices^an^{d cen}^ters^{. A}^m^ouⁿ^t^f^o^{r th}^is^prog^ram^is^{$17 m}^illion^.
^u^t^h^ori^{zed f}^o^{r t}^h^{e f}ⁱ^rs^t^tⁱ^m^{e beg}ⁱⁿⁿⁱⁿ^gⁱⁿ^F^Y^{1993 by}^P.L^.^102-^375.
^uⁿ^dⁱⁿ^g^s^h^owⁿ^uⁿ^d^{er T}^{itle III. T}^h^{e 1992 am}^en^dm^en^ts^s^h^if^{ted th}^is^prog^ram^{to T}^{itle VII beg}ⁱⁿⁿⁱⁿ^gⁱⁿ^{FY1993 an}^{d m}^a^{de p}^rog^r^am^m^odi^fⁱ^catⁱ^oⁿ^s^an^d/^{or ex}^pan^sⁱ^oⁿ^s^.

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CRS-13
Table 3. Older Americans Act, Alzheimer’s Demonstration Programs, and White House Conference on Aging
Appropriations, FY1998-FY2004
(dollars in millions)
^OA^A^p^r^ogram^s^an^d^A^l^zh^ei^m^er’s^d^e^m^oⁿ^s^trati^oⁿ^gran^ts^FY¹⁹⁹⁸^FY¹⁹⁹⁹^FY²⁰⁰⁰^FY²⁰⁰¹^FY²⁰⁰²^FY²⁰⁰³^FY²⁰⁰⁴
^e^II:^Admⁱ^nist^r^a^tⁱ^oⁿ^oⁿ^Ag^ing^$14.795^$15.395^$16.461^$17.232^$20.501^$20.233^$30.618
^ram^admⁱⁿⁱ^s^t^ratⁱ^oⁿ^(14.795)^(15.³⁹⁵⁾^(16.461)^(17.232)^(18.122)^(17.869)^(17.324)
^g^Netw^ork^s^u^{pport activ}^ities^(2.379)^a^(2.364)^a^(13.294)^b
^e^III:^Gr^aⁿ^t^s^f^o^r^St^a^t^e^a^{nd Co}^m^m^unit^y^P^r^o^g^r^a^m^{s o}ⁿ
^961.798^952.339^987.617^1,151.285^1,230.293^1,240.891^1,243.059
ⁱ^v^{e s}^e^rvⁱ^ces^an^{d cen}^t^e^rs^309.500^300.192^310.082^325.082^357.000^355.673^353.889^c^c^c
^ily^careg^iv^ers^125.000^136.000^149.025^152.738
^{e prev}^en^tⁱ^oⁿ^/^h^eal^t^h^prom^otⁱ^oⁿ^16.123^16.123^16.123^21.123^21.123^21.919^21.970
ⁱ^{ki/CRS-RL32437}^s^e^rv^ices^626.412^626.²⁶¹^661.412^680.080^716.170^714.274^714.462
^g/w^oⁿ^g^r^eg^at^{e m}^eal^s⁽^374.412)^(374.261)^(374.336)^(378.412)^(390.000)^(384.592)^(386.353)
^s^.or^o^m^e^-^d^elⁱ^v^{ered m}^eal^s⁽^112.000)⁽^112.000)^(146.970)^(152.000)⁽^176.500)^(180.985)^(179.917)
^le^ak^trition^s^e^rv^icesⁱⁿ^cen^tiv^{e prog}^ram⁽^140.000)^(140.000)^(140.000)^(149.668)^d^(149.670)^d^(148.697)^e^(148.192)
^om^{e s}^e^rvⁱ^ces^f^o^{r t}^h^{e f}^r^ai^l^el^derl^y⁹^.763^9.763ⁿ^oⁿ^e^ff^ff
^://wiki^V^{: T}^r^{aining, Res}^e^arch^{, and Dis}^cretio^{nary Projects}
^h^ttp^Program^s^10.000^18.000^31.162^37.678^38.280^40.258^33.509^g
^m^{unity s}^{ervice em}^ploym^ent^440.200^440.200^440.200^440.200^445.100^442.306^438.650
^{: G}^r^ants^{to Native Am}^ericans
^{e an}^{d n}^u^t^rition^s^e^rv^ices^18.457^18.457^18.457^23.457^31.229^33.704^32.717)
^{e A}^m^erican^careg^iv^ers^(25.729)^(27.495)^(26.453)
^(5.500)^(6.209)^(6.318^hⁱⁱⁱ
^I^:^{Vulnerable E}^l^{der Ri}^gh^ts^Protecti^oⁿ^A^c^ti^vi^ti^esⁿ^oⁿ^e^12.181^13.181^14.181^17.681^18.559^19.444ⁱⁱⁱ
^g^-^t^e^rm^{care om}^bu^ds^m^aⁿ^prog^ramⁿ^on^e⁽^7.449)^(14.276)
^s^{e prev}^en^tⁱ^oⁿⁿ^on^e⁽^4.732)^(5.168)
^l^a^ssi^st^aⁿ^c^e^no^ne^no^ne^no^ne^no^ne^no^ne^no^ne^no^ne
ⁱ^v^{e A}^m^eri^can^s^el^{der ri}^g^h^t^s^prog^ramⁿ^on^eⁿ^on^eⁿ^on^eⁿ^on^eⁿ^on^eⁿ^on^eⁿ^on^e
^—^Ol^d^{er A}^m^eri^can^s^A^c^{t Program}^s^$1,445.²⁵⁰^$1,456.569^$1,507.078^$1,684.033^$1,783.084^$1,771.057^$1,798.051
^er’s^Dem^o^ns^{tration G}^r^ants^j^$5.970^$5.970^$5.970^$8.962^$11.500^$13.412^$11.883
^{e Conference on Aging}^none^none^none^no^ne^none^none^$2.814^k

CRS-14
ⁿ^clu^d^{es $}¹^.²^m^illioⁿ^f^o^r^th^{e Eld}^e^r^car^{e L}^o^cato^r^an^d^$¹^.²^m^illioⁿ^f^o^r^P^eⁿ^s^ioⁿ^Co^uⁿ^s^elin^g^an^d^Iⁿ^f^o^r^m^atioⁿ^P^r^o^g^r^a^m^.
ⁿ^clu^d^{es f}^uⁿ^d^{s f}^o^r^activ^{ities p}^r^ev^io^u^s^ly^f^uⁿ^d^ed^uⁿ^d^er^T^{itle I}^V^{: Sen}ⁱ^o^r^Medⁱ^ca^r^e^P^a^t^r^o^l^s^;^N^a^tioⁿ^a^{l L}^oⁿ^g^-^T^e^r^m^Car^e^Om^b^u^d^s^m^aⁿ^R^e^s^o^u^r^{ce C}^eⁿ^t^{er; an}^{d Nation}^a^{l C}^eⁿ^t^{er on}^Elder
^A^b^u^s^{e. A}^l^s^oⁱⁿ^clu^d^es^f^uⁿ^d^s^f^o^{r th}^{e Eldercare L}^o^{cator an}^{d P}^eⁿ^s^ion^C^o^uⁿ^s^elin^g^an^{d In}^f^o^rm^ation^P^r^og^ram^.
ⁿ^dⁱⁿ^g^f^o^r^Nativ^{e A}^m^er^ican^f^a^m^ily^car^eg^ivⁱⁿ^g^{is sh}^o^wⁿⁱⁿ^T^{itle VI}^.
^oⁿ^g^r^es^s^origⁱⁿ^ally^{appropriated $150 m}^illion^,^th^en^res^cⁱⁿ^{ded $332,000 (.22%) pu}^rs^u^aⁿ^t^{to S}^ection^{1(a)(4) of}^P^.^L^.^106-^544.
^oⁿ^g^r^es^s^t^r^an^s^f^{erred t}^h^{e prog}^ram^,^prevⁱ^o^u^s^l^y^f^uⁿ^d^{ed by}^U^S^D^A^{, t}^o^A^o^Aⁱⁿ^F^Y^2003.
^{t au}^th^o^r^ized^.
^ootn^o^{te b. Fu}ⁿ^d^s^s^h^owⁿ^{are redu}^{ced f}^r^om^{FY2003 lev}^e^{l du}^{e to tran}^s^f^{er of}^s^o^m^e^f^uⁿ^d^s^{to T}^{itle II.}
ⁿ^dⁱⁿ^g^f^o^r^o^m^b^u^d^s^m^aⁿ^an^d^eld^e^r^ab^u^s^{e p}^r^ev^en^tioⁿ^activ^{ities w}^a^{s in}^clu^d^edⁱⁿ^T^{itle I}^I^I^.
^ouⁿ^t^sⁿ^o^{t s}^p^ecifⁱ^ed.
^e^F^Y¹^{999 O}^mⁿⁱ^b^u^s^C^oⁿ^s^o^lⁱ^d^a^t^e^d^A^p^p^r^o^p^rⁱ^a^tⁱ^oⁿ^s^A^c^t⁽^P^.^L^.^105-^277/^H^.^R^.^{4328) t}^r^an^s^f^{erred t}^h^{e adm}ⁱⁿⁱ^s^t^ratⁱ^oⁿ^of^t^h^{e prog}^ram^f^r^om^t^h^{e H}^eal^t^h^R^e^s^o^u^r^ces^an^{d S}^e^rvⁱ^ces
^A^d^mⁱⁿⁱ^s^t^ratⁱ^oⁿ^t^o^A^o^A^.^T^h^{e prog}^ramⁱ^s^au^t^h^ori^{zed u}ⁿ^d^{er S}^ectⁱ^oⁿ^{398 of}^t^h^{e Pu}^blⁱ^c^H^eal^t^h^S^e^rvⁱ^{ce A}^c^t^.
^.^106-^{501 requ}ⁱ^r^es^t^h^{e Pres}ⁱ^d^en^t^t^o^con^v^eⁿ^e^t^h^{e con}^f^eren^{ce n}^o^l^a^t^e^{r t}^h^an^D^{ec. 31, 2005.}

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Appendix A. Public Laws to Enact and Amend the
Older Americans Act
^!P.L. 89-73, Older Americans Act of 1965, enacted July 14, 1965.
^!P.L. 90-42, Older Americans Act Amendments of 1967, enacted July

1, 1967.

^!P.L. 91-69, Older Americans Act Amendments of 1969, enacted
September 17, 1969.
^!P.L. 92-258, Nutrition Program For the Elderly Act, enacted March

22, 1972.

^!P.L. 93-29, Older Americans Comprehensive Services Amendment
of 1973, enacted May 3, 1973.
^!P.L. 93-351, Amendments to the Nutrition Program for the Elderly
Act and for Other Purposes, enacted July 12, 1974.
^!P.L. 94-135, Older Americans Act Amendments of 1975, enacted
November 28, 1975.
^!P.L. 95-65, 1977 Older Americans Act Amendments, enacted July

11, 1977.

^!P.L. 95-478, Comprehensive Older Americans Act Amendments of

1978, enacted October 18, 1978.

^!P.L. 97-115, Older Americans Act Amendments of 1981, enacted
December 29, 1981.
^!P.L. 98-459, Older Americans Act Amendments of 1984, enacted
October 9, 1984.
^!P.L. 99-269, Older Americans Act Amendments of 1986, enacted
April 1, 1986.
^!P.L. 100-175, Older Americans Act Amendments of 1987, enacted
November 29, 1987.
^!P.L. 102-375, Older Americans Act Amendments of 1992, enacted
September 30, 1992.
^!P.L. 106-501, Older Americans Act Amendments of 2000, enacted
November 13, 2000.