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Older American Act



     
 

Click Here: Older Americans Act Appropriation Information

Selected Highlights: Side by Side Comparison of 1992 and 2000 Amendments to the Older Americans Act (OAA)
OAA as Amended in 1992
OAA as Amended in 1992
(PL-106-501; formerly H.R.782)

GENERAL
The Older Americans Act amended in 1992 is authorized for three-years and contains seven distinct and significant titles.

· Title I: Declaration of Objectives; Definitions
· Title II: Administration on Aging
· Title III: Grants for State and Community Programs on Aging

o Part A
-- General Provisions
o Part B -- Supportive Services and Senior Centers
o Part C -- Nutrition Services

§ Subpart 1 -- Congregate Nutrition Services
§ Subpart 2 -- Home Delivered Nutrition Services
§ Subpart 3 -- School-Based Meals for Volunteer Older Individuals & Multigenerational Programs

o Part D -- In home Services for Frail
o Part E -- Additional Assistance for Special Needs
o Part F -- Disease Prevention and Health Promotion o Part G -- Supportive Activities for Caret
akers

· Title IV: Training, Research, and Discretionary Projects and Programs

o Part A -- Education and Training
o Part B -- Research, Development, and Demonstrations
o Part C -- Centers
o Part D -- Information Dissemination and Related Activities

· Title V: Community Service Employment for Older Americans
· Title VI: Grants for Native Americans

o Part A -- Indian Program
o Part B -- Native Hawaiian Program
o Part C -- General Provisions

· Title VII: Vulnerable Elder Rights Protection Activities

o Subtitle A -- State Provisions

§ Chapter 1 -- General State Provisions
§ Chapter 2 -- Ombudsman Programs
§ Chapter 3 -- Programs for the Prevention of Elder Abuse, Neglect, and Exploitation
§ Chapter 4 -- State Elder Rights and Legal Assistance Development Program
§ Chapter 5 -- Outreach, Counseling, and Assistance Program

o Subtitle B -- Native American Organization Provisions
o Subtitle C -- General Provisions

GENERAL
This bill is for a five-year reauthorization and maintains the seven distinct titles, consolidates subparts, and adds new programs.

· Title I: Declaration of Objectives; Definitions
· Title II: Administration on Aging
· Title III: Grants for State and Community Programs on Aging

o Part A -- General Provisions
o Part B -- Supportive Services and Senior Centers
o Part C -- Nutrition Services

§ Subpart 1 -- Congregate Nutrition Services
§ Subpart 2 -- Home Delivered Nutrition Services

o Part D -- Disease Prevention and Health Promotion Services
o Part E -- National Family Caregiver Support Program

· Title IV: Training, Research, and Discretionary Projects and Programs

o Part A -- Grant Programs
o Part B -- General Provisions

· Title V: Community Service Employment Program for Older Americans
· Title VI: Grants for Native Americans

o Part A -- Indian Program
o Part B -- Native Hawaiian Program
o Part C -- Native American Caregiver Support Program

· Title VII: Vulnerable Elder Rights Protection Activities

· Subtitle A -- State Provisions

o Chapter 1 - General State Provisions
o Chapter 2 - Ombudsman Programs
o Chapter 3 - Prevention of Elder Abuse, Neglect, and Exploitation
o Chapter 4 - State Legal Assistance Development Program

· Subtitle B - Native American Organization Provisions

· Subtitle C - General Provisions

TITLE I - DECLARATION OF OBJECTIVES; DEFINITIONS
The Act contains 10 objectives that address the inherent dignity of older people, and the duty and responsibility of the governments of the United States to assist older Americans in attaining those objectives.
TITLE I - DECLARATION OF OBJECTIVES; DEFINITIONS
The bill retains the objectives in the Act.
TITLE II C ADMINISTRATION ON AGING
Establishes the Administration on Aging (AoA), the functions of the Assistant Secretary for Aging and authorizes the review of policies affecting aging. It also provides for the periodic evaluation of programs under the Act.
White House Conference on Aging
The Act provides for the convening of the White House Conference on Aging in order to develop recommendations for additional research and action in the field of aging.
Federal Council on Aging
Section 204 establishes a Federal Council on Aging to advise and assist the President and Assistant Secretary on matters relating to the special needs of older individuals.
TITLE II C ADMINISTRATION ON AGING The provisions are streamlined, while retaining the authorities for AoA and the Assistant Secretary. Specific authority is added for continuing the Eldercare Locator and Pension Counseling. Authority is also provided to accept gifts (in cash or in kind) which may be used for the design of demonstrations and best practices; planning of conferences; and development and dissemination of informational materials. Provisions are added for the development of performance outcome measures by December 31, 2001, for planning, managing, and evaluating activities performed and services provided under the Act.
White House Conference on Aging
The bill retains authority for a White House Conference on Aging to be convened not later than December 31, 2005.
Federal Council on Aging
The authority for a Federal Council on Aging is repealed.
TITLE III- GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING Title III authorizes funds to State and area agencies for a broad array of in-home and supportive services, including nutrition services. The Act under Sec. 341(a) authorizes states to provide in-home services to frail older individuals, including in-home supportive services for older individuals who are victims of Alzheimer's disease and related disorders with neurological and organic brain dysfunction, and to the families of such victims. Additional assistance for the special needs of older individuals is also authorized in Sec. 351. Supportive activities for caretakers who provide in-home services to frail older individuals (including older individuals who are victims of Alzheimer's disease or related disorders with neurological and organic brain dysfunction) is authorized under Sec. 381. Also, these services are authorized under Part B - Supportive Services and Senior Centers. States award funds to area agencies on aging under an intrastate funding formula. Part F-Disease Prevention & Health Promotion Services, unlike other title III service components, requires state agencies to give funding priority to areas of the state that are medically underserved and where there are large numbers of economically needy older individuals.
The Act sets forth numerous requirements for area plans and enumerates assurances for state plans as conditions for receiving funds.
TITLE III - GRANTS FOR STATE AND COMMUNITY PROGRAMS ON AGING Enhanced flexibility is provided to State and Area Agencies on Aging to respond to differing and changing local needs. The bill eliminates the following categorical programs and places the authority for them under Part B-Supportive Services:
D - In Home Services for Frail Older Individuals
E - Additional Assistance for Special Needs of Older Individuals
G - Supportive Activities for Caretakers Who Provide In-Home Services to Frail Older Individuals.
The bill eliminates some of the items which States and Area Agencies must specify in their plans, or which are categorized as the federal government prescribing "how to" achieve certain national goals. The bill proposes to enhance the efficiency and effectiveness of administration at the local level, while balancing the distinct interests of the partners in the aging network. Additional flexibility is granted through enhanced waiver authority. Authority is granted to permit cost-sharing for selected services.