PROPOSED CHANGES TO THE OLDER AMERICANS
ACT: IMPACT ON PARTICIPATION AND SERVICE
DELIVERY
JOINT HEARING
BEFORE THE
SELECT COMMITTEE ON AGING
AND THE
SUBCOMMITTEE ON HUMAN KESOUKCES
OF THE
COMMITTEE ON EDUCATION AND LABOR
HOUSE OF REPRESENTATIVES
ONE HUNDRED SECOND CONGRESS
FIRST SESSION
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 Committee on
Education and Labor
PENNSYLVANIA STATE
UNIVERSITY
SEP18 1991
U.S. GOVERNMENT PRINTINGL*®^ ME NTS COLLECTION
Washington : 1991 U.S. Depository Copy
For sale by the U.S. Government Printing Office
Superintendent of Documents, Congressional Sales Office, Washington, DC 20402
ISBN 0-16-035414-5
SELECT COMMITTEE ON AGING
EDWARD R. ROYBAL, California, Chairman
THOMAS J. DOWNEY, New York
HAROLD E. FORD, Tennessee
WILLIAM J. HUGHES, New Jersey
MARILYN LLOYD, Tennessee
MARY ROSE OAKAR, Ohio
BEVERLY B. BYRON, Maryland
HENRY A. WAXMAN, California
BUTLER DERRICK, South Carolina
BRUCE F. VENTO, Minnesota
BARNEY FRANK, Massachusetts
TOM LANTOS, California
RON WYDEN, Oregon
IKE SKELTON, Missouri
DENNIS M. HERTEL, Michigan
ROBERT A. BORSKI, Pennsylvania
BEN ERDREICH, Alabama
NORMAN SISISKY, Virginia
ROBERT E. WISE, Jr., West Virginia
BILL RICHARDSON, 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
Richard A. Veloz, M.P.H., J.D., Staff Director
. • Paul Schlegel, Minority Staff Director
MATTHEW J. RINALDO, New Jersey,
Ranking 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
COMMITTEE ON EDUCATION AND LABOR
WILLIAM D.
JOSEPH M. GAYDOS, Pennsylvania
WILLIAM (BILL) CLAY, Missouri
GEORGE MILLER, California
AUSTIN J. MURPHY, Pennsylvania
DALE E. KILDEE, Michigan
PAT WILLIAMS, Montana
MATTHEW G. MARTINEZ, California
MAJOR R. OWENS, New York
CHARLES A. HAYES, Illinois
CARL C. PERKINS, Kentucky
THOMAS C. SAWYER, Ohio
DONALD P. PAYNE, New Jersey
NITA M. LOWEY, New York
JOLENE UNSOELD, Washington
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
», Michigan, Chairman
WILLIAM F. GOODLING, Pennsylvania,
E. THOMAS COLEMAM, Missouri
THOMAS E. PETRI, Wisconsin
MARGE ROUKEMA, New Jersey
STEVE GUNDERSON, Wisconsin
RICHARD K. ARMEY, Texas
HARRIS W. FA WELL, Illinois
PAUL B. HENRY, Michigan
CASS BALLENGER, North Carolina
SUSAN MOLINARI, New York
BILL BARRETT, Nebraska
JOHN A. BOEHNER, Ohio
SCOTT L. KLUG, Wisconsin
MICKEY EDWARDS, Oklahoma
Patricia Rissler. Staff Director
Andrew Hartman, Minority Staff Director
Subcommittee On Human Resources
MATTHEW G. MARTINEZ, California, Chairman
DALE E. KILDEE, Michigan HARRIS W. FA WELL, 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
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