Order Code RL32437
CRS Report for Congress
Received through the CRS Web
Older Americans Act:
History of Appropriations,
FY1966-FY2004
June 18, 2004
Carol O’Shaughnessy
Specialist in Social Legislation
Domestic Social Policy Division
Congressional Research Service ˜ The Library of Congress

Older Americans Act: History of Appropriations,
FY1966-FY2004
Summary
The Older Americans Act (OAA) is the major federal vehicle for the delivery
of social and nutrition services for older persons. Originally enacted in 1965, the act
supports a wide range of social services for older persons; the congregate and home-
delivered nutrition program; caregiver support services; community service
employment; the long-term care ombudsman program; services to prevent abuse;
neglect and exploitation of older persons; grants to Native Americans; and research,
training and demonstration activities in the field of aging. Authorization of
appropriations for the act were extended through FY2005 by P.L. 106-501, signed
into law on November 13, 2000. The act is scheduled for review for reauthorization
by the 109th Congress.
The act establishes the Administration on Aging (AoA) within the Department
of Health and Human Services (DHHS) which administers all of the act’s programs
except for the community service employment program, administered by the
Department of Labor (DOL).
The original legislation in 1965 established AoA within the then-Department
of Health, Education, and Welfare (HEW) and established a state grant program for
community planning and services programs as well as authority for research,
demonstration, and training programs. The act has been amended 14 times since the
original legislation was enacted. Major amendments included the creation of the
national nutrition program for the elderly in 1972 and the network of area agencies
on aging in 1973 under Title III. Other amendments established the long-term care
ombudsman program and a separate grant program for older Native Americans in
1978; and a number of additional service programs under the state and area agency
on aging program, including programs to prevent elder abuse, neglect, and
exploitation, and health promotion and disease prevention programs, among others,
in 1987.
The 1992 amendments created Title VII, authorizing programs that focus on
protection of the rights of vulnerable older persons, including the long-term care
ombudsman program, and services to prevent elder abuse, neglect, and exploitation
(under prior law authorized under Title III). The 2000 amendments enacted the
National Family Caregiver Support Program under Title III, and required the
President to convene a White House Conference on Aging by December 2005.
This report presents an appropriations history of the act from FY1966, the first
time the act’s programs received funds, through FY2004. This report will be updated
as appropriations legislation is enacted. For appropriations action during the 108th
Congress and more detailed information about the act, see CRS Report RL31336,
Older Americans Act: Programs and Funding.

Contents
Summary of Legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Title I. Declaration of Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Title II. Administration on Aging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Title III. Grants for State and Community Programs on Aging . . . . . . . . . . 2
Title IV. Training, Research, and Discretionary Projects and Programs . . . 3
Title V. Community Service Employment for Older Americans . . . . . . . . . 3
Title VI. Grants for Services for Native Americans . . . . . . . . . . . . . . . . . . 4
Title VII. Vulnerable Elder Rights Protection Activities . . . . . . . . . . . . . . . 4
Appendix A. Public Laws to Enact and Amend the Older Americans Act . . . . 15
List of Tables
Table 1. Older Americans Act Appropriations, FY1966-FY1991 . . . . . . . . . . . . 5
Table 2. Older Americans Act and White House Conference
on Aging Appropriations, FY1992-FY1997 . . . . . . . . . . . . . . . . . . . . . . . . 11
Table 3. Older Americans Act, Alzheimer’s Demonstration Programs, and
White House Conference on Aging Appropriations, FY1998-FY2004 . . . . 13

Older Americans Act: History of
Appropriations, FY1966-FY2004
Summary of Legislation
With passage of the Older Americans Act in 1965, Congress created a new
federal program specifically designed to meet the social service needs of older
people. Although older persons may receive services under many other federal
programs, the act is the major vehicle for the organization and delivery of social and
nutrition services to this group.
The original Act established the Administration on Aging (AoA) within the
then-Department of Health, Education, and Welfare (HEW) and established a state
grant program for community planning and services programs as well as authority for
research, demonstration, and training programs in the field of aging. The act has
been amended 14 times since the original legislation was enacted.
Major amendments to the act occurred in 1972, with the creation of the national
nutrition program for the elderly, and in 1973, with the establishment of substate area
agencies on aging whose purpose is to plan and coordinate services for older persons
and to act as advocates on their behalf. The 1973 amendments also established
legislative authority for the community service employment program which provides
part-time subsidized jobs for low-income older persons.
The 1978 amendments represented a major structural change to the act when the
separate grant programs for social services, nutrition services and multipurpose
senior center facilities were consolidated into one program under the authority of
state and area agencies on aging. These amendments also established the state long-
term care ombudsman program and a new Title VI authorizing grants to Indian tribal
organizations for social and nutrition services to older Indians. Amendments in 1981
and 1984 gave states more flexibility in the administration of the nutrition and
supportive service programs, among other provisions. The 1987 amendments created
new separately authorized service components under the state and area agency on
aging program, including services to prevent abuse, neglect, and exploitation of older
persons, and health promotion and disease prevention programs, among others.
These amendments also incorporated a grant program for older Native Hawaiians
under Title VI.
The 1992 amendments again restructured some of the act’s programs. A new
Title VII was created to consolidate and expand certain programs that focus on
protection of the rights of older persons which were previously authorized under Title
III. These include the long-term care ombudsman program and program to prevent
abuse, neglect and exploitation of older persons.

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The 2000 amendments extended the act’s programs through FY2005. These
amendments authorized the National Family Caregiver Support Program under Title
III; required the Secretary of the Department of Labor (DoL) to establish performance
measures for the senior community service employment program; allowed states to
impose cost-sharing for certain Title III services older persons receive while retaining
authority for voluntary contributions by older persons toward the costs of services,
among other things. In addition, the amendments require the President to convene
a White House Conference on Aging by December 31, 2005.
For more information on Older Americans Act programs, see CRS Report
RL31336, Older Americans Act: Programs and Funding. For information on the last
amendments to the act in 2000, see CRS Report RL30055, Older Americans Act:
106th Congress Legislation.

The following provides a brief description of the act’s titles as enacted through
the 2000 amendments (P.L. 106-501). Tables 1-3 present an appropriations history,
FY1966-FY2004. Appendix A lists the public laws that have amended the Older
Americans Act of 1965.
Title I. Declaration of Objectives
Title I of the act sets out broad social policy objectives oriented toward
improving the lives of all older Americans, including adequate income in retirement,
the best possible physical and mental health, opportunity for employment, and
comprehensive long-term care services, among other things.
Title II. Administration on Aging
Title II establishes AoA in the Department of Health and Human Services
(DHHS) and as the chief federal agency advocate for older persons; it sets out the
responsibilities of AoA and the Assistant Secretary for Aging. The Assistant
Secretary is appointed by the President with the advice and consent of the Senate.
Title II requires that AoA establish the National Eldercare Locator Service to provide
nationwide information through a toll-free telephone number to identify community
resources for older persons. It also requires AoA to establish the National Long-
Term Care Ombudsman Resource Center, the National Center on Elder Abuse, the
National Aging Information Center, and the Pension Counseling and Information
Program.
Title III. Grants for State and Community Programs on Aging
Title III authorizes grants to state and area agencies on aging to act as advocates
on behalf of, and to coordinate programs for, older persons. It accounts for 69% of
total OAA funds in FY2004 ($1.243 billion out of almost $1.798 billion). The
program, which supports 56 state agencies on aging, 655 area agencies on aging, and
more than 29,000 service providers, authorizes six separate service programs. States
receive separate allotments of funds for supportive services and centers, family
caregiver support, congregate and home-delivered nutrition services, nutrition
services incentive grants, and disease prevention and health promotion services.

CRS-3
AoA allots funds for supportive services, congregate and home-delivered
nutrition services, and disease prevention/health promotion services to states based
on each state’s relative share of the total population aged 60 years and over. Funds
for nutrition services incentive grants are allotted to states based on a formula that
takes into account the number of meals served by each state’s nutrition program the
prior year. Funds for the family caregiver program are allotted to states based on
each state’s relative share of the total population aged 70 years and over (although
persons under age 70 are eligible to receive caregiver services).
Title III supportive and nutrition services are available to all persons age 60 and
over, but are targeted to those with the greatest economic and social need,
particularly low-income minority persons and older persons residing in rural areas.
Priority for caregiver services is to be given to older persons and their families who
have the greatest social and economic need, with particular attention to low income
individuals, to older persons who provide care and support to persons with mental
retardation and developmental disabilities, and, under certain circumstances, to
grandparents and certain other caregivers of children.
Participants are encouraged to make voluntary contributions for services they
receive. Means testing for Title III services is prohibited. However, states are
allowed to implement cost-sharing policies for certain services on a sliding fee scale
basis under certain circumstances; but older persons must not be denied services due
to failure to make cost-sharing payments.
Title IV. Training, Research, and Discretionary Projects and
Programs

Title IV of the act authorizes the Assistant Secretary for Aging to award funds
for training, research, and demonstration projects in the field of aging. Funds are to
be used to expand knowledge about aging and the aging process and to test
innovative ideas about services and programs for older persons. Over the years, Title
IV has supported a wide range of research and demonstration projects, including
those related to income, health, housing, retirement, long-term care, as well as
projects on career preparation and continuing education for personnel in the field of
aging.
Title V. Community Service Employment for Older Americans
The community service employment program for older Americans has as its
purpose the promotion of useful part-time opportunities in community service
activities for unemployed low-income persons who are 55 years or older and who
have poor employment prospects. The program is the only existing job creation
program for adults since the elimination of public service employment under the
Comprehensive Employment and Training Act (CETA).1 Participants’ income must
not exceed 125% of the DHHS poverty level guidelines.
1 The Rehabilitation Act authorizes a community service employment program for persons
with disabilities. It has never been funded.

CRS-4
The program not only provides opportunities for part-time employment and
income for older persons, but also contributes to the general welfare of communities
by providing a source of labor for various community service activities. Enrollees
work part-time in a variety of community service activities. The program supports
61,500 jobs and serves about 92,300 persons in FY2003 (for the program year, July
1, 2003-June 30, 2004). The cost per job slot in FY2003 is $7,153.
Enrollees are paid no less than the federal or state minimum wage or the local
prevailing rate of pay for similar employment, whichever is higher. Federal funds
may be used to compensate participants for up to 1,300 hours of work per year (52
weeks at 25 hours a week), including orientation and training. Participants work an
average of 20-25 hours per week. In addition to wages, enrollees receive physical
examinations, personal and job-related counseling, and transportation for
employment purposes, under certain circumstances. Participants also may receive
on-the-job training.
Title VI. Grants for Services for Native Americans
Title VI authorizes funds for supportive and nutrition services to older Native
Americans. Funds are awarded directly by AoA to Indian tribal organizations, Native
Alaskan organizations, and non-profit groups representing Native Hawaiians. To be
eligible for funding, a tribal organization must represent at least 50 Native American
elders age 60 or older.
In FY2003, grants were awarded to 241 organizations representing 300 Indian
tribal organizations and two organizations serving native Hawaiian elders. Most
frequently provided services under the program are transportation, home-delivered
and congregate nutrition services, and a wide range of home care services.
Title VII. Vulnerable Elder Rights Protection Activities
Title VII authorizes the long-term care ombudsman program and elder abuse,
neglect and exploitation prevention programs. Two other programs are authorized,
but not funded — legal assistance development and the Native American elder rights
program.
Funding for ombudsman and elder abuse prevention activities is allotted to
states based on the states’ relative share of the total population age 60 and older.
State agencies on aging may award funds for these activities to a variety of
organizations for administration, including other state agencies, area agencies on
aging, county governments, nonprofit service providers, or volunteer organizations.

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Table 1. Older Americans Act Appropriations, FY1966-FY1991
(dollars in millions)
FY1966
FY1967
FY1968
FY1969
FY1970
FY1971
FY1972
Title II: Administration on Aginga
National Information and Resource Clearinghouse on Aging
b
b
b
b
b
b
b
Federal Council on Aging
b
b
b
b
b
b
b
Title III: Grants for State and Community Programs on Agingc
$5.000
$6.000
$10.550
$16.000
$13.000
$13.000
$35.000
Supportive services and centers
$5.000
$6.000
$10.550
$16.000
$9.000
$9.000
$30.000
Nutrition services
b
b
b
b
b
b
b
Congregate
Home-delivered
USDA commodities
Multipurpose senior centers
b
b
b
b
b
b
b
State agency activities
none
none
none
none
4.000
4.000
5.000
In-home services for frail elderly
b
b
b
b
b
b
b
Assistance for special needs
b
b
b
b
b
b
b
Health education and promotion
b
b
b
b
b
b
b
Elder abuse prevention
b
b
b
b
b
b
b
Long-term care ombudsman
b
b
b
b
b
b
b
Outreach for SSI, Medicaid, and food stamps
b
b
b
b
b
b
b
Title IV: Training, Research and Discretionary Projects and Programsd
1.500
3.000
6.400
7.000
5.860
8.000
26.100
Homecare demonstration projects
b
b
b
b
b
b
b
Ombudsman advocacy demonstration projects
b
b
b
b
b
b
b
Title V: Community Service Employment for Older Americans
b
b
b
b
b
b
b
Title VI: Grants for Native Americans
b
b
b
b
b
b
b
Part A — Indian program
Part B — Native American program
b
b
b
b
b
b
b
Title VII: Older Americans Personal Health Education and Training
Total — Older Americans Act Programs
$6.500
$9.000
$16.950
$23.000
$18.860
$21.000
$61.100

CRS-6
FY1973
FY1974
FY1975
FY1976
FY1977
FY1978
FY1979
Title II: Administration on Aginga
National Information and Resource Clearinghouse on Aging
none
none
none
none
none
$2,000
$2,000
Federal Council on Aging
none
none
$0.500
$0.725e
$0.575
$0.450
$0.450
Title III: Grants for State and Community Programs on Agingc
$179.600
$184.800
222.000
306.785
384.525
495.982
553.760
Supportive services and centers
68.000
68.000
82.000
124.250f
122.000
153.000
196.970
Nutrition services
99.600
104.800
125.000
156.250g
225.525
283.982
334.290
Congregate
(156.250)g
(203.525)
(250.000)
(277.046)
Home-delivered
USDA commodities
h
(22.000)i
(33.982)i
(57.244)i
Multipurpose senior centers
none
none
none
5.000j
20.000
40.000
k
State agency activities
12.000
12.000
15.000
21.285l
17.000
19.000
22.500
In-home services for frail elderly
b
b
b
b
b
b
b
Assistance for special needs
b
b
b
b
b
b
b
Health education and promotion
b
b
b
b
b
b
b
Elder abuse prevention
b
b
b
b
b
b
b
Long-term care ombudsman
b
b
b
b
b
b
b
Outreach for SSI, Medicaid, and food stamps
b
b
b
b
b
b
b
Title IV: Training, Research and Discretionary Projects and Programsd
33.000
33.000
23.000
42.300m
38.500
44.300
44.300
Homecare demonstration projects
b
b
b
b
b
b
b
Ombudsman advocacy demonstration projects
b
b
b
b
b
b
b
Title V: Community Service Employment for Older Americans
none
10.000
12.000
85.900
150.000
211.700
220.600
Title VI: Grants for Native Americans
b
b
b
b
b
b
none
Part A — Indian program
Part B — Native American program
Title VII: Older Americans Personal Health Education and Training
b
b
b
b
b
b
b
Total — Older Americans Act Programs
$573.600
$573.600
$573.600
$435.710n
$573.600
$573.600
$573.600

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FY1980
FY1981
FY1982
FY1983
FY1984
FY1985
Title II: Administration on Aging a
b
b
b
National Information and Resource Clearinghouse on Aging
2.000
1.800
1.721
Federal Council on Aging
0.450
0.481
0.191
0.175
0.175
0.200
Title III: Grants for State and Community Programs on Agingc
663.652
714.575
699.232
750.693
779.044
795.900
Supportive services and centers
246.970
252.000
240.869
240.869
250.869
265.000
Nutrition services
394.182
439.900
436.690
488.151
506.502
530.900
Congregate
(270.000)
(295.000)
(286.749)
(319.074)
(321.574)
(336.000)
Home-delivered
(50.000)
(55.000)
(57.350)
(62.025)
(67.025)
(67.900)
USDA commodities
(74.182)i
(89.000)i
(92.591)i
(107.052)i
(117.903)i
(127.000)p
Multipurpose senior centers
k
k
k
k
k
k
r
State agency activities
22.500
22.675
21.673
21.673
21.673
In-home services for frail elderly
b
b
b
b
b
b
Assistance for special needs
b
b
b
b
b
b
Health education and promotion
b
b
b
b
b
b
Elder abuse prevention
b
b
b
b
b
b
Long-term care ombudsman
b
b
b
b
b
b
Outreach for SSI, Medicaid, and food stamps
b
b
b
b
b
b
Title IV: Training, Research and Discretionary Projects and Programsd
54.300
40.500
22.175
22.175
22.175
25.000
Homecare demonstration projects
b
b
b
b
b
b
Ombudsman advocacy demonstration projects
b
b
b
b
b
b
Title V: Community Service Employment for Older Americans
266.900
277.100
277.100
319.450
317.300
326.000
Title VI: Grants for Native Americans
6.000
6.000
5.735
5.735
5.735
7.500
Part A — Indian program
Part B — Native American program
Title VII: Older Americans Personal Health Education and Training
b
b
b
b
b
nones
Total — Older Americans Act Programs
$993.302
$1,040.456
$1,006.154
$1,098.228
$1,124.429
$1,154.600

CRS-8
FY1986
FY1987
FY1988
FY1989
FY1990
FY1991
Title II: Administration on Aginga
National Information and Resource Clearinghouse on Aging
b
b
b
b
b
b
Federal Council on Aging
$0.191
$0.200
$0.191
$0.188
$0.186
$0.181
Title III: Grants for State and Community Programs on Agingc
773.490
830.557
834.427
856.681
853.104
901.828
Supportive services and centers
253.605
270.000
268.072
274.352t
271.986
290.818
Nutrition services
519.885
560.557
560.611
576.507
574.387
598.811
Congregate
(321.522)o
(348.000)
(344.664)
(356.668)
(351.924)
(361.083)
Home-delivered
(64.980)
(75.400)
(75.635)
(78.546)
(78.981)
(87.831)
USDA commodities
(133.383)q
(137.157)
(140.312)
(141.293)
(143.482)
(149.897)
Multipurpose senior centers
k
k
k
k
k
k
State agency activities
r
r
r
r
r
r
In-home services for frail elderly
b
b
4.787
4.834
5.756
6.831
Assistance for special needs
b
b
none
none
none
none
Health education and promotion
b
b
none
none
none
none
Elder abuse prevention
b
b
none
none
none
2.928v
Long-term care ombudsman
b
b
0.957u
0.988
0.975
2.440v
Outreach for SSI, Medicaid, and food stamps
b
b
none
none
none
none
Title IV: Training, Research and Discretionary Projects and Programsd
23.925
25.000
23.935
22.173w
25.332
26.917x
Homecare demonstration projects
b
b
b
none
none
b
Ombudsman advocacy demonstration projects
b
b
b
none
none
b
Title V: Community Service Employment for Older Americans
312.002
336.000
331.260
343.824
367.013
390.360
Title VI: Grants for Native Americans
7.178
7.500
7.181
10.710y
12.541
14.639
Part A — Indian program
(9.345)
(11.108)
(13.134)
Part B — Native American program
(1.365)
(1.433)
(1.505)
Title VII: Older Americans Personal Health Education and Training
nones
nones
s
s
s
s
Total — Older Americans Act Programs
$1,116.786
$1,199.257
$1,196.994
$1,233.576b
$1,258.176
$1,333.925
a. Sources for appropriation levels: For FY1966-FY1980, Title II, III, IV, and VI, the Administration on Aging of the U.S. Dept. of Health and Human Services. For Title V prior
to FY1982, Appendices to the Budget, Budget Justifications, and U.S. Dept. of Labor. For all Titles for FY1982-FY1991, Appendices to the Budget and appropriations legislation,
various years. For U.S. Dept. of Agriculture (USDA) commodities program, 1976-85, Appendices to the Budget, showing obligations of funds; 1986-1991, appropriations
legislation.

CRS-9
b. Not authorized.
c. From FY1966 to FY1969, Title II funds were allocated to states for community planning and social services. There was no specific appropriation for state or area planning activities.
Beginning in 1970, funds were appropriated for statewide planning. Beginning in 1973, funds were appropriated for area planning and social services; this appropriation was
later termed social services. Funds for area agency planning are part of the services allotment. Beginning in FY1973, funds were appropriated for nutrition services. In FY1977
and FY1978, there was a separate appropriation for multipurpose senior centers, under Title V of the act; the 1978 amendments eliminated the separate authorization for senior
centers and funds for this purpose were incorporated under the social services appropriation. The 1981 amendments changed reference to “supportive” services rather than “social”
services. The 1984 amendments eliminated a separate appropriation for state agency activities. The 1987 amendments added separate authorizations under Title III for the
following service areas: in-home services for the frail elderly; assistance for special needs; health education and promotion; elder abuse prevention; long-term care ombudsman;
and outreach for SSI, medicaid, and food stamps. These amendments also modified these programs.
d. Funds were authorized under Title III for area-wide demonstration or model projects from FY1970 through FY1978. In FY1979 and FY1980, funds for this purpose were authorized
under Title IV.
e. Includes $575 million for the fiscal year ending June 30, 1976, and $150 million for the transition quarter July 1-Sept. 30, 1976.
f. Includes $93 million for the fiscal year ending June 30, 1976, and $31.25 million for the transition quarter July 1-Sept. 30, 1976.
g. Includes $125 million for the fiscal year ending June 30, 1976, and $31.25 million for the transition quarter July 1-Sept. 30, 1976.
h. Not available.
i. Obligations of funds, as shown in budget appendices, various years.
j. Shows amount appropriated for the transition quarter July 1-Sept. 30, 1976.
k. Funds for multipurpose senior centers are included under the supportive services and centers appropriation. P.L. 95-478, the Comprehensive Older Americans Act Amendments
of 1978, eliminated separate authorizations for senior centers.
l. Includes $17.035 million for the fiscal year ending June 30, 1976, and $4.25 million for the transition quarter July 1-Sept. 30, 1976.
m. Includes $32.8 million for the fiscal year ending June 30, 1976, and $9.5 million for the transition quarter July 1-Sept. 30, 1976.
n. Includes funds for the fiscal year ending June 30, 1976 and for the transition quarter July 1-Sept. 30, 1976. Also includes unknown amounts for USDA commodities.
o. This amount also reflects $30,000 withheld in FY1986 in accordance with section 515 of P.L. 99-190 related to consulting, management services and technical assistance.
p. The appropriation available for FY1985 was $116 million. According to the USDA, an additional $4.8 million was available from prior year funding. In addition, P.L. 99-349,
FY1986 urgent supplemental appropriations, appropriated $8.5 million in additional funds to support the fully authorized reimbursement rate of 56.76 cents per meal to support
meals served under Title III in both FY1985 and FY1986. USDA indicated in testimony before the House Select Committee on Aging on July 30, 1986, that it would set aside
$6.2 million of the $8.5 million to support FY1985 meals and $2.3 million to support FY1986 meals. The additional $6.2 million brings the total estimated amount available
to pay for FY1985 meals to the amount shown.
q. This amount reflects the 4.3% reduction required by the Gramm-Rudman-Hollings Act and a 0.6% reduction allowed by appropriations legislation. It also reflects supplemental
funds added by P.L. 99-349, FY1986 urgent supplemental appropriations. This legislation added $8.5 million to support the program at the 56.76 cents per meal reimbursement
level for both FY1985 and FY1986. USDA set aside $6.2 million of the $8.5 million to support FY1985 meals and $2.3 million to support FY1986 meals. For purposed of this
table, the FY1986 amount includes the $2.3 million set aside by USDA.
r. P.L. 98-459, the Older Americans Act Amendments of 1984, consolidated the authorization for state agency activities under the authorization for Title III services. The law provided
that states may use up to 5% of their allotted services funds, or $300,000, whichever is greater, for state agency administration.
s. Authorized for the first time for FY1985-FY1987 as part of the 1984 amendments (P.L. 98-459). No appropriations were made when the program was authorized, and the 1987
amendments eliminated the authorization as a separate title.
t. Does not include $1.3 million of funds originally appropriated for supportive services in FY1989 ($275.652 million) that was reprogrammed to fund additional Indian trial
organizations and the Native Hawaiian program under Title VI.

CRS-10
u. Although the table accompanying the FY1988 continuing appropriations indicated that these funds were to be used for a home care ombudsman demonstration program, the
conference report that accompanied the appropriations legislation indicated that this amount is to be used to support the state long-term care ombudsman program authorized
under Section 307(a)(12) of the Older Americans Act.
v. Prior to the across the board reduction of 2.41%, the conference report included $3 million for elder abuse prevention and $2.5 million for long-term care ombudsman activities.
Among other instructions, the Appropriations Committee conferees indicated that the states be given discretion in allocation of elder abuse prevention funds, and that it is expected
that portions of elder abuse funds be made available to long-term care ombudsman programs to address complaints of abuse in facilities, including board and care facilities.
w. Does not include $2 million of funds originally appropriated for Title IV in FY1989 ($24.173 million) that was reprogrammed to fund additional tribal organizations and the Native
Hawaiian program under Title VI.
x. Per House and Senate Appropriations Committee reports, includes $1 million to be used to support the White House Conference on Aging.
y. An additional $3.3 million above the original FY1989 appropriation of $7.41 million was reprogrammed from Title III and Title IV programs to be used for Title VI programs.
This amount was used to fund additional tribal organizations and a grant to serve Native Hawaiian elderly which had not been funded previously.

CRS-11
Table 2. Older Americans Act and White House Conference on Aging Appropriations, FY1992-FY1997
(dollars in millions)
FY1992a
FY1993
FY1994
FY1995b
FY1996
FY1997
Title II: Administration on Aging
$0.181
$16.219
$16.240
$16.700
$15.170
$14.795
Federal Council on Aging
0.181
0.178
0.177
0.176
none
none
AoA program administration
c
16.041c
16.063
16.524
15.170
14.795
Title III: Grants for State and Community Programs on Aging
938.644
916.590
950.292
952.830
945.316d
935.316
Supportive services and centers
299.238
313.708
306.711
306.711
300.556
300.556
Disease prevention and health promotion
17.000
e
17.032
15.623
15.623
15.623
Nutrition services
607.192
595.807
619.474
619.874
619.874
609.874
Congregate
(366.067)
(363.236)
(375.809)
(375.809)
(364.535)
(364.535)
Home-delivered
(89.603)
(89.659)
(93.665)
(94.065)
(105.339)
(105.339)
USDA commodities
(151.492)
(142.912)
(50.000)
(150.000)
(150.000)
(140.000)
School-based meals/multigenerational activitiesf
f
none
none
none
none
none
In-home services for frail elderly
6.898
7.075
7.075
9.263
9.263
9.263
Assistance for special needs
none
none
none
none
none
none
Elder abuse prevention
4.416
g
g
g
g
g
Long-term care ombudsman
3.930
g
g
g
g
g
Outreach for SSI, Medicaid and food stamps
none
g
g
g
g
g
Supportive activities for caretakersf
f
none
none
none
none
none
Title IV: Training, Research and Discretionary Projects and Programs
25.941
25.973
25.830
25.735b
2.850
4.000
Training of service providersf
f
none
none
none
none
none
Title V: Community Service Employment for Older Americans
395.181
390.060
410.500
396.060b
373.000
463.000
Title VI: Grants for Native Americans
15.086
15.110
16.902
16.902
16.057
16.057
Title VII: Vulnerable Elder Rights Protection
f
8.218
11.018
11.157
d
none
Long-term care ombudsman
g
(3.870)
(4.370)
(4.449)
d
none
Elder abuse prevention
g
(4.348)
(4.648)
(4.732)
d
none
Elder rights and legal assistancef
f
none
none
none
none
none
Outreach counseling, and assistance
g
none
(2.000)
(1.976)
none
none
Native American elder rightsf
f
none
none
none
none
none
Total — Older Americans Act Programs
$1,375.033
$1,372.700
$1,430.782
$1,419.834
$1,352.393
$1,433.168
White House Conference on Aging
2.000
none
1.000
3.000
none
none

CRS-12
a. P.L. 102-170 provided $2 million for the White House Conference on Aging. This amount was reprogrammed from various Older Americans Act programs, with the exception
of Titles IV and V. Amounts shown are FY1992 appropriated amounts less funds reprogrammed for the White House Conference as presented in AoA’s FY1993 budget
justifications.
b. Reflects rescission of $0.9 million from Title IV and $14.4 million from Title V made by P.L. 104-19.
c. Identified as a separate appropriation item for the first time in FY1993. Various FY1993 budget documents show amounts assigned to AoA for program administration, salaries,
and related expenses before the Office of Human Development Services reorganization. The amount shown for FY1992 is $16.237 million.
d. P.L. 104-134 included earmarks for long-term care ombudsman activities ($4.449 million) and elder abuse prevention activities ($4.732 million) under Title III supportive services
and centers.
e. Consolidated in funding for supportive services and centers. Amount for this program is $17 million.
f. Authorized for the first time beginning in FY1993 by P.L. 102-375.
g. FY1992 funding shown under Title III. The 1992 amendments shifted this program to Title VII beginning in FY1993 and made program modifications and/or expansions.

CRS-13
Table 3. Older Americans Act, Alzheimer’s Demonstration Programs, and White House Conference on Aging
Appropriations, FY1998-FY2004
(dollars in millions)
OAA programs and Alzheimer’s demonstration grants
FY1998
FY1999
FY2000
FY2001
FY2002
FY2003
FY2004
Title II: Administration on Aging
$14.795
$15.395
$16.461
$17.232
$20.501
$20.233
$30.618
Program administration
(14.795)
(15.395)
(16.461)
(17.232)
(18.122)
(17.869)
(17.324)
Aging Network support activities
(2.379)a
(2.364)a
(13.294)b
Title III: Grants for State and Community Programs on
Aging

961.798
952.339
987.617
1,151.285
1,230.293
1,240.891
1,243.059
Supportive services and centers
309.500
300.192
310.082
325.082
357.000
355.673
353.889
Family caregivers
125.000
136.000c
149.025c
152.738c
Disease prevention/health promotion
16.123
16.123
16.123
21.123
21.123
21.919
21.970
Nutrition services
626.412
626.261
661.412
680.080
716.170
714.274
714.462
Congregate meals
(374.412)
(374.261)
(374.336)
(378.412)
(390.000)
(384.592)
(386.353)
Home-delivered meals
(112.000)
(112.000)
(146.970)
(152.000)
(176.500)
(180.985)
(179.917)
Nutrition services incentive program
(140.000)
(140.000)
(140.000)
(149.668)d
(149.670)d
(148.697)e
(148.192)
In-home services for the frail elderly
9.763
9.763
none
f
f
f
f
Title IV: Training, Research, and Discretionary Projects
and Programs

10.000
18.000
31.162
37.678
38.280
40.258
33.509g
Title V: Community service employment
440.200
440.200
440.200
440.200
445.100
442.306
438.650
Title VI: Grants to Native Americans
Supportive and nutrition services
18.457
18.457
18.457
23.457
31.229
33.704
32.717)
Native American caregivers
(25.729)
(27.495)
(26.453)
(5.500)
(6.209)
(6.318
Title VII: Vulnerable Elder Rights Protection Activities
noneh
12.181
13.181i
14.181i
17.681i
18.559
19.444
Long-term care ombudsman program
none
(7.449)
i
i
i
i
(14.276)
Elder abuse prevention
none
(4.732)
i
i
i
i
(5.168)
Legal assistance
none
none
none
none
none
none
none
Native Americans elder rights program
none
none
none
none
none
none
none
Total — Older Americans Act Programs
$1,445.250
$1,456.569
$1,507.078
$1,684.033
$1,783.084
$1,771.057
$1,798.051
Alzheimer’s Demonstration Grantsj
$5.970
$5.970
$5.970
$8.962
$11.500
$13.412
$11.883
White House Conference on Aging
none
none
none
none
none
none
$2.814k

CRS-14
a. Includes $1.2 million for the Eldercare Locator and $1.2 million for Pension Counseling and Information Program.
b. Includes funds for activities previously funded under Title IV: Senior Medicare Patrols; National Long-Term Care Ombudsman Resource Center; and National Center on Elder
Abuse. Also includes funds for the Eldercare Locator and Pension Counseling and Information Program.
c. Funding for Native American family caregiving is shown in Title VI.
d. Congress originally appropriated $150 million, then rescinded $332,000 (.22%) pursuant to Section 1(a)(4) of P.L. 106-544.
e. Congress transferred the program, previously funded by USDA, to AoA in FY2003.
f. Not authorized.
g. See footnote b. Funds shown are reduced from FY2003 level due to transfer of some funds to Title II.
h. Funding for ombudsman and elder abuse prevention activities was included in Title III.
i. Separate amounts not specified.
j. The FY1999 Omnibus Consolidated Appropriations Act (P.L. 105-277/H.R. 4328) transferred the administration of the program from the Health Resources and Services
Administration to AoA. The program is authorized under Section 398 of the Public Health Service Act.
k. P.L. 106-501 requires the President to convene the conference no later than Dec. 31, 2005.

CRS-15
Appendix A. Public Laws to Enact and Amend the
Older Americans Act
! P.L. 89-73, Older Americans Act of 1965, enacted July 14, 1965.
! P.L. 90-42, Older Americans Act Amendments of 1967, enacted July
1, 1967.
! P.L. 91-69, Older Americans Act Amendments of 1969, enacted
September 17, 1969.
! P.L. 92-258, Nutrition Program For the Elderly Act, enacted March
22, 1972.
! P.L. 93-29, Older Americans Comprehensive Services Amendment
of 1973, enacted May 3, 1973.
! P.L. 93-351, Amendments to the Nutrition Program for the Elderly
Act and for Other Purposes, enacted July 12, 1974.
! P.L. 94-135, Older Americans Act Amendments of 1975, enacted
November 28, 1975.
! P.L. 95-65, 1977 Older Americans Act Amendments, enacted July
11, 1977.
! P.L. 95-478, Comprehensive Older Americans Act Amendments of
1978, enacted October 18, 1978.
! P.L. 97-115, Older Americans Act Amendments of 1981, enacted
December 29, 1981.
! P.L. 98-459, Older Americans Act Amendments of 1984, enacted
October 9, 1984.
! P.L. 99-269, Older Americans Act Amendments of 1986, enacted
April 1, 1986.
! P.L. 100-175, Older Americans Act Amendments of 1987, enacted
November 29, 1987.
! P.L. 102-375, Older Americans Act Amendments of 1992, enacted
September 30, 1992.
! P.L. 106-501, Older Americans Act Amendments of 2000, enacted
November 13, 2000.