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PROPOSED CHANGES TO THE OLDER AMERICANS

ACT: IMPACT ON PARTICIPATION AND SERVICE
DELIVERY

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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 Compitaron

Education and Labor

STAMPA

OCT 1991

RECORD ONLY:

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 1991

17 NOSSHOT

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SARY OF GOVT QUE

For sale by the U.S. Government Printing Office
Superintendent of Documents, Congressional Sales Office, Washington, DC 20402

ISBN 0-16-035414-5

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haberet SELECT COMMITTEE ON AGING O R A 81. EDWARD R. ROYBAL, California, Chairman THOMAS J. DOWNEY, New York

MATTHEW J. RINALDO, New Jersey, HAROLD E. FORD, Tennessee

Ranking Minority Member WILLIAM J. HUGHES, New Jersey

JOHN PAUL HAMMERSCHMIDT, Arkansas MARILYN LLOYD, Tennessee

RALPH REGULA, Ohio MARY ROSE OAKAR, Ohio

OLYMPIA J. SNOWE, Maine BEVERLY B. BYRON, Maryland

CHRISTOPHER H. SMITH, New Jersey HENRY A. WAXMAN, California

SHERWOOD L. BOEHLERT, New York BUTLER DERRICK, South Carolina

JIM SAXTON, New Jersey BRUCE F. VENTO, Minnesota

HELEN DELICH BENTLEY, Maryland BARNEY FRANK, Massachusetts

HARRIS W. FAWELL, Illinois TOM LANTOS, California

JAN MEYERS, Kansas RON WYDEN, Oregon

BEN GARRIDO BLAZ, Guam IKE SKELTON, Missouri

PAUL B. HENRY, Michigan DENNIS M. HERTEL, Michigan

FLOYD SPENCE, South Carolina ROBERT A. BORSKI, Pennsylvania

CONSTANCE A. MORELLA, Maryland BEN ERDREICH, Alabama

JOHN EDWARD PORTER, Illinois NORMAN SISISKY, Virginia

JOHN J. DUNCAN, JR., Tennessee ROBERT E. WISE, JR., West Virginia

CLIFF STEARNS, Florida BILL RICHARDSON, New Mexico

CRAIG T. JAMES, Florida HAROLD L. VOLKMER, Missouri

AMO HOUGHTON, New York BART GORDON, Tennessee

GARY A. FRANKS, Connecticut THOMAS J. MANTON, New York

DAVID L. HOBSON, Ohio RICHARD H. STALLINGS, Idaho

CHARLES H. TAYLOR, North Carolina JOSEPH P. KENNEDY II, Massachusetts WAYNE T. GILCHREST, Maryland LOUISE M. SLAUGHTER, New York

DICK ZIMMER, New Jersey JAMES H. BILBRAY, Nevada

DICK NICHOLS, Kansas
JIM JONTZ, Indiana

JIM NUSSLE, Iowa
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

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
JOLENE UNSOELD, Washington

MICKEY EDWARDS, Oklahoma
CRAIG A. WASHINGTON, Texas
JOSE E. SERRANO, New York
PATSY T. MINK, Hawaii
ROBERT E. ANDREWS, New Jersey
WILLIAM J. JEFFERSON, Louisiana
JACK REED, Rhode Island
TIM ROEMER, Indiana
PETER J. VISCLOSKY, Indiana
RON DE LUGO, Virgin Islands
JAIME B. FUSTER, Puerto Rico

PATRICIA RISSLER, Staff Director
ANDREW HARTMAN, Minority Staff Director

SUBCOMMITTEE ON HUMAN RESOURCES

MATTHEW G. MARTINEZ, California, Chairman DALE E. KILDEE, Michigan

HARRIS W. FAWELL, Ilinois 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

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