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 FIRST SESSION APRIL 25, 1991 Aging Comm. Pub. No. 102-816 Printed for the use of the Select Committee on Aging and the CommiArion Education and Labor OVERSITY STATUD KOTRY OF GOD For sale by the U.S. Government Printing Office ISBN 0-16-035414-5 SRAEST COMMITTEE ON AGING FOTWARD R BISTBAL, Carlornia, Chairman THMA I WYCI in York MATTHEW J. RINALDO, Ner Jersey, Ranking Minority Member OLYMPIA J. SNOWE, Maine CHRISTOPHER H. SMITH, New Jersey HENRI E MAZMANT, Callinna SHERWOOD L. BOEHLERT, New York HELEN DELICH BENTLEY, Maryland HARRIS W. PAWELL, Illinois TOM LANTO., Cabernia JAN MEYERS, Kansas BEN GARRIDO BLAZ, Guam IV.K. SV.KITON, Minguri PAUL B. HENRY, Michigan IMG 118 M. WEITHI, Michigan FLOYD SPENCE, South Carolina 103KICT A WIOSKI, Pennsylvania CONSTANCE A. MORELLA, Maryland DUEN KOCKICH, Alamams JOHN EDWARD PORTER, Illinois NOIMAN MIMISKY, Virginia JOHN J. DUNCAN, JR., Tennessee MAKIt k WISK, JH, West Virginia CLIFF STEARNS, Florida BILL MICHAHIYON, New Mexico CRAIG T. JAMES, Florida ITAHULD I, VOLKMER, Missouri AMO HOUGHTON, New York BAIT (ORIXON, Tennene GARY A. FRANKS, Connecticut THOMAS J, MANTON, Now York DAVID L. HOBSON, Ohio LICHANI) IL WTALLINGH, Idaho CHARLES H. TAYLOR, North Carolina JOXLCI'II P. KENNEDY 11, Mamachusetts WAYNE T. GILCHREST, Maryland 1UIHK M, SLAUGHTER, New York DICK ZIMMER, New Jersey JAMICH IL BILBRAY, Nevada DICK NICHOLS, Kansas JIM NUSSLE, Iowa RICHARD A. VELOZ, M.P.H., J.D., Staff Director PAUL SCHLEGEL, Minority Staff Director COMMITTEE ON EDUCATION AND LABOR WILLIAM D. FORD, Michigan, Chairman JOSEPH M. GAYDOS, Pennsylvania WILLIAM F. GOODLING, Pennsylvania, WILLIAM (BILL) CLAY, Missouri E. THOMAS COLEMAM, Missouri GEORGE MILLER, California THOMAS E. PETRI, Wisconsin AUSTIN J. MURPHY, Pennsylvania MARGE ROUKEMA, New Jersey DALE E. KILDEE, Michigan STEVE GUNDERSON, Wisconsin PAT WILLIAMS, Montana RICHARD K. ARMEY, Texas MATTHEW G. MARTINEZ, California HARRIS W. FAWELL, Illinois MAJOR R. OWENS, New York PAUL B. HENRY, Michigan CHARLES A. HAYES, Illinois CASS BALLENGER, North Carolina CARL C. PERKINS, Kentucky SUSAN MOLINARI, New York THOMAS C. SAWYER, Ohio BILL BARRETT, Nebraska DONALD P. PAYNE, New Jersey JOHN A. BOEHNER, Ohio NITA M. LOWEY, New York SCOTT L. KLUG, Wisconsin MICKEY EDWARDS, Oklahoma PATRICIA RISSLER, Staff Director SUBCOMMITTEE ON HUMAN RESOURCES MATTHEW G. MARTINEZ, California, Chairman DALE E. KILDEE, Michigan HARRIS W. FAWELL, Illinois NITA M. LOWEY, New York E. THOMAS COLEMAN, Missouri RON DE LUGO, Virgin Islands BILL BARRETT, Nebraska WILLIAM D. FORD, Michigan, (Ex Officio) ERIC JENSEN, Staff Director CONTENTS MEMBERS' OPENING STATEMENTS Page .. . . . ... . .. . ... Chairman Matthew G. Martinez.... Bill Richardson ................. Dick Nichols ............................................... Nita M. Lowey ................................ David L. Hobson ...................... Thomas J. Downey .............. Sherwood L. Boehlert ......... Rosa L. DeLauro................ John Paul Hammerschmidt ......... CHRONOLOGICAL LIST OF WITNESSES William D. Bechill, School of Social Work, University of Maryland ............ Michael Mangano, Deputy Inspector General, Department of Health and Robert L. York, Acting Director for Program Evaluation in Human Service Areas, U.S. General Accounting Office, Program Evaluation and Methodolo- Additional material received for the record: Letter from Canyon County Organization on Aging, Inc., Cadwell, Idaho, Margaret Langan, Executive Director........ Testimony of The American Association of Homes for the Aging, Inc., |