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into action, and that is what we would like to examine in this hearing: Why is it not being translated into real action?

Whatever we provide at the present time is done in a fashion which promotes independence and dignity to the elderly with the respect for all they have continued to do for our society.

Unfortunately, the Older Americans Act, in my opinion, is sorely underfunded, leaving many elderly in their homes, isolated and often in life-threatening situations. It has been shown over and over again what a difference the Older Americans Act program can make in the lives of many senior citizens. This translates into a reduction at the present time of 27 percent of real dollars since 1980. In other words, the funding that has been available under the Older Americans Act continues to be at the same level, and if you translate that into what it means in 1980 dollars, it means a reduction of 27 percent.

Today as we focus on the reauthorization of the Act, we are interested in developing ways and means to better serve the elderly: to serve more elderly and to enhance the services and the programs provided in the Act.

To this end, we will discuss the needs, and then we will go on and discuss the ability of the Act to successfully accomplish its legislative mandate of serving the elderly in the best manner. Ladies and gentlemen, this is going to be a very interesting hearing, but may I say that without the testimony that we will hear today, we would be unable to make the proper recommendations.

The experts who will appear today and the members of the committee that know this Act so well will work together to bring about a better atmosphere. We hope that what is recommended, will be passed by the Congress of the United States and signed by the President. That signature by the President is the most important thing that one can get in any Act passed by the Congress. May I now yield to my co-chairman, Mr. Martinez.

[The prepared statement of Mr. Roybal follows:]

OPENING STATEMENT OF CONGRESSMAN ROYBAL

"Proposed Changes to the Older Americans Act:
Impact on Participation and Service Delivery"

Thursday, April 25, 1991, 9:30 a.m.
2175 Rayburn HOB

AS CHAIRMAN OF THE SELECT COMMITTEE ON AGING, I AM PLEASED TO HOLD THIS IMPORTANT HEARING ON THE REAUTHORIZATION OF THE OLDER AMERICANS ACT. TODAY WE WILL EXAMINE SOME OF THE MAJOR ISSUES FACING REAUTHORIZATION. WE HAVE A VERY QUALIFIED GROUP OF WITNESSES INCLUDING THE PRESENT COMMISSIONER ON AGING, THE FIRST COMMISSIONER ON AGING, AND A WITNESS WHO HAS BEEN BOTH SECRETARY OF HEALTH, EDUCATION AND WELFARE AND COMMISSIONER ON AGING. THE COMMENTS OF THESE INDIVIDUALS WHO KNOW THE ACT SO WELL, AND WHO UNDERSTAND THE HISTORY AND INTENT OF THE ACT, SHOULD PROVE TO BE VERY INTERESTING.

AS WE ENTER THE LAST DECADE OF THE TWENTIETH (20TH) CENTURY, WE ARE VERY AWARE OF THE GROWING ELDERLY POPULATION. THE ELDERLY ARE THE FASTEST GROWING SEGMENT OF THE POPULATION. THIS UNDERSTANDING HOWEVER IN MANY AREAS IS NOT TRANSLATING INTO ACTION.

THE OLDER AMERICANS ACT IS OUR PRIMARY VEHICLE FOR SERVICES TO THE ELDERLY TO PROVIDE MEALS, IN-HOME SERVICES, AND JOBS FOR LOW-INCOME ELDERLY.

ALL OF THIS IS DONE IN A FASHION WHICH PROMOTES THE INDEPENDENCE, AND DIGNITY OF THE ELDERLY, WITH THE RESPECT FOR ALL THEY HAVE CONTRIBUTED TO OUR SOCIETY. THESE PROGRAMS BECOME AN INTEGRAL AND FULFILLING PART OF THEIR LIVES AND MANY TIMES BECOME THE VEHICLE FOR THEIR CONTINUED SERVICE TO SOCIETY.

UNFORTUNATELY, THE OLDER AMERICANS ACT IS SORELY UNDER-FUNDED LEAVING MANY ELDERLY IN THEIR HOMES, ISOLATED, AND OFTEN IN LIFE THREATENING SITUATIONS. IT HAS BEEN SHOWN OVER AND OVER AGAIN WHAT A DIFFERENCE THE OLDER AMERICANS ACT PROGRAMS CAN MAKE. HOWEVER, THE ACT HAS RECEIVED LEVEL FUNDING THROUGHOUT THE EIGHTIES. THIS TRANSLATES INTO A 27% REDUCTION IN REAL DOLLARS SINCE 1980. SO, AS OUR ELDERLY POPULATION GROWS, THEIR UNMET NEEDS GROW, THEY BECOME OLDER AND MORE FRAIL, BUT THE SERVICES WE ARE MAKING AVAILABLE TO THEM ARE DECREASING!

TODAY AS WE FOCUS ON THE REAUTHORIZATION OF THE ACT, WE ARE INTERESTED IN DEVELOPING WAYS TO BETTER SERVE THE ELDERLY. то SERVE MORE ELDERLY AND TO ENHANCE THE SERVICES AND THE PROGRAMS PROVIDED FOR IN THE ACT.

TO THIS END, WE WILL DISCUSS:

* FIRST, THE NEEDS AND THE ABILITY OF THE ACT TO SUCCESSFULLY ACCOMPLISH ITS LEGISLATIVE MANDATE OF SERVING THOSE MOST IN NEED THE LOW-INCOME AND MINORITY ELDERLY. WHILE SOME AREAS ARE DOING WELL AT SERVING THE MOST NEEDY, OTHERS ARE NOT. SEVERAL ISSUES SUCH AS TARGETING, DATA COLLECTION, AND TECHNICAL ASSISTANCE WILL BE EXAMINED TO UNDERSTAND HOW BEST TO IMPROVE THE ABILITY OF THE ACT TO SERVE THOSE MOST IN NEED.

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SECOND, WE WILL REVIEW THE ADMINISTRATION OF THE ACT. REAUTHORIZATION PROVIDES US WITH AN OPPORTUNITY TO EXAMINE THE CURRENT STRUCTURE AND ORGANIZATION OF THE ADMINISTRATION. PERHAPS LIGHT CAN BE SHED ON THE SIGNIFICANT CHANGES WHICH WERE RECENTLY MADE BY THE SECRETARY OF HEALTH AND HUMAN SERVICES (HHS). ADDITIONALLY, WE NEED TO LOOK CLOSELY AT THE FEDERAL PARTICIPATION IN ADMINISTERING THE PROGRAMS UNDER THE ACT, AND FOLLOWING UP ON HOW WELL THE PROGRAMS ARE MEETING THE NEEDS OF THE OLDER AMERICANS!

FINALLY, SOME PROPOSALS HAVE CALLED INTO QUESTION THE ENTIRE CHARACTER OF THE ACT. WE WILL EXAMINE THE FUNDING NEEDS OF THE ACT AND THE FUTURE STRUCTURE FOR MEETING THE NEEDS OF THE ELDERLY, ESPECIALLY THE LOW-INCOME AND MINORITY ELDERLY.

I LOOK FORWARD TO HEARING FROM TODAY'S WITNESSES. IT IS MY HOPE THAT TODAY'S HEARING WILL PROVIDE A VALUABLE CONTRIBUTION TO THE REAUTHORIZATION PROCESS, AND LEAD TO A STRONGER OLDER AMERICANS ACT IN THE FUTURE.

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Y 4. Ag4/2:0L1/43

PROPOSED CHANGES TO THE OLDER AMERICANS
ACT: IMPACT ON PARTICIPATION AND SERVICE
DELIVERY

P45-49

STANFORD

JOINT HEARING LIBRARIES

BEFORE THE

SELECT COMMITTEE ON AGING

AND THE

SUBCOMMITTEE ON HUMAN RESOURCES

OF THE

COMMITTEE ON EDUCATION AND LABOR
HOUSE OF REPRESENTATIVES

ONE HUNDRED SECOND CONGRESS

FIRST SESSION

APRIL 25, 1991

Aging Comm. Pub. No. 102-816
Education and Labor Committee Serial No. 102-23

Printed for the use of the Select Committee on Aging and the Commit
Education and Labor

45-625

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON 1991

JONSSON

For sale by the U.S. Government Printing Office

STANFO

AVERSITY

OCT 1991

CIS RECORD ONLY:

GOVE DOCUMENT

LIBRARY OF GOVT

Superintendent of Documents, Congressional Sales Office, Washington, DC 20402

ISBN 0-16-035414-5

SELECT COMMITTEE ON AGING

2012/108 EDWARD R. BOYBAL, California, Chairman

THOMAS & DOWNEY, New York
HAROLD & FORD, Tentenaea,
WILLIAM J. HUGHRA, New Jersey
MARILYN LISSYD), Tennessee
MARY BOOK OAKAR, ONG
KKVKKLY B WYRON, Maryland
HENKY A WAZMAN, California
MUTLAR DEKKICK, Bouth Carolina
KRUCK # VENTO, Minnearka
BARNEY FRANK, Massachusetts
TOM LANTOS, California
WON WYDEN, Oregon
IKK SKELTON, Missouri
DENNIS M. HERTEL, Michigan
WORKIET A. BORSKI, Pennsylvania
BEN ERDREICH, Alabama
NORMAN BIBISKY, Virginia

ROBERT E. WISE, J., West Virginia
BILL RICHARDON, New Mexico
HAROLD L VOLKMER, Missouri
BART GORDON, Tennessee
THOMAS J. MANTON, New York
RICHARD H. STALLINGS, Idaho
JOSEPH P. KENNEDY II, Massachusetts
LOUISE M. SLAUGHTER, New York
JAMES H. BILBRAY, Nevada

JIM JONTZ, Indiana

JERRY F. COSTELLO, Illinois

HARLEY O. STAGGERS, JR., West Virginia

FRANK PALLONE, JR., New Jersey

JOLENE UNSOELD, Washington

PETER A. DEFAZIO, Oregon

JOHN LEWIS, Georgia

WAYNE OWENS, Utah

ROBERT A. ROE, New Jersey

GERRY E. STUDDS, Massachusetts
NEIL ABERCROMBIE, Hawaii
DICK SWETT, New Hampshire

ROSA L. DELAURO, Connecticut

MATTHEW J. RINALDO, New Jersey,

Banking Minority Member

JOHN PAUL HAMMERSCHMIDT, Arkansas
RALPH REGULA, Ohio

OLYMPIA J. SNOWE, Maine

CHRISTOPHER H. SMITH, New Jersey
SHERWOOD L. BOEHLERT, New York
JIM SAXTON, New Jersey

HELEN DELICH BENTLEY, Maryland
HARRIS W. FAWELL, Illinois
JAN MEYERS, Kansas

BEN GARRIDO BLAZ, Guam
PAUL B. HENRY, Michigan
FLOYD SPENCE, South Carolina
CONSTANCE A. MORELLA, Maryland
JOHN EDWARD PORTER, Illinois
JOHN J. DUNCAN, JR., Tennessee
CLIFF STEARNS, Florida
CRAIG T. JAMES, Florida
AMO HOUGHTON, New York
GARY A. FRANKS, Connecticut
DAVID L. HOBSON, Ohio

CHARLES H. TAYLOR, North Carolina
WAYNE T. GILCHREST, Maryland
DICK ZIMMER, New Jersey

DICK NICHOLS, Kansas

JIM NUSSLE, Iowa

RICHARD A. VELOZ, M.P.H., J.D., Staff Director
PAUL SCHLEGEL, Minority Staff Director

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