Fiscal Year 2010 Budget in Brief
Administration on Aging
(dollars in millions)
| 2008 | 2009 | 2009 Omnibus | 2010 | 2010 |
|---|---|---|---|---|---|
State and Community-Based Services | |||||
Home and Community-Based Supportive Services | 351 | -- | 361 | 361 | -- |
| |||||
Congregate Nutrition Services | 411 | 65 | 434 | 434 | -- |
Home-Delivered Nutrition Services | 194 | 32 | 214 | 214 | -- |
Nutrition Services Incentive Program | 153 | -- | 161 | 161 | -- |
Subtotal, Nutrition Program | 758 | 97 | 810 | 810 | -- |
Preventive Health Services | 21 | -- | 21 | 21 | -- |
Family Caregiver Support Services | 153 | -- | 154 | 154 | -- |
Subtotal, State and Community-Based Services | 1,284 | 97 | 1,346 | 1,346 | -- |
| |||||
Native American Nutrition and Supportive Services | 27 | 3 | 27 | 27 | -- |
Native American Caregiver Support Services | 6 | -- | 6 | 6 | -- |
Subtotal, Services for Native Americans | 33 | 3 | 34 | 34 | -- |
| |||||
Long-Term Care Ombudsman Program | 16 | -- | 16 | 16 | -- |
Prevention of Elder Abuse and Neglect | 5 | -- | 5 | 5 | -- |
Subtotal, Protection of Vulnerable Older Americans | 21 | -- | 21 | 21 | -- |
Program Innovations | 15 | -- | 18 | 13 | -5 |
Aging Network Support Activities | 31 | -- | 42 | 44 | +3 |
Health and Long-Term Care Programs ** | 16 | -- | 28 | 31 | -- |
Alzheimer's Disease Demonstration Grants | 11 | -- | 11 | 11 | -- |
Program Administration | 18 | -- | 19 | 21 | +3 |
Medicare Enrollment Assistance Program *** | -- | -- | 18 | -- | -18 |
Health Care Fraud and Abuse Control *** | 3 | -- | 3 | 3 | -- |
Total, Program Level | 1,416 | 100 | 1,512 | 1,495 | -18 |
| |||||
Medicare Enrollment Assistance Program | -- | -- | -18 | -- | -- |
Health Care Fraud and Abuse Control | -3 | -3 | -3 | -3 | -- |
Total, Budget Authority | 1,413 | 97 | 1,491 | 1,491 | -- |
FTE | 106 |
| 107 | 120 | +13 |
*American Recovery and Reinvestment Act of 2009 (Recovery Act)
** Previously referred to as Choices for Independence
*** Funding from Medicare Trust Funds
Recovery Act
The American Recovery and Reinvestment Act provided $100 million for meals to assist communities and local aging services agencies affected by increased demand for services and rising food costs due to the economic downturn and the growing number of older adults. The Recovery Act provided:
- $65 million for Congregate Nutrition;
- $32 million for Home Delivered Nutrition Services; and
- $3 million for Native American Nutrition Services.
These funds will provide an estimated 13.8 million meals to approximately 181,300 seniors.
The mission of the Administration on Aging is to develop a comprehensive, coordinated and cost-effective system of home and community-based services that helps elderly individuals to maintain their independence and dignity in their homes and communities.
The FY 2010 Budget requests $1.5 billion for the Administration on Aging (AoA), the same as FY 2009. The Budget includes investments in strategies that will empower older individuals and their families to take control over their long-term care needs and supports AoA’s core programs.
LOOKING FORWARD: CONTINUED INVESTMENT IN HEALTH AND LONG-TERM CARE
The Budget requests $31 million under Aging Network Support Activities to continue the national implementation and evaluation of three health and long-term care programs: Aging and Disability Resource Centers (ADRCs), Evidence-Based Disease Prevention Programs and Nursing Home Diversion—that focus on giving older individuals and their caregivers the ability to improve and maintain their health, understand their long-term care options so they can better direct their care, and conserve and extend their personal resources, all through the use of low-cost, community-based service alternatives and preventive services.
PROVIDING HOME AND COMMUNITY-BASED SUPPORT SERVICES
The Budget requests $361 million for Home and Community-Based Supportive Services. These funds support a broad array of services that enable older individuals to remain healthy, while maintaining their independence, at home and in the community. This support includes access services such as transportation, case management, and information and referrals; in home services such as personal care, chore, and homemaker assistance; and community services such as adult day care and physical fitness programs. In 2007, Home and Community-Based Supportive Services provided 29 million rides for critical daily activities, 28 million hours of assistance to seniors unable to perform daily activities, and nearly 8 million hours of care for older adults.
ENSURING ADEQUATE NUTRITION
The FY 2010 Budget includes $810 million for the Nutrition programs, including Congregate and Home-Delivered Nutrition services and the Nutrition Services Incentive Program. Balanced nutrition is crucial to maintaining cognitive and physical functionality and reducing chronic disease and disability. AoA’s Nutrition services help seniors to improve their nutritional intake and remain at home. In 2007, Home-Delivered Nutrition Services provided 141 million meals to over 916,000 individuals, and Congregate Nutrition Services provided almost 95 million meals to 1.6 million seniors in a variety of community settings.
Health and Long-Term Care in Home and Community Based Settings
As part of the President’s agenda to improve long-term care, funding will support:
- Evidence-Based Prevention—especially Chronic Disease Self Management Programs—use low-cost, community-level interventions to assist seniors to make behavioral changes that have proven effective in reducing the risk of disease, injury and disability;
- Aging and Disability Resource Centers (ADRCs)— offer single-entry points to help individuals make informed decisions about their care options, plan ahead for their long-term care needs, and streamline access to long-term care services supported with public and/or private funds; and
- Nursing Home Diversion—provides non Medicaid home and community-based services to help high-risk individuals avoid nursing home placement and spend-down to Medicaid.
FAMILY CAREGIVER SUPPORT
The FY 2010 Budget request includes $154 million for the National Family Caregiver Support Program, which supports family and informal caregivers by providing information, assistance, counseling, training, respite, and other services that help them care for their loved ones at home. Data from AoA’s national surveys of caregivers indicate that almost half of caregivers who have nursing home-eligible care recipients indicate that their loved one would not have been able to stay in their home without these support services.
FOCUSING ON PREVENTION
The Budget also requests $21 million for Preventive Health Services to support activities that educate older adults about the importance of healthy lifestyles and behaviors that can help to prevent or delay the need for costly medical interventions that result from chronic diseases and disabilities.
NATIVE AMERICAN NUTRITION, SUPPORT AND CAREGIVER ACTIVITIES
The FY 2010 Budget provides $34 million for Native American seniors, including $27 million for nutrition and supportive services and $6 million for Native American caregivers and the seniors they assist. These programs help to reduce the need for costly institutional care and medical interventions. In 2007, this funding provided 4.3 million Congregate and Home-Delivered meals and approximately 933,000 rides were provided to Native Americans for rides to meal sites, medical appointments and other critical activity locations.
PROTECTING ELDER RIGHTS
The FY 2010 Budget includes $21 million to improve the quality of care for residents of long-term care facilities through the Long Term Care Ombudsman Program and to increase public and professional awareness of elder abuse through the Prevention of Elder Abuse, Neglect and Exploitation Program. Together these activities help protect the rights and dignity of vulnerable elders.
SUPPORTING THE NATIONAL AGING SERVICES NETWORK
In addition to the $31 million for ADRCs, Evidence-Based Prevention and Nursing Home Diversion, the budget includes $13 million for other Aging Network Support Activities that help seniors and their families obtain information about their care options and benefits. These funds support activities such as the National Eldercare Locator, Pension Information and Counseling program, national resource centers, and Senior Medicare Patrol projects that train seniors to detect fraud and abuse in their Medicare and Medicaid statements.
The FY 2010 Budget requests $13 million for Program Innovations to maintain funding for ongoing activities of national significance, including national resource centers, senior legal help lines, and the National Alzheimer’s Call Center, and to continue support for innovative demonstration initiatives such as the Community Innovations for Aging in Place Program and Civic Engagement. Traditionally, these funds have been a source of support for AoA to identify, demonstrate and disseminate the results of best practices throughout the national aging services network.
Performance Highlight
Increasing the number of consumers with severe disabilities (defined as persons with three or more Activities of Daily Living limitations) who receive selected home and community-based services is one of AoA’s long-term goals. In 2007, AoA exceeded the target for increasing the number of consumers with severe disabilities by 10 percent, and served over 359,143 clients.
MEETING THE NEEDS OF THOSE WITH ALZHEIMER’S DISEASE
The Budget includes $11 million for the Alzheimer’s Disease Demonstration Grants Program that helps ensure AoA’s core programs expand the availability of diagnostic and support services for persons with Alzheimer’s disease, their families and their caregivers through competitive grants.
PROGRAM ADMINISTRATION
A total of $21 million is requested in the FY 2010 Budget for program management and support activities, and to better address the needs of the growing aging population.