Order Code RL33880
Older Americans Act: FY2008 Funding
Updated January 31, 2008
Angela Napili
Information Research Specialist
Knowledge Services Group

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Older Americans Act: FY2008 Funding
Summary
The Older Americans Act (OAA) is the major federal vehicle for the delivery
of social and nutrition services for older persons. These include supportive services,
congregate nutrition services (meals served at group sites such as senior centers,
community centers, schools, churches, or senior housing complexes), home-delivered
nutrition services, community service employment, the long-term care ombudsman
program, and services to prevent the abuse, neglect and exploitation of older persons.
The OAA also supports grants to older Native Americans and research, training, and
demonstration activities. Funding for most OAA programs is provided through
appropriations legislation for the Departments of Labor, Health and Human Services,
Education, and Related Agencies (Labor-HHS-Education).
On December 26, 2007, the President signed the Consolidated Appropriations
Act for FY2008 (P.L. 110-161), which provides $1.924 billion for OAA programs
in FY2008, a 4% increase over the FY2007 level of $1.855 billion.
For OAA’s Title V Senior Community Service Employment Program, P.L. 110-
161 provides $521.6 million in FY2008, an 8% increase over the FY2007 level, to
allow for the anticipated federal minimum wage increase to $6.55 per hour effective
July 24, 2008.
For OAA’s Title II Aging Network Support Activities, P.L. 110-161 provides
an $18.5 million increase over the FY2007 level. This includes $16.2 million for
activities under the new Choices for Independence Initiative, intended to help older
Americans plan for their long-term care needs so that they can maintain their
independence in the community.
From October 1, 2007, through December 26, 2007, a continuing resolution,
P.L. 110-92, as amended by P.L. 110-116, P.L. 110-137, and P.L. 110-149, provided
temporary FY2008 funding. Under the continuing resolution, OAA funds were made
available at the same level and under the same terms and conditions as in FY2007.
In February 2008, the President is expected to submit his FY2009 budget.
This report was originally co-authored with Carol O’Shaughnessy. It will be
updated as events warrant.

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Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FY2008 Funding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Title II. Administration on Aging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Title III. Grants for State and Community Programs on Aging . . . . . . . . . . . 5
Title IV. Program Innovations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Title V. Community Service Employment for Older Americans . . . . . . . . . . 7
Title VI. Grants for Services for Native Americans . . . . . . . . . . . . . . . . . . . 8
Title VII. Vulnerable Elder Rights Protection Activities . . . . . . . . . . . . . . . . 9
Alzheimer’s Disease Demonstration Grants . . . . . . . . . . . . . . . . . . . . . . . . . 9
List of Tables
Table 1. The Older Americans Act and Alzheimer’s Demonstration Grants,
FY2008 Funding Proposals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Table 2. The Older Americans Act, Alzheimer’s Demonstration Grants,
and White House Conference on Aging Funding, FY2000-FY2008 . . . . . . 10
List of Figures
Figure 1. Older Americans Act, FY2008 Funding . . . . . . . . . . . . . . . . . . . . . . . 13
Figure 2. Funding for Older Americans Act Programs, FY2000-FY2008 . . . . . 13

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Older Americans Act: FY2008 Funding
Introduction
Originally enacted in 1965, the Older Americans Act (OAA) supports a wide
range of social services and programs for older persons.1 These include supportive
services, congregate nutrition services (meals served at group sites such as senior
centers, community centers, schools, churches, or senior housing complexes), home-
delivered nutrition services, community service employment, the long-term care
ombudsman program, and services to prevent the abuse, neglect, and exploitation of
older persons. Except for Title V, Community Service Employment for Older
Americans, all programs are administered by the Administration on Aging (AoA) in
the Department of Health and Human Services (HHS). Title V is administered by the
Department of Labor (DOL) Employment and Training Administration.
Table 1 summarizes FY2008 funding proposals for OAA programs and the
Alzheimer’s Disease Demonstration Grants. Table 2 summarizes OAA
appropriations from FY2000 through FY2008, and funding for the Alzheimer’s
Disease Demonstration Grants and the 2005 White House Conference on Aging.
Figure 1 shows the distribution of FY2008 OAA funding by program. Figure 2
shows total OAA funding from FY2000 through FY2008.2
FY2008 Funding
The Administration’s FY2008 budget requested $1.685 billion for OAA
programs, 9% less than the FY2007 level of $1.855 billion. The House-passed
FY2008 Labor-HHS-Education appropriations bill (H.R. 3043, H.Rept. 110-231)
would have provided $1.936 billion, 4% more than the FY2007 level. The Senate-
passed version of H.R. 3043 would have provided $1.924 billion, 4% more than the
FY2007 level. The H.R. 3043 conference report (H.Rept. 110-424) would have
provided $1.966 billion for OAA programs, 6% more than the FY2007 level. On
November 13, 2007, the President vetoed H.R. 3043. An attempt to override the veto
failed in the House on November 15.
On December 26, 2007, the President signed the Consolidated Appropriations
Act, 2008 (P.L. 110-161), which provides $1.924 billion for OAA programs in
1 The OAA was reauthorized in 2006 by P.L. 109-365. For further information, see CRS
Report RL31336, The Older Americans Act: Programs, Funding, and 2006 Reauthorization
(P.L. 109-365), by Carol O’Shaughnessy and Angela Napili.
2 For information on OAA appropriations in earlier years, see CRS Report RL32437, Older
Americans Act: History of Appropriations, FY1966-FY2004, by Carol O’Shaughnessy.

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FY2008, 4% more than the FY2007 level. This figure includes the act’s
across-the-board reduction of 1.747% for items in the Labor-HHS-Education
division.3
There were several differences between the President’s FY2008 budget request
and the FY2008 Consolidated Appropriations Act. Specifically, for FY2008, the
President’s budget requested no funding for the disease prevention and health
promotion program under Title III of the OAA. The Consolidated Appropriations
Act funds the program at $21.0 million, 2% less than the FY2007 level.
The President’s FY2008 budget request included $350.0 million for the Title V
community service employment program, a reduction of 28% from the FY2007 level.
The FY2008 Consolidated Appropriations Act funds the program at $521.6 million,
an 8% increase from the FY2007 level.
The President’s FY2008 budget requested $35.5 million for Title IV program
innovations, a 47% increase from the FY2007 level. Of the $35.5 million, $28.0
million would have been for the Choices for Independence Initiative. This initiative
would help older Americans plan for their long-term care needs so that they can
maintain their independence in the community. The FY2008 Consolidated
Appropriations Act provides $16.2 million for Choices for Independence activities
under Title II (Aging Network support activities) rather than as demonstration
projects under Title IV.
From October 1, 2007, through December 26, 2007, a continuing resolution,
P.L. 110-92, as amended by P.L. 110-116, P.L. 110-137, and P.L. 110-149, provided
temporary FY2008 funding. Under the continuing resolution, OAA funds were made
available at the same level and under the same terms and conditions as in FY2007.
Table 1 summarizes FY2008 funding proposals.
3 The Consolidated Appropriations Act (P.L. 110-161) Division G, on Labor-HHS-
Education appropriations, includes an across-the-board reduction of 1.747% to accounts,
items, programs, projects, and activities in the bill text and the Explanatory Statement
narrative, with some exceptions (Title V, §528).

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Table 1. The Older Americans Act and Alzheimer’s Demonstration Grants, FY2008
Funding Proposals
($ in millions)
FY2008
FY2008
FY2008 conf.
FY2008
OAA Programs, Alzheimer’s
FY2008
House-passed Senate-passed
rept. H.Rept.
omnibus
Demonstration Grants
request
H.R. 3043
H.R. 3043
110-424
P.L.110-161c
Title II: Administration on Aginga
$31.829
$48.018
$61.347
$56.442
$49.653
Title III: Grants for State and Community
Programs on Aging
1,216.291
1,293.761
1,311.732
1,308.643
1,283.816
Title IV: Program Innovationsa
35.485b
10.240b
11.420b
15.094b
14.655b
Title V: Community Service Employment
for Older Americans
350.000
530.900
483.611
530.900
521.625
Title VI: Grants to Native Americans
32.375
33.346
34.262
33.804
33.214
Title VII: Vulnerable Elder Rights
Protection Activities
19.166
20.156
21.156
21.000
20.633
Total Older Americans Act Programs
1,685.146
1,936.421
1,923.528
1,965.883
1,923.596
Alzheimer’s Demonstration Grantsb
0
$11.668
$11.668
$11.668
$11.464
a. The Choices for Independence Initiative includes newly authorized provisions of the Older Americans Act Amendments of 2006 (P.L.
109-365) related to “aging and disability resource centers (ADRCs), evidence-based prevention programs, and consumer-directed
services targeted at individuals who are at high risk of nursing home placement and spend-down to Medicaid” (H.Rept. 110-231,
p. 207). The President’s FY2008 budget requested Choices for Independence funds under Title IV, while the FY2008 Consolidated
Appropriations Act (P.L. 110-161) provides the funds under Aging Network support activities under Title II. The President’s
budget request would have provided $28.0 million for Choices for Independence. P.L. 110-161 provides $16.2 million for Choices
for Independence (after a 1.747% across-the-board reduction).
b. The FY1999 Omnibus Consolidated Appropriations Act (P.L. 105-277) transferred the administration of the program from the Health
Resources and Services Administration to AoA. The program is authorized under Sections 398 to 398B of the Public Health
Service Act.
c. P.L. 110-161 applies an across-the-board reduction of 1.747% to figures in the bill text and Explanatory Statement narrative (Division
G, Title V, §528).
The following provides details of funding under Titles II through VII of the
OAA. Title I (Declaration of Objectives) does not authorize appropriations.
Title II. Administration on Aging
Title II establishes AoA within HHS as the chief federal agency advocate for
older persons and 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.
Funding authorized under Title II goes toward program administration and
Aging Network support activities. Aging Network support activities currently
include the following:

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! the National Eldercare Locator Service, a nationwide toll-free phone
number and website that helps identify community resources for
older persons;
! the Pension Counseling and Information Program, which funds
regional counseling projects that help older Americans learn about
and receive the retirement benefits to which they are entitled;
! the Senior Medicare Patrol Program, which funds projects that
educate older Americans and their families to recognize and report
Medicare and Medicaid fraud;
! the National Long-Term Care Ombudsman Resource Center, which
provides training and technical assistance to state and local long-
term care ombudsmen; and
! the National Center on Elder Abuse, which provides information to
the public, and provides training and technical assistance to state
elder abuse agencies.
The FY2008 Consolidated Appropriations Act (P.L. 110-161) provides $49.7
million for Title II in FY2008, including an $18.5 million increase from FY2007 for
Aging Network support activities. This increase includes $16.2 million for the new
Choices for Independence initiative, intended to help older Americans plan for
long-term care services and supports so that they can maintain their independence in
the community.4 The Choices for Independence initiative reflects newly authorized
provisions in the Older American Act Amendments of 2006 (P.L. 109-365) related
to Aging and Disability Resource Centers (ADRCs), evidence-based prevention
programs, and consumer-directed services targeted to persons at high risk of nursing
home placement and spend-down to Medicaid.
According to the Administration’s FY2008 Budget Justification, the Choices for
Independence initiative “targets people while they are still healthy” to help them plan
ahead for long-term care and “to conserve and extend their personal resources so as
to maintain their independence in the community.” Choices for Independence has
three components. First, the “Consumer Empowerment” component would provide
information to older people and their families that is “designed to increase the use of
private financing options” for long-term care, such as long-term care insurance and
home equity conversions, as well as other information on home modification,
assistive technology, and options for living arrangements. Second, the “Healthy
Lifestyle Choices” component would build on the existing Title IV evidence-based
disease prevention initiative to help seniors change behavior to reduce risk of disease
and disability. Funds would support activities in areas such as fall prevention,
exercise, and nutrition. Third, the “Community Living Incentives” component would
give states a “flexible funding source” they could use to help the elderly avoid
institutionalization. This component would provide financial incentives to
low-to-moderate-income individuals who are at risk of nursing home placement but
who are not yet eligible for Medicaid. ADRCs would help older people and their
families develop a plan to meet their long-term care needs. According to the Budget
4 The Choices for Independence amount was not specified in Consolidated Appropriations
Act tables. This figure was calculated by CRS by applying the 1.747% across-the-board
reduction to figures in the Explanatory Statement narrative in the Congressional Record,
December 17, 2007, p. H16245.

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Justification, the Choices for Independence initiative would require a 25% state
match for all three components, and states would have to meet certain performance
standards as a condition of participation.5
The House-passed, Senate-passed, and conference report versions of FY2008
Labor-HHS-Education appropriations bills, as well as the FY2008 Consolidated
Appropriations Act (P.L. 110-161), all provided funding for Choices for
Independence under Title II Aging Network support activities.6 The House
committee report explained that “[t]hese established programs, which began as
demonstration projects, provide critical support for the national aging services
network.”7
The Administration’s FY2008 budget request would have funded Choices for
Independence at $28.0 million under Title IV, which authorizes funds for training,
research, and demonstration projects.
The Administration’s FY2008 budget request for Title II was $31.8 million, a
1% increase over the FY2007 level. The funding increase under Title II would have
gone toward program administration, while Aging Network support activities would
have been the same as the FY2007 level.
Title III. Grants for State and Community Programs on Aging
The major program under the OAA, Title III — Grants for State and Community
Programs on Aging — authorizes grants to 56 state and 655 area agencies on aging
to act as advocates on behalf of, and to coordinate programs for older persons.8 Title
III accounted for 67% of the OAA’s total FY2008 funding. States receive separate
allotments of funds for supportive services and centers, family caregiver support,
congregate and home-delivered nutrition services, the nutrition services incentive
grant program, and disease prevention and health promotion services.
The Consolidated Appropriations Act, 2008 (P.L. 110-161) provides $1.284
billion for Title III, a 2% increase over the FY2007 level of $1.263 billion. The
President’s FY2008 budget request was $1.216 billion, a 4% reduction from the
FY2007 level.
Under the FY2008 Consolidated Appropriations Act, the Title III-C congregate
meals program and the home-delivered meals program each have a 3% funding
5 U.S. Department of Health and Human Services, Fiscal Year 2008: Administration on
Aging: Justification of Estimates for Appropriations Committees, pp. 49-53.
6 The House Appropriations Committee recommended that $16.5 million be used for
Choices for Independence (H.Rept. 110-231, p. 207). The Senate Appropriations Committee
recommended that $28.0 million would be used for the Choices for Independence Initiative
(S.Rept. 110-107, p. 203). The conference report for H.R. 3043 would have provided $22.3
million for Choices for Independence activities (H.Rept. 110-424, p. 160).
7 H.Rept. 110-231, p.207.
8 The 56 state agencies on aging include units in 50 states, 5 U.S. territories, and the District
of Columbia.

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increase, and nutrition services incentives grants have a 4% increase from the previous
year. Under the President’s FY2008 budget request, funding for congregate meals and
home-delivered meals would have each decreased 4% from FY2007 levels, and
funding for nutrition services incentive grants would have decreased 0.5% from the
FY2007 level.
Both Senate and House Appropriations Committee reports noted that funding for
OAA nutrition programs has remained relatively flat over the past several years while
the population of older Americans has continued to increase. According to committee
reports, the Senate Appropriations Committee “hopes that the funding increase
provided will help alleviate the fiscal strain affecting these programs,” and the House
Appropriations Committee intends the increase “to be a significant first step in properly
investing in the care of the nation’s frail elderly.”9
The FY2008 Consolidated Appropriations Act funds the Title III-D disease
prevention and health promotion program at $21.0 million, 2% less than the FY2007
funding level. The President’s FY2008 budget request would have eliminated funds for
Title III-D disease prevention and health promotion, which was funded at $21.4 million
in FY2007.

Title IV. Program Innovations
Title IV of the OAA authorizes the Assistant Secretary for Aging to award funds
for training, research, and demonstration projects in the field of aging. In recent years,
AoA has funded a number of national efforts that support the work of state and area
agencies on aging, including national resource centers that focus on legal assistance,
retirement needs of minority populations, and the vulnerable elderly. Other recent
projects have included funding for Aging and Disability Resource Centers (ADRCs).
The ADRC program provides competitive grants to states to help them develop and
implement “one stop” access points to information on long-term care support options.
The program is currently operating in 41 states, two territories, and the District of
Columbia. Other activities have included outreach to help Medicare beneficiaries
understand their benefits under the Medicare Modernization Act (MMA), conducted
in cooperation with the Centers for Medicare and Medicaid Services.
The FY2008 Consolidated Appropriations Act (P.L. 110-161) provides $14.7
million for Title IV in FY2008, $9.4 million less than the FY2007 level.
For Title IV, the President’s FY2008 budget request was $35.5 million, an
increase of 47% over the FY2007 level. About four-fifths ($28.0 million) of requested
Title IV funds would have been used for the Choices for Independence demonstration
programs.10 The balance of the request would have been used to maintain support for
ongoing activities, including national resources centers that provide technical
assistance to aging service providers, intergenerational activities, and program
evaluation.
9 S.Rept. 110-107, p. 201. H.Rept. 110-231, pp. 205-206.
10 This initiative is explained in more detail in the Title II section above.

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The House, Senate, and Conference Committee reports accompanying the FY2008
Labor-HHS-Education appropriations bills, and the Explanatory Statement for the
FY2008 Consolidated Appropriations Act, all recommended that Choices for
Independence activities be funded under Title II, Aging Network support activities,
instead of as demonstration projects under Title IV.
Title V. Community Service Employment for Older Americans
Title V 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. For FY2008, the community service
employment program represents more than a quarter of the OAA’s funds ($521.7
million out of $1.924 billion). Enrollees work part-time in a variety of community
service activities. The program provided for 60,050 jobs, serving about 92,300
persons, in FY2006.11 The annual cost per job slot in FY2006 was $7,153.
Enrollees are paid no less than the highest of the federal minimum wage, the state
or local minimum wage, or the prevailing wage paid by the same employer for similar
public occupations. In addition to wages, enrollees receive physical examinations,
personal and job-related counseling, and transportation for employment purposes,
under certain circumstances.
P.L.110-28, enacted May 25, 2007, phases in federal minimum wage increases
over three years: to $5.85 per hour effective July 24, 2007; to $6.55 per hour effective
July 24, 2008; and to $7.25 per hour effective July 24, 2009.12 The FY2007 Revised
Continuing Appropriations Resolution (P.L. 110-5) added $51.3 million in additional
funding for Title V over the FY2006 level to provide for the federal minimum wage
increase in FY2007. The program year for FY2007 funds began on July 1, 2007.
The 2006 Older Americans Act reauthorization amendments (P.L. 109-365)
maintained the program focus on employing older people in community service jobs
and reemphasized the community service aspects of the program. While the program
is to move participants into unsubsidized employment, the amendments recognized that
many older people who have special needs may need to remain in subsidized
employment and that the program supplements the income for some workers who
cannot find jobs in the private economy.13
The Consolidated Appropriations Act (P.L. 110-161) provides $521.6 million for
Title V in FY2008, an 8% increase over the FY2007 funding level. The Explanatory
Statement explains that the increase allows for the anticipated federal minimum wage
11 U.S. Department of Labor, FY2008 Performance Budget, Employment and Training
Administration, Community Service Employment for Older Americans, p. CSEOA-13, at
[http://www.dol.gov/dol/budget/2008/PDF/CBJ-2008-V1-05.pdf].
12 The federal minimum wage was increased by §8102 of the U.S. Troop Readiness,
Veterans’ Care, Katrina Recovery, and Iraq Accountability Appropriations Act (P.L. 110-28,
enacted May 25, 2007).
13 For further information, see CRS Report RL31336, Older Americans Act: Programs,
Funding, and 2006 Reauthorization, by Carol O’Shaughnessy and Angela Napili.

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increase to $6.55 per hour effective July 24, 2008.14 (The program year for FY2008
funds begins July 1, 2008).
The Administration’s FY2008 budget had requested $350.0 million, a reduction
of 28% from the FY2007 level of $483.6 million. According to the Administration, the
proposal would have funded approximately 39,260 positions serving 59,000
participants in 2008.15 A recent DOL/Office of Management and Budget program
assessment rated the program ineffective, “largely due to inadequate competition in the
grants process, lack of data on program performance and impact, and duplication of
other Federal programs.”16 The DOL Budget Justification indicated that many
employers are finding that the demand for skilled workers exceeds the available labor
supply and they are increasingly eager to hire older workers. Therefore, in FY2008 the
Administration indicated that the workforce investment system would play a stronger
role in placing older workers in unsubsidized employment, rather than having the Title
V program place older workers in subsidized employment.
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 FY2006, grants were awarded to 236 tribal organizations
representing approximately 300 Indian tribes and two organizations serving Native
Hawaiian elders.17
The 2000 amendments (P.L. 106-501) added a new part to Title VI authorizing
caregiver support services to Native American elders. The most frequently provided
services under the program are transportation, home-delivered and congregate nutrition
services, and a wide range of home care services.
14 The minimum wage increase is in P.L.110-28, §8102.
15 U.S. Department of Labor, FY2008 Performance Budget, Employment and Training
Administration, Community Service Employment for Older Americans, p. CSEOA-13. The
document states that the numbers of positions, participants, and cost per participant in
FY2008 reflect costs of the Fair Minimum Wage Act of 2007 (H.R. 2). The minimum wage
increase proposed in H.R. 2 (§101 of the Senate-passed version and §2 of the House-passed
version) subsequently became law as §8102 of P.L. 110-28. However H.R. 2’s proposals
regarding the applicability of the minimum wage to the Commonwealth of the Northern
Mariana Islands (§102 of the Senate-passed version and §3 of the House-passed version)
were different from §8103 of P.L. 110-28, regarding the applicability of the minimum wage
to American Samoa and the Commonwealth of the Northern Mariana Islands.
16 U.S. Department of Labor, FY2008 Performance Budget, Employment and Training
Administration, Community Service Employment for Older Americans, p. CSEOA-10.
17 U.S. Department of Health and Human Services, Fiscal Year 2008: Administration on
Aging: Justification of Estimates for Appropriations Committees, p. 37.

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The FY2008 Consolidated Appropriations Act (P.L. 110-161) provides $33.2
million, a 3% increase over the FY2007 level. The FY2008 budget request was $32.4
million, the same as the FY2007 funding level.
Title VII. Vulnerable Elder Rights Protection Activities
Title VII authorizes the long-term care ombudsman program as well as elder
abuse, neglect, and exploitation prevention programs. Most Title VII funding is
directed at the long-term care ombudsman program. Of its $20.2 million funding in
FY2007, almost three-quarters was for ombudsman activities. The purpose of the
program is to investigate and resolve complaints of residents of nursing facilities, board
and care facilities, and other adult care homes.
The FY2008 Consolidated Appropriations Act (P.L. 110-161) provides $20.6
million for Title VII, a 2% increase over the FY2007 level. The Administration’s
FY2008 budget request was $19.2 million, a reduction of 5% from the FY2007 level.
Alzheimer’s Disease Demonstration Grants
The FY2008 Consolidated Appropriations Act (P.L. 110-161) funds Alzheimer’s
Disease Demonstration Grants at $11.5 million, 2% less than the FY2007 level. This
program is administered by AoA but it is not part of the Older Americans Act.
The Administration’s FY2008 budget request would have eliminated Alzheimer’s
Disease Demonstration Grant funding, which was funded at $11.7 million in FY2007.
The Administration argued that “[t]he lessons learned and the models developed
through these demonstrations are ready to be incorporated into ongoing service
programs” and that “[t]ax dollars can better be used by focusing on disseminating
information on successful, replicable, and innovative Alzheimer’s care programs.”18
18 U.S. Office of Management and Budget, Major Savings and Reforms in the President’s
2008 Budget, p. 47. U.S. Department of Health and Human Services, Fiscal Year 2008:
Administration on Aging: Justification of Estimates for Appropriations Committees, p. 62.

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Table 2. The Older Americans Act, Alzheimer’s Demonstration Grants, and White House Conference on Aging
Funding, FY2000-FY2008
($ in millions)
OAA Programs, Alzheimer’s Demonstration
FY2008
Grants, and the
FY2000
FY2001
FY2002
FY2003 FY2004
FY2005k FY2006l FY2007m
FY2008 p
request
White House Conference on Aging
Title II: Administration on Aging
$16.461
$17.232
$20.501
$20.233
$30.618
$31.567
$30.812
$31.518
$31.829
$49.653
Program administration
16.461
17.232
18.122
17.869
17.324
18.301
17.688
18.385
18.696
18.064
Aging network support activities
2.379e
2.364e
13.294h
13.266h
13.124h
13.133h
13.133o
31.589o
Title III: Grants for State and Community
Programs on Aging
987.617
1,151.285
1,230.293
1,240.891
1,243.059
1,250.192
1,242.378
1,263.232
1,216.291
1,283.816
Supportive services and centers
310.082
325.082
357.000 355.673 353.889
354.136
350.354
350.595
350.595
351.348
Family caregivers
125.000
136.000f
149.025f
152.738f
155.744f
156.060f
156.167f
154.187f
153.439f
Disease prevention/health promotion
16.123
21.123
21.123
21.919
21.970
21.616
21.385
21.400
0
21.026
Nutrition services
661.412
680.080
716.170
714.274
714.462
718.696
714.579
735.070
711.509
758.003
— Congregate meals
(374.336)
(378.412)
(390.000)
(384.592)
(386.353)
(387.274)
(385.054)
(398.919)n
(383.401)
(410.716)
— Home-delivered meals
(146.970)
(152.000)
(176.500)
(180.985)
(179.917)
(182.826)
(181.781)
(188.305)n
(180.998)
(193.858)
— Nutrition services incentive grants
(140.000)
(149.668)c
(149.670)
(148.697)g
(148.192)
(148.596)
(147.744)
(147.846)
(147.110)
(153.429)
In-home services for the frail elderly
0
d
d
d
d
d
d
d
d
d
Title IV: Program Innovations
31.162
37.678
38.280
40.258
33.509i
43.286
24.578
24.058
35.485o
14.655
Title V: Community Service Employment for
Older Americans
440.200
440.200
445.100
442.306
438.650
436.678
432.311
483.611n
350.000
521.625
Title VI: Grants to Native Americans
18.457
23.457
31.229
33.704
32.771
32.702
32.353
32.375
32.375
33.214
Supportive and nutrition services
25.729
27.495
26.453
26.398
26.116
26.134
26.134
26.898
Native American caregivers
5.500
6.209
6.318
6.304
6.237
6.241
6.241
6.316

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CRS-11
OAA Programs, Alzheimer’s Demonstration
FY2008
Grants, and the
FY2000
FY2001
FY2002
FY2003 FY2004
FY2005k FY2006l FY2007m
FY2008 p
request
White House Conference on Aging
Title VII: Vulnerable Elder Rights Protection
Activities
13.181
14.181
17.681
18.559
19.444
19.288
20.142
20.156
19.166
20.633
Long-term care ombudsman program
b
b
b
b
14.276
14.162
15.000
15.010
14.020
15.577q
Elder abuse prevention
b
b
b
b
5.168
5.126
5.142
5.146
5.146
5.056q
Legal assistance
0
0
0
0
0
0
0
0
0
0
Native Americans elder rights program
0
0
0
0
0
0
0
0
0
0
Total Older Americans Act Programs
$1,507.078 $1,684.033 $1,783.084 $1,771.057 $1,798.051 $1,813.713 $1,782.574 $1,854.950
1,685.146 $1,923.596
Alzheimer’s Demonstration Grantsa
$5.970
$8.962
$11.500
$13.412
$11.883
$11.786
$11.660
$11.668
0
$11.464
White House Conference on Aging
0
0
0
0
$2.814j
$4.520j
0j
0
0
0
Sources: FY2000-FY2006: Appropriations legislation and committee reports, various years. FY2007-FY2008: Explanatory Statement for the FY2008 Consolidated Appropriations Act (H.R. 2764),
Congressional Record, December 17, 2007, pp. H16338, H16355.
a. The FY1999 Omnibus Consolidated Appropriations Act (P.L. 105-277) transferred the administration of the program from the Health Resources and Services Administration to AoA. The program is
authorized under Sections 398 to 398B of the Public Health Service Act.
b. Separate amounts not specified.
c. Congress originally appropriated $150 million, then rescinded $332,000 (0.22%) pursuant to Section 1(a)(4) of P.L. 106-554.
d. Not authorized. P.L. 106-501 eliminated separate authority for in-home services for the frail elderly, but such activities may still be funded under Title III supportive services and centers.
e. Includes approximately $1.2 million for the Eldercare Locator, and $1.2 million for Pension Counseling and Information Program.
f. Funding for Native American family caregiving is shown in Title VI.
g. Congress transferred the program, previously funded by the U.S. Department of Agriculture, to AoA in FY2003. P.L. 110-19 repealed certain provisions regarding state agency and tribal grantee commodity
purchases, as added by the Older Americans Act Amendments of 2006 (P.L. 109-365), and restored former commodity purchase provisions, with revisions.
h. 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.
i. See tablenote h. Funds shown are reduced from FY2003 level due to transfer of some funds to Title II.

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CRS-12
j. P.L. 100-75 required the President to convene the conference no later than Dec. 31, 2005. It was held December 11-14, 2005. See [http://www.whcoa.gov]. FY2006 obligations for the White House
Conference on Aging were funded by carryover balances of prior-year appropriations.
k. FY2005 amounts reflect the 0.80% across-the-board reduction required by P.L. 108-447, Division J, Section 122. The Administration was given discretion on how to distribute the reduction among
individual accounts and line items.
l. FY2006 amounts reflect two rescissions: (1) There was a 1% across-the-board reduction required by P.L. 109-148, Division B, Title III, Chapter 8, Section 3801. (2) On June 14, 2006, the HHS Secretary
notified the Appropriations Committees that he would transfer funds among HHS programs to finance activities related to the Medicare drug benefit call center. This transfer was a 0.069% across-the-
board reduction and it reduced Administration on Aging funds by $0.9 million. It was authorized by Section 208 of P.L. 109-149.
m. For FY2007, P.L. 110-5 specified dollar amounts for some, but not all, programs. Agencies had some flexibility to determine program amounts based on FY2006 appropriations.
n. Funding level was specified in P.L.110-5, Revised Continuing Appropriations Resolution, 2007.
o. The Choices for Independence Initiative includes newly authorized provisions of the Older Americans Act Amendments of 2006 (P.L.109-365) related to “aging and disability resource centers (ADRCs),
evidence-based prevention programs, and consumer-directed services targeted at individuals who are at high risk of nursing home placement and spend-down to Medicaid” (H.Rept. 110-231, p. 207).
The President’s FY2008 budget requested Choices for Independence funds under Title IV, while the FY2008 Consolidated Appropriations Act (P.L. 110-161) provides the funds under Aging Network
support activities under Title II. The President’s budget request would have provided $28.0 million for Choices for Independence. P.L.110-161 provides $16.2 million for Choices for Independence
(after a 1.747% across-the-board reduction).
p. P.L.110-161 applies an across-the-board reduction of 1.747% to figures in the bill text and Explanatory Statement narrative (Division G, Title V, §528).
q. Separate amounts not specified in FY2008 Consolidated Appropriations Act tables. These figures were calculated by CRS by applying the 1.747% across-the-board reduction to figures in the Explanatory
Statement narrative in the Congressional Record, December 17, 2007, p. H16242.

---

CRS-13
Figure 1. Older Americans Act, FY2008 Funding
($ 1.924 billion)
Source: Prepared by CRS based on the Explanatory Statement for the FY2008 Consolidated
Appropriations Act (H.R. 2764), Congressional Record, December 17, 2007, pp. H16338, H16355.
Figure 2. Funding for Older Americans Act Programs,
FY2000-FY2008
(in millions of dollars)
$2,000
$1,924
$1,855
$1,900
$1,798
$1,783
$1,800
$1,814
$1,771
$1,783
$1,700
$1,684
$1,600
$1,500
$1,507
$1,400
$1,300
$1,200
$1,100
$1,000
FY2000 FY2001 FY2002 FY2003 FY2004 FY2005 FY2006 FY2007 FY2008
crsphpgw
Source: Prepared by CRS based on appropriations legislation.

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