|
Legislation
and Budget
Current Budget Information
FY 2005 Budget Request
Dollars
in thousands
|
FY
2001 |
FY
2005 |
Change FY
2001-05 |
Program Activities |
Enacted |
Request |
$
|
% |
Home & Community-Based Supportive Services |
$325,027
|
$357,000
|
$31,973
|
9.8%
|
National Family Caregiver Support Program |
124,981
|
161,867
|
36,886
|
29.5%
|
Congregate Nutrition Services |
378,356
|
388,646
|
10,290
|
2.7%
|
Home-Delivered Nutrition Services |
151,978
|
180,985
|
29,007
|
19.1%
|
Nutrition Services Incentive Program /1 |
150,000
|
149,183
|
(817)
|
-0.5%
|
Preventive Health Services |
21,120
|
21,919
|
799
|
3.8%
|
Program Innovations /2 |
25,430
|
23,843
|
(1,587)
|
-6.2%
|
Non-Earmarked Program Innovations
(Non-Add)
|
7,152
|
23,843
|
16,691
|
233.4%
|
Aging Network Support Activities /2 |
12,234
|
13,373
|
1,139
|
9.3%
|
Grants for Native Americans |
23,457
|
26,612
|
3,155
|
13.5%
|
Protection of Vulnerable Older Americans |
14,181
|
18,559
|
4,378
|
30.9%
|
Alzheimer's Disease Demonstration Grants |
8,962
|
11,500
|
2,538
|
28.3%
|
Program Administration |
17,216
|
18,482
|
1,266
|
7.4%
|
White House Conference on Aging |
--
|
4,558
|
4,558
|
--
|
Total, Discretionary
Budget Authority |
$1,252,942
|
$1,376,527
|
$123,585
|
9.9%
|
Senior Medicare Patrols (HCFAC) |
1,500
|
3,250
|
1,750
|
116.7%
|
Total,
Program Level |
$1,254,442
|
$1,379,777
|
$125,335
|
10.0%
|
Notes:
1/ The FY 2003 appropriation transferred the Nutrition
Service Incentive Program from the Department of Agriculture
to AoA. FY 2001 has been comparably adjusted.
2/ The FY 2004 Appropriation shifted funding for National Ombudsman and
Elder Abuse Resource Centers and the Health Care Anti-Fraud, Waste, & Abuse
Program from Program Innovations to Aging Network Support Activities.
FY 2001 has been comparably adjusted.
|
AoA FY 2005 Budget Overview
The President forwarded his request for FY 2005 funding to Congress
on February 2, 2004. We are pleased with this budget as it continues
to emphasize the Administration on Aging (AoA) programs that
work together with our partners in the aging network to support
older Americans through community-based services. We are asking
for a total of $1.377 billion in this year’s request.
Under the current Administration, AoA has been transformed from
an agency focused primarily on making grants to States, to an
agency that is a leader in aging policy and a catalyst for innovations
in aging services and home and community-based long-term care
systems. This is reflected in the FY 2005 program increase of
+$7.1 million for Program Innovations activities. These activities
develop, test, and promote new approaches and promising practices
to serve older persons and their families. These additional funds,
equal to a 70% increase over comparable FY 2004 activities, will
build on the new initiatives that we funded for the first time
with FY 2003 funds. These initiatives are intended to maximize
the value of available resources and better coordinate and integrate
the delivery of services to seniors.
At the beginning of my tenure, I established five strategic
priorities that have guided our efforts. My goal is to improve
the quality of life by enhancing the Aging Services Network’s
capacity to provide health and long-term care services. Each
priority is described below along with some of our accomplishments
to date:
Priority 1: Make it easier for older people to access an integrated
array of health and social supports.
- Aging and Disability Resource Center Initiative—12
centers in each of FY 2003 and 2004.
- Partnerships with Federal
agencies and National Aging Organizations:
- Robert Wood Johnson
Foundation Cash and Counseling: Next Steps Program;
- National
Governor’s Association—Policy Academy--Rebalancing
State Long-Term Care Systems;
- The National Conference of State Legislatures--Technical
Assistance to State legislative leaders on making long-term
care systems more
responsive to the needs of elderly consumers; and,
- Federal Transit Administration
to expand seniors’ transit options
and enhance coordination.
- Alzheimer’s Grants to States—From
28 States in 2001 to 39 States in 2003; created a national call center
on Alzheimer’s
disease for consumers and professionals.
Priority 2: Help older people to stay active and healthy.
- Evidence-Based Prevention Initiatives – Projects translate
research into practice to allow community providers to develop
prevention programs
targeted to seniors.
- Consolidated all Older Americans Act nutrition programs
within AoA by transferring the Nutrition Services Incentive
Program from USDA to AoA,
while preserving essential features of the program such as the ability of states
to
receive commodities.
- Nutrition and Physical Activity Resource Center—Strengthened
existing efforts to expand the focus of nutrition programs to include physical
activity
programs for seniors.
Priority 3: Support families in their efforts to care for their
loved ones at home and in the community.
- Implemented the new National Family Caregiver Support Program,
including caregiver demonstrations and National Projects – Fourth
Year of Funding—Up
27% overall since its creation.
- Provided increased outreach to consumers
through several avenues including the Eldercare Locator, consumer-focused
fact sheets and seven listening
sessions throughout the country.
- Partnered with the White House Office on Faith-Based
and Community Initiatives to provide information, technical
assistance and resources on aging programs.
- National Summit
on Creating Healthy and Caring Communities – Enhancing
the capacity of the aging network in strengthening long-term care community
programs.
Priority 4: Ensure the rights of older people and prevent their
abuse, neglect and exploitation.
- Ombudsman Program – Improved quality of care for nursing
home residents through a partnership with CMS on the Nursing
Home Quality Initiative
and strengthening the Ombudsman Resource Center.
- National Resource Centers:
Restructured centers to strengthen the ability to educate
and serve consumers and provide technical assistance to our
aging network in areas such as pension counseling, elder abuse, legal assistance,
and
consumer protection.
Priority 5: Promote effective and responsive management.
- National Outcome Surveys are providing AoA with consumer
service assessments for the first time.
- Reduced reporting requirements/burden
and over regulation.
- Increased focus on consumers and our
partners through e-grants, AoA Monthly E-Newsletter, and
the AoA Website.
With respect to our core programs—including supportive
services, nutrition, caregivers, health promotion activities,
programs for Native Americans and programs for vulnerable older
Americans—from FY 2001 to this current budget request there
has been growth of $116 million or almost 10%. Together these
funds—for innovation and core services--will continue to
allow us to build on AoA’s mission to promote the dignity
and independence of older Americans and to help society prepare
for an aging population.
AOA CORE PROGRAM FUNDING:
FY 2001-FY 2005 |
|
Change FY 2001-FY
2005 |
State & Tribal
Formula Grant Programs |
$ |
%
|
Home & Community-Based Supportive
Services |
+$31,973,000 |
+9.8% |
Nutrition Services |
+$38,480,000 |
+5.7% |
Preventive Health Services |
+$799,000 |
+3.8% |
National Family Caregiver Support
Program |
+$36,886,000 |
+29.5% |
Services for Native Americans |
+$3,155,000 |
+13.5% |
Protection of Vulnerable Older
Americans |
+$4,378,000 |
+30.9% |
Total, State & Tribal Formula
Grant Programs |
+$115,671,000 |
+9.7% |
Notes: N/A
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Additional Topics |
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