PROPOSED CHANGES TO THE OLDER AMERICANS ACT: IMPACT ON PARTICIPATION AND SERVICE 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 Compitaron Education and Labor STAMPA OCT 1991 RECORD ONLY: U.S. GOVERNMENT PRINTING OFFICE WASHINGTON : 1991 17 NOSSHOT SARY OF GOVT QUE For sale by the U.S. Government Printing Office ISBN 0-16-035414-5 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 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, 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 CONTENTS MEMBERS' OPENING STATEMENTS Page oray .................. ........................................................ ........ .. ............................................ Chairman Edward R. Roybal ....... Chairman Matthew G. Martinez................ Bill Richardson ............................................... Nita M. Lowey ......................... David L. Hobson ................ Olympia J. Snowe ............... CHRONOLOGICAL LIST OF WITNESSES Joyce T. Berry, Ph.D., U.S. Commissioner on Aging, Administration on Aging. 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, .............. Testimony of The American Association of Homes for the Aging, Inc., |